Study on the Role of Anticipatory Blood Glucose Control in Improving Blood Glucose Levels in Patients with Severe Diabetes Mellitus
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目的 探究预见性血糖控制在重症糖尿病患者中的应用价值.方法 选取泉州市第一医院于2023年1-11月收治的90例重症糖尿病患者为研究对象,采用密闭信封法分为对照组和研究组,各45例.对照组实施常规血糖控制,研究组行预见性血糖控制.于干预前及干预 2个月后,检测两组空腹血糖(Fasting Plasma Glucose,FPG)、餐后2 h血糖(2-hour Postprandial Blood Glucose,2 hPG)水平,采用微型营养评价量表(Mini Nutritional Assessment Form,MNA)评价两组营养状况,采用生活质量简表(World Health Organization on Quality of Life Scale-100,WHOQOL-100)评价两组生活质量.结果 干预2个月后,研究组FPG水平为(5.35±0.78)mmol/L,2 hPG水平为(7.29±0.61)mmol/L,均低于对照组,差异有统计学意义(t=9.674、21.104,P均<0.05).研究组MNA、WHOQOL-100得分高于对照组,差异有统计学意义(P均<0.05).结论 重症糖尿病患者应用预见性血糖控制,可有效降低血糖水平,并提高营养状态及生活质量.
Objective To investigate the application value of anticipatory blood glucose control in patients with severe diabetes mellitus.Methods A total of 90 patients with severe diabetes admitted to Quanzhou First Hospital from Janu-ary 2023 to November 2023 were selected as the study objects,and they were divided into the control group and the study group by the closed-envelope method,with 45 cases in each group.Conventional blood glucose control was implemented in the control group and anticipatory blood glucose control was performed in the study group.Fasting plasma glucose(FPG)and 2-hour postprandial blood glucose(2 hPG)levels were measured before the intervention and at 2 months after the intervention.Mini Nutritional Assessment Form(MNA)was used to measure the nutritional status of the two groups,and World Health Organization on Quality of Life Scale-100(WHOQOL-100)was used to measure the quality of life of the two groups.Results After 2 months of intervention,the FPG level in the study group was(5.35±0.78)mmol/L,and the 2 hPG level was(7.29±0.61)mmol/L,which were lower than those in the control group,and the differences were statistically significant(t=9.674,21.104,both P<0.05).The MNA and WHOQOL-100 scores of the study group were higher than those of the control group,and the differences were statistically sig-nificant(both P<0.05).Conclusion The application of anticipatory blood glucose control in patients with severe diabe-tes mellitus can effectively reduce the blood glucose level and improve the nutritional status and quality of life.
Anticipatory blood glucose controlSevere diabetes mellitusBlood glucose levelNutritional statusQuality of life
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