SIGNIFICANCE OF MULTIDISCIPLINARY DIAGNOSIS AND TREATMENT OF BRITTLE DIABETES IN ELDERLY PATIENTS
Objective To investigate the significance of multidisciplinary treatment of brittle diabetes in elderly patients.Methods A total of 19 elderly patients with brittle diabetes who were admitted to our hospital from June 2014 to December 2016 received multidisciplinary diagnosis and treatment,including regular health education about diabetes by medical staffs to strengthen the self-management of diabetic patients;psychological counseling by psychotherapists to relieve mental stress;reasonable and individualized nutrition prescription developed by nutritionists;informing patients of precautions by clinical pharmacists after assessing the risk of drugs;individualized insulin and oral hypoglycemic drugs provided by clinical specialists by monitoring blood glucose level of patients.Results Before treatment,the mean fasting blood glucose (FPG) level and 2 h postprandial plasma glucose (2hPG) level were (9.34±1.7) mmol/L (2.6-17.1 mmol/L) and (15.9 ± 2.9) mmol/L,respectively.The mean glycosylated hemoglobin (HbA1c) level was (9.9±1.1)％.There were no hypoglycemic reaction and hypoglycemic coma occurring during hospitalization.The fluctuations of FPG and 2hPG were reduced significantly.The repeated examination results showed that the urine sugar were (±)-(+) and the urine ketone was negative.The mean length of hospital stay was 14.7 d.Two patients had hypoglycemic reaction during follow-up.After 12 weeks of treatment,the FPG,2hPG,and HbA1c levels were significantly lower than those on admission (t =3.57-6.52,P＜0.05).Conclusion Brittle diabetes in elderly patients can be prevented and controlled by multidisciplinary diagnosis and treatment.
NETL
NSTL
万方数据
维普
