Self monitoring of blood glucose combined with digital diabetes management to improve clinical relevant indicators in type 2 diabetes
10.3969/j.issn.1671-8348.2024.01.016
- VernacularTitle:自我血糖监测联合数字化糖尿病管理改善糖尿病患者相关临床指标
- Author:
Jun YANG
1
;
Qiuwen ZHU
;
Ling WANG
;
Yanni WU
;
Xia QI
;
Mengfei JIANG
;
Xiaoyong YAN
;
Hongyun MIAO
Author Information
1. 重庆大学附属江津医院内分泌代谢科,重庆 402260
- Keywords:
self-moniforing of blood glucose;
digital diabetes management;
type 2 diabetes;
clinical indi-cator;
randomized controlled trial
- From:
Chongqing Medicine
2024;53(1):79-83,88
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the influence between self-monitoring of blood gluocose(SMBG)combined with digital diabetes management and traditional management mode on the related clinical indexes in the patients with type 2 diabetes mellitus(T2DM).Methods A total of 100 patients with T2DM treated in the endocrinology and metabolism outpatient department of this hospital from January 2022 to June 2022 and meeting the inclusion criteria of this study were successively included.They were divided into the experimental group and control group.The experimental group was managed by SMBG combined with digital diabetes man-agement mode,while the control group adopted the traditional management mode,the outpatient clinic follow up once a month.After 6 months of follow-up,fasting blood glucose,glycosylated hemoglobin(HbA1c),low density lipoprotein cholesterol(LDL-C)and urinary microalbumin/creatinine ratio(UACR)were compared between the two groups.Results The FBG,HbA1c,LDL-C,and UACR of the experimental group decreased after intervention when compared with baseline.Compared with the control group,the FBG[8.7(7.7,9.2)mmol/L vs.10.8(8.8,12.7)mmol/L,Z=-4.660,P<0.001],HbA1c[6.3%(5.3,7.8)%vs.8.5%(7.2,10.0)%,Z=-5.130,P<0.001],LDL-C[2.6(1.8,3.1)mmol/L vs.3.3(2.6,4.0)mmol/L,Z=-4.112,P<0.001],UACR[16.1(3.5,46.5)mg/g vs.58.4(11.9,108.0)mg/g,Z=-2.220,P=0.026]for patients in the expriemental group after intervention were significantly decreased.Conclusion SMBG combined with digital diabetes management model can significantly improve the clinical indicators of patients.