重点关注血糖监测：与血糖控制的关系及监测频率的决定因素。
A focus on blood glucose monitoring: relation to glycemic control and determinants of frequency.
机构信息
Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213, USA.
出版信息
Pediatr Diabetes. 2011 Feb;12(1):25-30. doi: 10.1111/j.1399-5448.2010.00663.x.
OBJECTIVE
To re-examine the relation of blood glucose monitoring to glycemic control among adolescents with type 1 diabetes and to evaluate the relation of demographic, behavioral, and psychosocial characteristics of adolescents who monitor more and less frequently.
RESEARCH DESIGN AND METHODS
Participants were 132 adolescents with type 1 diabetes (average age = 12 yr) and their parents, recruited from Children's Hospital of Pittsburgh. Adolescents were interviewed annually for five consecutive years after routine clinic appointments. At each assessment, data from blood glucose meters were downloaded and glycosylated hemoglobin A1c was recorded from medical records.
RESULTS
More frequent blood glucose monitoring was related to better glycemic control. Adolescents who monitored more frequently were younger, from higher social status families, on insulin pumps, and had higher self-efficacy. Age-related declines in blood glucose monitoring occurred among adolescents with low self-esteem, high stressful life events, and lower parental support.
CONCLUSIONS
Given the importance of blood glucose monitoring for good glycemic control, future research should enhance adolescents' self-efficacy for monitoring and intervene with those who are at risk for age-related declines in blood glucose monitoring.
目的
重新考察青少年 1 型糖尿病患者血糖监测与血糖控制之间的关系，并评估监测频率较高和较低的青少年在人口统计学、行为和心理社会特征方面的关系。
研究设计和方法
参与者为匹兹堡儿童医院招募的 132 名青少年 1 型糖尿病患者（平均年龄=12 岁）及其父母。在常规门诊就诊后，青少年每年接受 5 年的连续评估。在每次评估中，从血糖仪下载数据，并从病历中记录糖化血红蛋白 A1c。
结果
更频繁的血糖监测与更好的血糖控制相关。监测频率较高的青少年年龄较小，来自社会地位较高的家庭，使用胰岛素泵，自我效能感较高。自尊心较低、生活压力较大事件和父母支持较低的青少年，其血糖监测呈年龄相关性下降。
结论
鉴于血糖监测对良好血糖控制的重要性，未来的研究应增强青少年对监测的自我效能感，并对那些存在与年龄相关的血糖监测下降风险的患者进行干预。
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