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频繁血糖监测对沙特阿拉伯糖尿病患者并发症患病率的影响。

The Impact of Frequent Glucose Monitoring on the Prevalence of Complications Among Patients With Diabetes in Saudi Arabia.

作者信息

Alkhatieb Maram T, Aljehani Khalid M, Alkhalifah Hussain A, Alghamdi Nawaf S, Almaghrabi Abdulrahman S, Alqarni Bader B, Alzahrani Abdulrahman Y

机构信息

Department of Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.

Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.

出版信息

Cureus. 2023 May 31;15(5):e39796. doi: 10.7759/cureus.39796. eCollection 2023 May.

Abstract

BACKGROUND

Diabetes mellitus (DM), including type 1 diabetes (T1D) and type 2 diabetes (T2D), affects the absorption of glucose from the blood. DM has serious complications that can be prevented by adequate knowledge of the disease and its complications, a healthy lifestyle, a modified diet, and regular glucose monitoring. Hence, this study aimed to assess the effects of frequent glucose monitoring on the occurrence of DM complications.

METHODS

This cross-sectional study was performed at King Abdulaziz University Hospital between June and December 2022 and included patients with T1D or T2D. After consent, participants who agreed to join filled out an online questionnaire that was used to acquire information, such as demographic data, type of diabetes, blood glucose monitoring, and diabetic complications.

RESULTS

A total of 206 diabetic patients participated in this study, with a mean age of 41.2±19.37, with 53.4% having T1D. Most participants monitored their glucose levels (85.4%), and the majority (65.3%) monitored them once or more daily. Patients who monitored their glucose levels more frequently had significantly fewer complications (p = 0.002). Continuous glucose monitoring (CGM) was the best monitoring method, as it demonstrated the lowest rate of complications compared to other methods (p = 0.002).

CONCLUSIONS

Frequent glucose monitoring and the use of CGM devices were associated with a decreased number of DM complications. Thus, we recommend that physicians encourage patients to perform CGM as it helps increase the frequency of monitoring.

摘要

背景

糖尿病(DM),包括1型糖尿病(T1D)和2型糖尿病(T2D),会影响血液中葡萄糖的吸收。糖尿病有严重的并发症,通过充分了解该疾病及其并发症、健康的生活方式、调整饮食和定期进行血糖监测可以预防。因此,本研究旨在评估频繁进行血糖监测对糖尿病并发症发生情况的影响。

方法

这项横断面研究于2022年6月至12月在阿卜杜勒阿齐兹国王大学医院进行,纳入了T1D或T2D患者。在获得同意后,同意参与的参与者填写了一份在线问卷,用于获取人口统计学数据、糖尿病类型、血糖监测情况和糖尿病并发症等信息。

结果

共有206名糖尿病患者参与了本研究,平均年龄为41.2±19.37岁,其中53.4%患有T1D。大多数参与者监测了他们的血糖水平(85.4%),并且大多数(65.3%)每天监测一次或多次。血糖监测更频繁的患者并发症明显更少(p = 0.002)。持续葡萄糖监测(CGM)是最好的监测方法,因为与其他方法相比,它的并发症发生率最低(p = 0.002)。

结论

频繁进行血糖监测和使用CGM设备与糖尿病并发症数量减少有关。因此,我们建议医生鼓励患者进行CGM,因为它有助于提高监测频率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1595/10313341/c08a808abef4/cureus-0015-00000039796-i01.jpg

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