Development of a diabetic support system

目的探讨专科医生的建议和观察对2型糖尿病患者血糖控制和生活质量的影响。研究设计与方法研究对象为6个月以上未接受胰岛素治疗的2型糖尿病患者。干预措施是使用加速度计和SMBG（自我监测血糖）进行6个月的身体活动。研究人员对受试者进行了访谈，并每月通过邮件或电话交流一次或两次关于身体活动和血糖控制的建议。为了检查血糖水平和活动是否影响行为改变，在基线和6个月后分别进行DTSQ（糖尿病治疗满意度问卷）和PAID（糖尿病问题区调查）。结果完成治疗的患者21例，男18例，女3例，平均年龄50.8岁，平均糖尿病病程8.6年。非胰岛素治疗的2型糖尿病患者在6个月后通过自我监测血糖水平发现血糖控制（HbAlc）有显著改善（7.58 1.08% vs.7.21 0.95%, p= 0.049）。研究结束时，DTSQ评分低于基线（21.9? 6.2 vs.24.0? 3.6, p= 0.041）。两组间的PAID评分差异无统计学意义（50.0? 10.6 vs.47.6? 13.6, p=.382）。在这6个月里，他们平均每天走9000步。结论研究人员及时向受试者提供了有关身体活动和血糖控制的生活方式建议。通过接受专家的建议和观察，受试者获得了安全感，并能够坚持该方案。

Objective To clarify the effect on glycaemic control and QOL of advice and observation of a specialist for patients with type 2 diabetes.Research design and methods The subjects were patients who had suffered type 2 diabetes for over 6 months but had not received insulin. The interventions were physical activity using an accelerometer and SMBG (Self Monitoring Blood Glucose) for 6 months. The subjects were interviewed and advice about physical activity and glycaemic controlcommunicated by mail or telephone once or twice a month. To examine whether recognition of glucose level and activity influenced behavioral changes, DTSQ (Diabetes Treatment satisfaction Questionnaire) and PAID (Problem Area in Diabetes Survey) were administered at baseline and after 6 months.Results Twenty-one patient, 18 males and 3 females, mean age: 50.8years, mean duration of diabetes 8.6 years, completed the programme. A significant improvement in glycaemic control (HbAlc) was found after 6 months in patients withnon-insulin treated type 2 diabetes using self monitoring of blood glucose levels (7.58?}1.08% vs.7.21?}0.95%, p=.049). At the end of the study, DTSQ score was lower than at baseline (21.9?}6.2 vs.24.0?}3.6, p=.041). However, there was nosignificant difference in PAID scores (50.0?}10.6 vs.47.6?}13.6, p=.382). Average number of steps walked per day during the six months was 9000.Conclusion The researcher shared timely life style advice about physical activity and glycaemic control with the subjects. By receiving the advice and observation from a specialist, the subjects gained a sense of security and were able to adhere to the programme.