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| The influence of different management modes on blood glucose control compliance rate in patients with type 2 diabetes |
| ZHANG Xiaolin1,2 LIU Min1 LI Gang2 GU Hongqing2 DAI Jie2 LIU Huifang1 YI Ping3 CHEN Fengling1 |
1.Department of Endocrinology, Shanghai Ninth People′s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201999, China;
2.Shanghai Baoshan District Youyi Street Community Health Service Center, Shanghai 201999, China;
3.School of Information Security Engineering, Shanghai Jiaotong University, Shanghai 200240, China |
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Abstract Objective To explore comprehensive diabetes management mode that combines mobile medical treatment (mobile phone application APP) as the media, community general practice and endocrinology specialty in tertiary hospitals by comparing the effects of four different management modes on the blood glucose control compliance rate of type 2 diabetes patients. Methods From January to December 2017, a total of 861 patients with type 2 diabetes in Baoshan District of Shanghai Youyi Street Community Health Service Center were selscted, according to the different management mode, they were divided into four groups (outpatient follow-up, telephone follow-up, on-site follow-up and comprehensive management), and managed for six months, respectively. Before and after the management glycated hemoglobin (HbA1c) and fasting plasma glucose (FBG) level and success rate were compared between two groups. Results After the comprehensive management mode, the compliance rate of HbA1c was the highest, followed by the on-site follow-up mode. After the on-site follow-up mode management, the FBG compliance rate was the highest, followed by the comprehensive management mode. HbA1c, FBG and the compliance rate of dual indicators compliance rate of patients in the comprehensive management mode showed the most significant increase. The HbA1c and FBG levels after the comprehensive management mode and the on-site follow-up mode were significantly lower than those before the management (P ＜ 0.05), and the decrease of HbA1c and FBG levels were the most significant after the comprehensive management mode (P ＜ 0.05). Conclusion Among the four management modes, the HbA1c and FBG levels of the comprehensive management mode are significantly reduced, and the compliance rate of HbA1c and FBG are increased. Moreover, the implementation of the comprehensive management mode is relatively convenient and easy for patients to accept, which is worth further discussion and promotion.
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