Fernández Suárez F, Trueba A, Ferrús J A, Olloqui J, Lorente N, Leoz A
Unidad Docente de Medicina de Familia y Comunitaria, Logroño.
Aten Primaria. 1995 Apr 15;15(6):341-2, 344, 346-8.
To study the association between the application of a diabetic care programme and modifications in glycated haemoglobin and the Body Mass Index.
Descriptive study.
Two health centres.
199 patients were studied, the total number of type II diabetics found in three general medicine practices.
Patients followed, at different levels, a programme of diabetic care. Variation of glycated haemoglobin and the Body Mass Index were measured in each patient during the 1991-1992 period. These were then related to their continuation in the programme and whether they were included in this programme at the moment of the examination.
The average drop in glycated haemoglobin was -15.3% (12.2 +/- 18.4) (p < 0.001). Average variation of the Body Mass Index was 0.2% (-0.6 +/- 1.00), not significant. Average drop in glycated haemoglobin in those included was -16% (12.5 +/- 19.5) (p < 0.001) and in those not included, -12.6% (5.3 +/- 19.9) (p < 0.001), no significant difference. The correlation between the degree of continuation in the programme and the variation of glycated haemoglobin had a r = -0.04 (p = 0.7) and between the degree of continuation and variation in the Body Mass Index, a r of 0.15 (p = 0.06). When the initial value of glycated haemoglobin was equal to or above 7.5, its average drop was -22.3% (17.8 +/- 26.9) (p < 0.001).
The drop in glycated haemoglobin is significant and more important, the greater the initial value. But it has not been possible to link it with the level of continuance in the programme nor with whether patients were included in the programme. The Body Mass Index does not vary.
研究糖尿病护理计划的实施与糖化血红蛋白及体重指数变化之间的关联。
描述性研究。
两家健康中心。
对199名患者进行了研究，这些患者是在三个普通内科诊所中发现的II型糖尿病患者总数。
患者在不同程度上遵循糖尿病护理计划。在1991 - 1992年期间测量了每位患者的糖化血红蛋白和体重指数的变化。然后将这些变化与他们在计划中的持续情况以及检查时是否被纳入该计划相关联。
糖化血红蛋白的平均下降幅度为 - 15.3%（12.2±18.4）（p < 0.001）。体重指数的平均变化为0.2%（ - 0.6±1.00），无统计学意义。纳入计划的患者糖化血红蛋白平均下降幅度为 - 16%（12.5±19.5）（p < 0.001），未纳入计划的患者为 - 12.6%（5.3±19.9）（p < 0.001），无显著差异。计划持续程度与糖化血红蛋白变化之间的相关性r = - 0.04（p = 0.7），与体重指数变化之间的相关性r为0.15（p = 0.06）。当糖化血红蛋白初始值等于或高于7.5时，其平均下降幅度为 - 22.3%（17.8±26.9）（p < 0.001）。
糖化血红蛋白下降显著，且初始值越高下降越明显。但无法将其与计划中的持续水平以及患者是否被纳入计划联系起来。体重指数没有变化。
