The efficacy of glucose excursion by the continuous glucose monitors sys-tem in the patients with type 2 diabetes
- VernacularTitle:动态血糖监测系统对2型糖尿病患者血糖漂移的影响
- Author:
Zhigang ZHU
1
;
Xiangyang GUO
;
Sumei ZHANG
;
Yu LI
Author Information
1. 河南省信阳市中心医院内分泌科
- Keywords:
Continuous glucose monitors system;
Type 2 diabetes;
Glucose excursion
- From:
China Modern Doctor
2014;(20):124-126
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of glucose excursion by the continuous glucose monitors system (CGMS) in the patients of type 2 diabetes. Methods A total of 86 T2DM cases were enrolled. All patients were observed with CGMS for 72 hours. All the indexes were compared between the first day and the third day. Results The 24 h average blood glucose(24 h MBG) levels by insulin dose tendency reduced from (10.7±2.7) mmol/L to (7.9±1.6) mmol/L before the adjustment tendency (P < 0.05); Adjusted days average blood glucose fluctuation (MAGE) tendency reduced from (5.5±1.6)mmol/L to (2.3±1.0) mmol/L tendency (P <0.05);Insulin dose before and after the adjustment blood glucose were significantly decreased as a percentage of the time of PT1(≤3.9 mmol/L tendency)reduced from 0.8%to 0.3%, the PT3 (≥7.8 mmol/L tendency) reduced from (32.7±7.5)%to (14.7±3.1)%(P<0.05);Blood sugar lower than 5 mmol/L tendency for the average frequency reduced from 1.6 times to 0.7 times (P < 0.05). Conclusion Dynamic blood sugar monitoring system can display the extent of T2DM patients blood sugar drift in detail and the trend of more targeted hypoglycemic auxiliary clinician, effective control of blood glucose fluctuation and the occurrence of hypoglycemia, shorten hospitalization time.
