個人化血糖監測及「PRIDE」教育方案對第2型糖尿病病患照護之成效

Efficacy of Individualized Monitoring of Blood Glucose and PRIDE Education Protocol on Glycemic Control in Patients with Type 2 Diabetes Mellitus

陳孟敏(Meng-Min Chen) ； 蕭若妤(Jo-Yu Hsiao) ； 黃佳進(Jia-Jin Huang) ； 戴研光(Yen-Kuang Tai) ； 簡誌銘(Chih-Ming Chien) ； 黃秋玲(Chiu-Ling Huang)

《南臺灣醫學雜誌》 9卷2期 (2013/09) Pp. 98-108

https://doi.org/10.6726/MJST.201309_9(2).0004

摘要

Objective: To assess the efficacy of individualized blood glucose monitoring program in combination with PRIDE Education Protocol on fasting glucose, postprandial glucose and hemoglobin A1c (A1C) values in patients with type 2 diabetes mellitus.Methods: Between March and August in 2013, we performed a quasi-experimental study to enroll patients with type 2 diabetes from the diabetes clinic in a regional teaching hospital in Kaohsiung. Patients in the experimental group participated an individualized blood glucose monitoring program, performed pre- and post-meal paired glycemic testing and received PRIDE training protocol monthly for 4 times. Patients in the control group kept on usual glucose monitoring.Results: In the experimental group, there were significant reductions in pre-breakfast, pre-dinner and post-dinner glucose levels compared to baselines (p＜0.001, p=0.03, p=0.001), while the decreases of glucose levels in other time points compared to baselines were not significant. The A1C decreased significantly from 7.68±1.55% at baseline to 7.23±1.04% at 24th week in the experimental group (p = 0.003). Compared to control group, the experimental group showed a greater A1C reduction (p＜0.001). Furthermore, the proportion of patients in the experimental group achieving A1C ＜ 7% elevated from 36% at baseline to 52% at 24th week, while individuals with A1C ＞9% decreased from 8% to 2%.Conclusions: Our study demonstrates that this education program could help diabetic patients to improve blood glucose control.

關鍵字

第2型糖尿病 ； 自我血糖監測 ； 配對血糖測試 ； 「PRIDE」教育方案

並列摘要

Objective: To assess the efficacy of individualized blood glucose monitoring program in combination with PRIDE Education Protocol on fasting glucose, postprandial glucose and hemoglobin A1c (A1C) values in patients with type 2 diabetes mellitus.Methods: Between March and August in 2013, we performed a quasi-experimental study to enroll patients with type 2 diabetes from the diabetes clinic in a regional teaching hospital in Kaohsiung. Patients in the experimental group participated an individualized blood glucose monitoring program, performed pre- and post-meal paired glycemic testing and received PRIDE training protocol monthly for 4 times. Patients in the control group kept on usual glucose monitoring.Results: In the experimental group, there were significant reductions in pre-breakfast, pre-dinner and post-dinner glucose levels compared to baselines (p＜0.001, p=0.03, p=0.001), while the decreases of glucose levels in other time points compared to baselines were not significant. The A1C decreased significantly from 7.68±1.55% at baseline to 7.23±1.04% at 24th week in the experimental group (p = 0.003). Compared to control group, the experimental group showed a greater A1C reduction (p＜0.001). Furthermore, the proportion of patients in the experimental group achieving A1C ＜ 7% elevated from 36% at baseline to 52% at 24th week, while individuals with A1C ＞9% decreased from 8% to 2%.Conclusions: Our study demonstrates that this education program could help diabetic patients to improve blood glucose control.

並列關鍵字

Type 2 diabetes mellitus ； Self-monitoring of blood glucose ； Paired testing ； PRIDE educational protocol