应用动态血糖检测系统观察2型糖尿病患者低血糖特点
【摘要】 目的 观察2型糖尿病患者低血糖特点，为临床治疗及护理提供理论依据，更好的预防低血糖的发生。方法 应用动态血糖检测系统(CGMS)对350例2型糖尿病患者进行连续3天的血糖监测，以血糖<3.9 mmol/L且持续5 min以上，定为临床低血糖，根据患者治疗和进餐时间，设6：00～7:00早餐前，10:30～11:30午餐前，16:30～17:30晚餐前，20：00～22:00睡前，22：00～6:00夜间。观察低血糖发生的时间及有无低血糖症状。结果 夜间发生低血糖的比率最高(62.4%)。结论 无症状低血糖，夜间发生的比率也最高(占夜间低血糖的79.6%)，而应用CGMS对治疗中的2型糖尿病患者进行监测，能准确反应低血糖特点，对临床治疗及护理具有重要的指导意义。【关键词】
2型糖尿病；动态血糖检测系统；低血糖
Application of glucose detection system in patients with type 2 diabetes observed features of low blood sugar
MA Weirong. Department of Endocrinology,Changchun center Hospital,Changchun 130051,China
【Abstract】 Objective
type 2 diabetes characterized by low blood sugar, for clinical treatment and care to provide a theoretical basis for better prevention of hypoglycemia. Methods Glucose detection system (CGMS), 350 patients with type 2 diabetes patients with blood glucose monitoring for 3 consecutive days, to blood glucose <3.9 mmol/L and for 5 minutes or more, as a clinical low blood sugar, according to the patient and the meal time, 6:00 to 7:00 before breakfast is located, from 10:30 to 11:30 before lunch, before dinner 16:3017:30 20:0022:00 bedtime, 22:00 to 6:00 at night. Observe the time of hypoglycemia and the presence of hypoglycemia.Results Highest rate of hypoglycemia at night (62.4%), asymptomatic hypoglycemia, the occurrence rate is highest at night (nocturnal hypoglycemia accounted for 79.6%).Conclusion The application of CGMS for the treatment of type 2 diabetes monitoring, can accurately reflect the characteristics of low blood sugar, for clinical treatment and care have important guiding significance. ......
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