第2型糖尿病患血糖自我監測與血糖控制的相關性

Blood Glucose (SMBG) and Glycemic Control in Patients with Type 2 Diabetes

10.6530/YYN.2011.5(2).06

林素瓊(Su-Chiung Lin)；張媚(Mei Chang Yeh)

第2型糖尿病 ； 血糖自我監測 ； 血糖控制 ； type 2 diabetes ； self-monitor of blood glucose (SMBG) ； glycemic control

源遠護理

5卷2期（2011 / 11 / 01）

43 - 50

繁體中文

This study explores the relationships among self-monitoring of blood glucose (SMBG), self care and blood glucose control in patients with type 2 diabetes on insulin treatment. Data was collected through interviews that used a semi-structured questionnaire. Participants were Type 2 diabetic patients on insulin treatment at a metabolic clinic in a metropolitan medical center in northern Taiwan. A total of 203 valid questionnaires were collected. Results indicated that 1) patients with higher frequency of SMBG has significantly negative correlation with their HbA1c value (p＜.01) and patients who performed SMBG ≥ 1 time/day had better glycemic control than those who did SMBG ≤ 3 times/week; 2) when SMBG showed high blood glucose levels, most patients chose dietary adjustment followed by medication or exercise; 3) the more perceived improvement in blood glucose control the higher frequency of SMBG and lower HbA1c; 4) patients who believed SMBG was beneficial had higher frequency of SMBG and lower HbA1c, and 5) both frequency of SMBG per month and high blood glucose management scores explains 14% variance in HbA1c based on linear regression analysis. SMBG is effective in blood glucose control for Type 2 diabetic patients on insulin therapy. Health care providers need to ensure these patients know the benefits of SMBG and perform it at least once per day.

This study explores the relationships among self-monitoring of blood glucose (SMBG), self care and blood glucose control in patients with type 2 diabetes on insulin treatment. Data was collected through interviews that used a semi-structured questionnaire. Participants were Type 2 diabetic patients on insulin treatment at a metabolic clinic in a metropolitan medical center in northern Taiwan. A total of 203 valid questionnaires were collected. Results indicated that 1) patients with higher frequency of SMBG has significantly negative correlation with their HbA1c value (p＜.01) and patients who performed SMBG ≥ 1 time/day had better glycemic control than those who did SMBG ≤ 3 times/week; 2) when SMBG showed high blood glucose levels, most patients chose dietary adjustment followed by medication or exercise; 3) the more perceived improvement in blood glucose control the higher frequency of SMBG and lower HbA1c; 4) patients who believed SMBG was beneficial had higher frequency of SMBG and lower HbA1c, and 5) both frequency of SMBG per month and high blood glucose management scores explains 14% variance in HbA1c based on linear regression analysis. SMBG is effective in blood glucose control for Type 2 diabetic patients on insulin therapy. Health care providers need to ensure these patients know the benefits of SMBG and perform it at least once per day.