第2型糖尿病患血糖自我監測與血糖控制的相關性

Blood Glucose (SMBG) and Glycemic Control in Patients with Type 2 Diabetes

林素瓊(Su-Chiung Lin) ； 張媚(Mei Chang Yeh)

《源遠護理》 5卷2期 (2011/11) Pp. 43-50

https://doi.org/10.6530/YYN.2011.5(2).06

摘要

This study explores the relationships among self-monitoring of blood glucose (SMBG), self care and blood glucose control in patients with type 2 diabetes on insulin treatment. Data was collected through interviews that used a semi-structured questionnaire. Participants were Type 2 diabetic patients on insulin treatment at a metabolic clinic in a metropolitan medical center in northern Taiwan. A total of 203 valid questionnaires were collected. Results indicated that 1) patients with higher frequency of SMBG has significantly negative correlation with their HbA1c value (p＜.01) and patients who performed SMBG ≥ 1 time/day had better glycemic control than those who did SMBG ≤ 3 times/week; 2) when SMBG showed high blood glucose levels, most patients chose dietary adjustment followed by medication or exercise; 3) the more perceived improvement in blood glucose control the higher frequency of SMBG and lower HbA1c; 4) patients who believed SMBG was beneficial had higher frequency of SMBG and lower HbA1c, and 5) both frequency of SMBG per month and high blood glucose management scores explains 14% variance in HbA1c based on linear regression analysis. SMBG is effective in blood glucose control for Type 2 diabetic patients on insulin therapy. Health care providers need to ensure these patients know the benefits of SMBG and perform it at least once per day.

關鍵字

第2型糖尿病 ； 血糖自我監測 ； 血糖控制

並列摘要

This study explores the relationships among self-monitoring of blood glucose (SMBG), self care and blood glucose control in patients with type 2 diabetes on insulin treatment. Data was collected through interviews that used a semi-structured questionnaire. Participants were Type 2 diabetic patients on insulin treatment at a metabolic clinic in a metropolitan medical center in northern Taiwan. A total of 203 valid questionnaires were collected. Results indicated that 1) patients with higher frequency of SMBG has significantly negative correlation with their HbA1c value (p＜.01) and patients who performed SMBG ≥ 1 time/day had better glycemic control than those who did SMBG ≤ 3 times/week; 2) when SMBG showed high blood glucose levels, most patients chose dietary adjustment followed by medication or exercise; 3) the more perceived improvement in blood glucose control the higher frequency of SMBG and lower HbA1c; 4) patients who believed SMBG was beneficial had higher frequency of SMBG and lower HbA1c, and 5) both frequency of SMBG per month and high blood glucose management scores explains 14% variance in HbA1c based on linear regression analysis. SMBG is effective in blood glucose control for Type 2 diabetic patients on insulin therapy. Health care providers need to ensure these patients know the benefits of SMBG and perform it at least once per day.

並列關鍵字

type 2 diabetes ； self-monitor of blood glucose (SMBG) ； glycemic control