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目的通过对血糖控制理想的糖尿病患者进行动态血糖监测系统(CGMS)和指尖血糖监测,分析血糖数据,探讨CGMS是否更有利于血糖控制。方法选择30例HbA_1c达标的短期住院患者,进行72h的CGMS血糖监测,同时用指尖血糖监测3d的FBG、三餐后2hBG、睡前及凌晨3点血糖,记录血糖数据。结果 CGMS与指尖血糖监测相比,可以更广泛地监测到血糖最高值、最低值(P<0.01),提高高血糖、低血糖的检出率。通过调整治疗,可在短时间内使血糖达到24h的全面、平稳控制(P<0.05)。结论与指尖血糖监测相比,CGMS能够显示全面详细的血糖动态变化情况,较好地评估血糖漂移,为糖尿病患者制订更合理有效的防治策略提供科学依据。
OBJECTIVE: To analyze whether CGMS is more beneficial to glycemic control by analyzing the blood sugar data by performing dynamic glucose monitoring system (CGMS) and fingertip blood glucose monitoring on the diabetic patients with glycemic control. Methods Thirty patients with short-term HbA 1c admission were enrolled in this study. CGMS blood glucose monitoring was performed at 72 hours. FBG was monitored with fingertip blood glucose for 3 days, BGG after 3 meals, blood glucose before bed and 3:00 am. Results Compared with fingertip blood glucose monitoring, CGMS could detect the highest and lowest blood glucose levels (P <0.01) and improve the detection rate of hyperglycemia and hypoglycemia. By adjusting the treatment, blood glucose can be achieved within 24 hours of a comprehensive and stable control (P <0.05). Conclusion Compared with the fingertip blood glucose monitoring, CGMS can display a comprehensive and detailed dynamic changes of blood glucose and evaluate the blood sugar drift well, providing a scientific basis for formulating a more rational and effective prevention and control strategy for diabetic patients.