Clinic- Rather than Self-Monitoring of Home Blood Samples: Relevance of Day-to-Day Variability to Decision Making
Clinic- Rather than Self-Monitoring of Home Blood Samples: Relevance of Day-to-Day Variability to Decision Making
复制标题
诊所——而不是自我监测家庭血液样本：日常变化与决策的相关性
作者：
E. A. Ward;M. Phillips;G. Ward;R. Simpson;R. Mullins;R. Turner
青少年糖尿病患者血糖浓度的日常变化意味着，以实现总体良好的血糖控制模式为目标通常更为合理，而不是在每次血糖测量后定期评估下一个胰岛素剂量。这意味着患者并不总是需要立即评估其血糖浓度。我们研究了 22 名需要胰岛素的糖尿病患者的控制情况，方法是每月收集四份血液样本，每天采集到收集瓶中，然后运送到实验室进行血糖测定。早餐前、午餐前、晚餐前和睡前的总体平均值分别为 6.1、5.8、7.3 和 7.2 mmol/L。对于许多患者来说，通过这种方法可以获得足够好的控制，因此没有必要要求他们测量自己的血糖浓度或要求他们获得相当昂贵的仪表来读取葡萄糖氧化酶试纸。然后，最好通过每月一次进行的一系列三个每日分析来评估控制情况，如有必要，与患者讨论结果。另一方面，在更不稳定的糖尿病中，需要由患者进行家庭血糖测量评估。
The day-to-day variability of blood glucose concentrations in juvenile diabetes means that it is often more reasonable to aim to achieve a generally good pattern of blood glucose control, rather than regularly to assess the next insulin dose after each blood glucose measurement. This means that immediate assessment by the patient of his blood glucose concentrations is not always necessary. We have investigated control in 22 insulin-requiring diabetic patients by means of a monthly series of four blood samples taken during a day into collector bottles and transported to a laboratory for blood glucose assay. The overall means before breakfast, before lunch, before dinner, and before bed were 6.1, 5.8, 7.3, and 7.2 mmol/L, respectively. In many patients, sufficiently good control can be obtained by this method so that it is not necessary to ask them to measure their own blood glucose concentrations or to ask them to obtain the fairly expensive meters for reading glucose oxidase strips. Control would then probably be best assessed by a series of three daily profiles taken once per month, with, if necessary, the results being discussed with the patient. On the other hand, in more unstable diabetes, home assessment by patients of blood glucose measurements is indicated.