Goodson J D, Singer D E, Hurxthal K, Nathan D M
J Gen Intern Med. 1986 Jul-Aug;1(4):243-7. doi: 10.1007/BF02596192.
To investigate the value of home urine glucose testing in assessing chronic diabetic glucose control, the authors compared patients' glycosuria patterns with their mean blood glucose (MBG) levels calculated from glycosylated hemoglobin (Hb Alc). One hundred and twenty-one patients who regularly checked their urines reported on the frequencies of glycosuria over the preceding ten weeks. There was substantial overlap in the glycosuria patterns of patients at different levels of MBG. Glycosuria was not detectable in only 44% of patients with good control (MBG less than or equal to 150 mg/dl). The probability of such good control given no glycosuria was only 26%. Similarly, frequent glycosuria was reported by only 27% of patients with poor control (MGB greater than 250 mg/dl). The probability of such poor control given frequent glycosuria was only 34%. Because home urine testing cannot reliably identify good or poor control, it has a very limited role in assessing patients' chronic glucose control.
为了研究家庭尿糖检测在评估慢性糖尿病血糖控制方面的价值，作者将患者的糖尿模式与其通过糖化血红蛋白（Hb Alc）计算得出的平均血糖（MBG）水平进行了比较。121名定期检查尿液的患者报告了前十周内糖尿出现的频率。不同MBG水平患者的糖尿模式存在大量重叠。在血糖控制良好（MBG小于或等于150毫克/分升）的患者中，仅有44%检测不到糖尿。在无糖尿的情况下血糖控制良好的概率仅为26%。同样，血糖控制不佳（MGB大于250毫克/分升）的患者中只有27%报告有频繁糖尿。在频繁糖尿的情况下血糖控制不佳的概率仅为34%。由于家庭尿液检测无法可靠地识别血糖控制良好或不佳的情况，因此它在评估患者慢性血糖控制方面的作用非常有限。
