Rindone J P, Austin M, Luchesi J
Veterans Affairs Medical Center (119), Prescott, AZ 86313, USA.
Am J Manag Care. 1997 Sep;3(9):1335-8.
The purpose of the study was to determine whether blood glucose monitoring strips influence the management of patients with non-insulin dependent diabetes (NIDDM) in the primary care setting. The medical records of 115 patients with NIDDM taking a sulfonylurea drug (oral hypoglycemic agent) during the review period were randomly selected for review. Patients were divided into two groups: those who did not receive a prescription for blood glucose monitoring strips during 1995 and 1996 and those who did for the same 2 years. The main outcome measures were hemoglobin A1c, blood sugar, number of laboratory tests ordered, and number and type of treatment interventions. No statistically significant differences between groups were noted for any measured parameter. Glucose control was independent of number of strips dispensed. Home glucose monitoring strips did not affect the management of patients with NIDDM taking a sulfonylurea agent in the primary care setting.
本研究的目的是确定血糖监测试纸是否会影响基层医疗环境中非胰岛素依赖型糖尿病（NIDDM）患者的管理。在回顾期内，随机选取了115名服用磺脲类药物（口服降糖药）的NIDDM患者的病历进行审查。患者被分为两组：1995年和1996年未收到血糖监测试纸处方的患者，以及在相同两年内收到血糖监测试纸处方的患者。主要观察指标为糖化血红蛋白、血糖、所开实验室检查的数量以及治疗干预的数量和类型。两组之间在任何测量参数上均未发现统计学上的显著差异。血糖控制与所发放试纸的数量无关。在基层医疗环境中，家用血糖监测试纸不会影响服用磺脲类药物的NIDDM患者的管理。
