Diamond E L, Massey K L, Covey D
Department of Community Health and Family Medicine, University of Florida.
Health Psychol. 1989;8(1):15-26. doi: 10.1037//0278-6133.8.1.15.
Self-regulation of diabetes depends in part on common-sense models of symptoms and blood glucose fluctuations. Symptom perception and subjective estimation of blood glucose were studied in 52 adult, difficult-to-control, non-insulin-dependent diabetics using a structured interview and laboratory blood-glucose measurement. Most patients believed they could detect hyperglycemia. Symptoms linked by patients to hyperglycemic and hypoglycemic episodes did overlap with symptoms traditionally associated with those states. Some patients may experience dysphoria during glycemic swings to which multiple symptom labels are applicable, although prominent exceptions and idiosyncratic symptoms were evident. Estimation of current blood glucose using an ordinal scale suggested some capacity for discriminating blood glucose levels. Numerical estimates of Chemstrip values were correlated with actual values, but far too inaccurately for purposes of self-regulation. Research is needed to clarify whether subjective symptom perception and blood glucose estimation helps or hinders self-regulation of diabetes.
糖尿病的自我管理部分取决于对症状和血糖波动的常识性认知模式。采用结构化访谈和实验室血糖测量方法，对52名成年、难以控制的非胰岛素依赖型糖尿病患者的症状感知和血糖主观估计进行了研究。大多数患者认为自己能够察觉血糖过高。患者将其与血糖过高和过低发作相关联的症状，确实与传统上与这些状态相关的症状存在重叠。一些患者在血糖波动期间可能会出现烦躁不安，对此有多种症状描述适用，不过明显的例外情况和特殊症状也很显著。使用序数量表对当前血糖进行估计表明，患者具备一定区分血糖水平的能力。对化学试纸条数值的数值估计与实际值相关，但对于自我管理而言误差太大。需要开展研究以明确主观症状感知和血糖估计对糖尿病自我管理是有帮助还是有阻碍。
