糖尿病前期病人利用穿戴式裝置自我血糖監測

Self-Monitoring of Blood Glucose by Wearable Devices in Prediabetes Patients

邱琬玲(Wan-Ling Chiu)

《北市醫學雜誌》 16卷4期 (2019/12) Pp. 344-354

https://doi.org/10.6200/TCMJ.201912_16(4).0007

摘要

目的：糖尿病前期的病患，經由積極的飲食控制及生活型態的改變有機會恢復正常血糖範圍。本研究目的在於探討結合穿戴式裝置與應用軟體能否幫助糖尿病前期的病患達到更好的血糖控制。方法：比較糖尿病前期病患利用穿戴式裝置的方式，進行自主監控血糖（SMBG）三個月，是否能較手抄血糖日記或控制組達成更好降低血糖效果。結果：經過三個月的自我監測血糖（SMBG）的介入，使用APP平均降低血糖6.8mg／dL，手抄血糖日記平均降低血糖1.29mg／dL，控制組平均降低血糖3.51mg／dL且APP及Control的P值為0.003及0.047有顯著差異，但在HbA1c的是實驗組-Diary降低的表現比較好且P值為0.009有顯著差異。結論：顯示使用穿戴式裝置配合APP應用軟體，可「降低空腹血糖降低至100mg／dL」效果略優於手抄血糖日記以及沒有做自我監控血糖SMBG的對照組。

關鍵字

糖尿病前期 ； 第二型糖尿病 ； 自我監測血糖 ； 糖化血色素

並列摘要

Objective: Glucose levels of prediabetes patients may return to normal through active diet control and lifestyle changes. This study aimed to investigate whether combined wearable devices and APP can help prediabetes patients to achieve a better glycemic control. Methods: To compare whether prediabetes patients in wearable devices with APP group achieve a better blood glucose lowering effects compared with manual blood sugar diary group and control group after SMBG intervention. Results: After 3 months of SMBG intervention, the blood glucose reduced by an average of 6.8 mg/dL in wearable devices and APP group (p = 0.003), 1.29 mg/dL in diary group, and 3.51 mg/dL in the control group (p = 0.047). For HbA1C, the reduction in diary group was significant and performed better than others (p = 0.009). Conclusion: The results showed that effect of ＂reducing the FBG to 100 mg/dL＂ was slightly better by using wearable devices with APP than by using handwritten diary and control methods.

並列關鍵字

Prediabetes ； Diabetes ； Self-Monitoring of Blood Glucose (SMBG) ； HbA1c