O'Sullivan D J, Parfrey P S
Postgrad Med J. 1979;55 Suppl 2:31-5.
The value of a number of currently used parameters in the assessment of diabetic control was critically assessed in one hundred and seventy seven diabetics. Each method was compared with the results of 5 blood glucose values taken at selected times during the 24 hours. In all diabetic patients, clinical assessment, semi-quantitative urine tests both at home and in hospital and 24-hour quantitative urinary glucose values can at best indicate only poor diabetic control. They failed to do this in a substantial number of cases. In insulin dependent diabetics, isolated blood glucose readings are of very limited value in predicting good diabetic control. In maturity onset type diabetes, a single blood glucose reading is a reliable index of diabetic control. The implications of these findings in the practical management of diabetes are considered.
对177名糖尿病患者目前使用的一些评估糖尿病控制情况的参数的价值进行了严格评估。将每种方法与24小时内选定时间采集的5次血糖值的结果进行了比较。在所有糖尿病患者中，临床评估、在家中和医院进行的半定量尿检以及24小时尿糖定量值最多只能表明糖尿病控制不佳。在相当多的病例中，它们无法做到这一点。在胰岛素依赖型糖尿病患者中，单独的血糖读数在预测良好的糖尿病控制方面价值非常有限。在成年发病型糖尿病中，单次血糖读数是糖尿病控制的可靠指标。考虑了这些发现对糖尿病实际管理的影响。
