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应用Minimed动态血糖监测系统观察HbA1c<7%的2型糖尿病患者动态血糖值
引用本文:张英,胡耀敏,刘伟. 应用Minimed动态血糖监测系统观察HbA1c<7%的2型糖尿病患者动态血糖值[J]. 上海医学检验杂志, 2009, 0(2)
作者姓名:张英  胡耀敏  刘伟
作者单位:上海交通大学医学院附属仁济医院内分泌科;
摘    要:目的采用Medtronic Minimed动态血糖监测系统(CGMS)对80例使用降糖药物治疗的糖化血红蛋白(HbA1c)<7%的2型糖尿病患者进行连续(72±3)h的血糖监测,了解其动态血糖波动状况。方法对80例HbA1c<7%的2型糖尿病患者进行72 h连续动态血糖监测,分析其血糖谱。结果80例2型糖尿病患者均顺利完成动态血糖监测且耐受性良好。CGMS血糖值与自我血糖监测(SGMS)血糖值的相关性良好。80例患者全天有(56.2±11.7)%的时间在目标血糖范围内[(3.9~10.0)mmol/L],全天(18.1±7.7)%的时间出现血糖过高现象(≥13.9 mmol/L),同时还发现了无症状低血糖。结论大多数HbA1c达标的2型糖尿病患者血糖实际控制并不理想,存在缺陷,而动态血糖监测能较详细地显示2型糖尿病患者血糖水平波动的特征,可为拟定更为合理的治疗方案提供临床依据。

关 键 词:糖化血红蛋白  糖尿病  动态血糖监测系统  

The kinetic blood glucose level in type 2 diabetes mellitus patients with HbA1c<7% monitored by Minimed continuous glucose monitor system
ZHANG Ying,HU Yaomin,LIU Wei.. The kinetic blood glucose level in type 2 diabetes mellitus patients with HbA1c<7% monitored by Minimed continuous glucose monitor system[J]. Shanghai Journal of Medical Laboratory Sciences, 2009, 0(2)
Authors:ZHANG Ying  HU Yaomin  LIU Wei.
Affiliation:Division of Endocrinology;Renji Hospital;Shanghai Jiaotong University School of Medicine;Shanghai 200127;China
Abstract:Objective To continuously monitor the level of blood glucose in type 2 diabetes mellitus(DM)patients with hemoglobin A1c(HbA1c)<7% by Minimed continuous glucose monitor system(CGMS)and evaluate the kinetic blood glucose level.Methods The level of blood glucose in 80 type 2 DM patients with HbA1c<7% were continuously monitored during 72 h.Results The blood glucose was monitored well in 80 patients.There was good correlation between blood glucose level of CGMS and blood glucose self-monitoring(BGSM).The durat...
Keywords:Hemoglobin A1c  Diabetes mellitus  Continuous glucose monitoring system  
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