麦地那市1型糖尿病患者中持续血糖监测对血糖控制及生活质量的有效性：一项横断面研究
Effectiveness of Continuous Glucose Monitoring in Glucose Control and Quality of Life Among Type 1 Diabetic Patients in Madina City: A Cross-Sectional Study.
作者信息
Altamimi Abdulaziz, Moneer Alqeraf Nader
机构信息
Preventive Medicine, Saudi Ministry of Health, Madina, SAU.
Health Affairs, Saudi Ministry of Health, Madina, SAU.
出版信息
Cureus. 2024 Jul 22;16(7):e65100. doi: 10.7759/cureus.65100. eCollection 2024 Jul.
INTRODUCTION
Diabetes is a growing global health problem, affecting millions of people worldwide and in Saudi Arabia in particular. Continuous glucose monitoring (CGM) offers real-time glucose levels, alerts, and 24/7 coverage, making it an affordable treatment option. The study aimed to assess CGM's effect on diabetes control and quality of life among type 1 adult diabetic patients in Saudi Arabia.
METHODS
This cross-sectional study enrolled Saudi adults diagnosed with type I diabetes and was conducted from 1 April 2024 to 30 May 2024 in Madinah City, Saudi Arabia. Data was collected from patients' medical records and the diabetes quality of life questionnaire (DQoL).
RESULTS
This study enrolled 317 participants, mostly male (52.1%) and a mean age of 34.34±12.28 years. After three months, the HbA1c levels significantly decreased (p<0.001). Older participants reported lower overall quality of life and satisfaction with their level of well-being when using CGM. Univariate analysis found that age had a significant negative association with the total score (B=-0.062, P=0.049) and satisfaction (B=-0.109, P=0.011. Marital status significantly affected the impact score (B=0.567, P=0.024). Education level notably affected satisfaction (B=-0.906, P=0.008) and monthly income influenced satisfaction (B=-1.25, P=0.033). However, multivariate analysis showed that age, education level, and monthly income did not significantly (p>0.005) affect the CGM impact, quality of life, and satisfaction.
CONCLUSION
These findings indicate that CGM significantly improved diabetes control, while improved quality of life was not significant. The impact, quality of life, and satisfaction were influenced by age, marital status, education, and income level, though not statistically significant independent predictors. Therefore, we recommend longitudinal studies, controlling for confounders.
引言
糖尿病是一个日益严重的全球健康问题，影响着全球数百万人，尤其是沙特阿拉伯的民众。持续葡萄糖监测（CGM）可提供实时血糖水平、警报以及全天候监测，使其成为一种经济实惠的治疗选择。本研究旨在评估CGM对沙特阿拉伯成年1型糖尿病患者血糖控制及生活质量的影响。
方法
本横断面研究纳入了被诊断为1型糖尿病的沙特成年人，于2024年4月1日至2024年5月31日在沙特阿拉伯麦地那市进行。数据从患者的病历和糖尿病生活质量问卷（DQoL）中收集。
结果
本研究共纳入317名参与者，其中男性居多（52.1%），平均年龄为34.34±12.28岁。三个月后，糖化血红蛋白（HbA1c）水平显著下降（p<0.001）。年龄较大的参与者在使用CGM时报告的总体生活质量和对幸福水平的满意度较低。单因素分析发现，年龄与总分（B=-0.062，P=0.049）和满意度（B=-0.109，P=0.011）呈显著负相关。婚姻状况显著影响影响得分（B=0.567，P=0.024）。教育水平显著影响满意度（B=-0.906，P=0.008），月收入影响满意度（B=-1.25，P=0.033）。然而，多因素分析表明，年龄、教育水平和月收入对CGM的影响、生活质量和满意度无显著影响（p>0.005）。
结论
这些发现表明，CGM显著改善了糖尿病控制，而生活质量的改善并不显著。影响、生活质量和满意度受年龄、婚姻状况、教育和收入水平的影响，尽管不是统计学上显著的独立预测因素。因此，我们建议进行纵向研究，控制混杂因素。
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