Kritz H, Koller W, Regal H, Taubald C, Irsigler K
Med Klin. 1979 Feb 23;74(8):267-71.
15 insulin-dependent diabetics who had been hospitalised for evaluation and modification of their treatment regimen were trained to take their own blood samples with 10 microliter glass capillaries. Blood sugar self-profiles were analysed from each patient twice in hospital and afterwards at home. Urine samples were also self-tested for sugar. The profiles were carried out reliably and seem to cause a minimum of trouble to the patient. This method of feedback, with comparison of blood and urine sugar values, increased the patient's understanding and ability to vary his own insulin dosis. The analysis of 3 daily profiles for each patient showed increasing improvement in metabolic control. This also increased motivation to keep to a regimen in which insulin dosage, physical activity, and nutrition are in balance. For the first time daily profiles were introduced which could be carried out under the normal conditions of the patient's daily life.
15名因评估和调整治疗方案而住院的胰岛素依赖型糖尿病患者接受了使用10微升玻璃毛细管采集自身血样的培训。在住院期间,每位患者进行了两次血糖自我监测,之后在家中也进行监测。尿液样本也进行了自我血糖检测。这些监测结果可靠,且似乎给患者带来的麻烦最小。这种通过比较血糖和尿糖值的反馈方法,增强了患者对自身胰岛素剂量调整的理解和能力。对每位患者的3份每日监测结果分析显示,代谢控制状况有了持续改善。这也增强了患者坚持胰岛素剂量、体力活动和营养保持平衡的治疗方案的动力。首次引入了可在患者日常生活正常条件下进行的每日监测。