The efficiency comparision of continuous glucose monitoring system and blood glucose self-monitoring in evaluating blood glucose excursion in type 1 diabetes mellitus complicated with pregnancy
10.3760/cma.j.jssn.1673-4904.2016.03.015
- VernacularTitle:对比分析1型糖尿病合并妊娠患者动态血糖监测与自我血糖监测对血糖漂移的评估
- Author:
Liping LAI
;
Fengxiu JIANG
;
Xiangqing FENG
;
Yiyi YE
;
Cuiyin LI
;
Dan SANG
;
Zeyuan LU
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 1;
Pregnancy;
Continuous glucose monitoring system;
Blood glucose self-monitoring
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(3):242-245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficiency of continuous glucose monitoring system(CGMS) and blood glucose self-monitoring (SMBG)in evaluating blood glucose excursion in type 1 diabetes mellitus (T1DM) complicated with pregnancy. Methods Twenty-five patients having suffered from T1DM complicated with pregnancy were selected randomly during June 2012 to July 2015. All subjects underwent blood glucose monitoring by CGMS and SMBG for 72 h, including the data of blood glucose before meal, 2 h post-meal blood glucose (2hBG) and blood glucose at 2:00 AM. Results The level of the highest blood glucose in CGMS was significantly higher than that in SMBG:(10.60 ± 2.11) mmol/L vs. (7.50 ± 1.18) mmol/L, P<0.01. The level of the lowest blood glucose in CGMS was significantly lower than that in SMBG:(3.60 ± 1.06) mmol/L vs. (4.50 ± 1.15) mmol/L, P<0.01. The level of mean blood glucose in CGMS and SMBG had no significant difference:(7.20 ± 1.18) mmol/L vs. (7.30 ± 1.15) mmol/L, P>0.05. The rate of hypoglycemia(blood glucose<3.3 mmol/L) in CGMS was 4.6%, and in SMBG was 1.9%. Through adjusting the treatment by CGMS, the blood glucose before meal, 2hBG and blood glucose at 2:00 AM at 49-72 h were significantly lower than that at 0-24 h (P<0.05). Conclusions Compared with SMBG, CGMS has a relatively larger blood glucose monitoring range and can sensitively evaluate blood glucose excursion, CGMS provides a scientific basis to develop a more rational and effective strategies for controlling diabetes.
