血糖监测在上海农村社区糖尿病管理中的作用

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Abstract Objective To analyze the effect of hospital-community integrated management and blood glucose monitoring in the management of patients with diabetes mellitus. Methods Five hundred and forty-one patients with diabetes mellitus coming from one Shanghai rural community from April 2014 to April 2015 were applied with hospital-community integrated strengthening management and blood glucose monitoring for one year, and the indexes of blood glucose, blood pressure, blood lipid were recorded, the clinical and laboratory data before and after management was collected and taken statistical analysis. Results After management for one year, the glycosylated hemoglobin, fasting blood-glucose, two-hour postprandial plasma glucose, insulin resistance index, systolic blood pressure, diastolic blood pressure, triacylglycerol, low density lipoprotein cholesterin, waistline of patients with diabetes mellitus were all decreased compared with those before management, the differences were statistically significant (P ＜ 0.05). After management, the good control rates of glycosylated hemoglobin, blood pressure, blood lipid were all increased compared with those before management, which increased from 63.40%, 9.98%, 50.46% to 72.27%, 22.18%, 58.96% respectively, the differences were statistically significant (P ＜ 0.05). After management, the good control rates of single, two, three indexes of glycosylated hemoglobin, blood pressure, blood lipid were all increased compared with those before management, the differences were statistically significant (P ＜ 0.05). Conclusion Increasing the frequency of blood glucose monitoring for patients with diabetes mellitus can have a positive impact on the good control rates of blood glucose, blood pressure, blood lipid of patients. Blood glucose monitoring is a good management measure for controlling the blood glucose, strengthening the blood glucose monitoring is an effective method of chronic diseases management of diabetes mellitus, which is important for the management of patients with diabetes mellitus in Shanghai rural community.

Key words： Diabetes mellitus Blood glucose monitoring Blood glucose Blood pressure Blood lipid

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	ZENG Yuanyuan ZHU Chaoyu XIAO Yuanyuan GAO Qingge XU Li WEI Li

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ZENG Yuanyuan ZHU Chaoyu XIAO Yuanyuan GAO Qingge XU Li WEI Li. The role of blood glucose monitoring in diabetes mellitus management of Shanghai rural community[J]. 中国医药导报, 2017, 14(17): 112-115.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I17/112

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