中国临床保健杂志2018，Vol.21Issue(2)：185-188,4.DOI:10.3969/J.issn.1672-6790.2018.02.012
老年糖尿病伴食欲不佳患者住院期间的血糖管理
In-hospital management of hyperglycemia in elderly patients with diabetes mellitus and dysorexia
摘要
Abstract
Objective To explore the optimal strategy of in hospital glycemic control for elderly patients with diabetes mellitus and dysorexia.Methods Eighty-nine diabetic patients who were older than 65 years and took less than 25 grams for main meal two days prior to admission were randomly allocated into glycemic management group(n=43)and control group(n=46).For patients in the glycemic management group,individual glycemic control target was made by the hospital glycemic management committee,and optimal hypoglycemic protocol was carried out based upon strict glycemic monitoring.Results Patients in the glycemic management group had significantly lower average serum glucose level[(10.19 ±1.38)mmol/L VS.(12.91 ±1.25)mmol/L,P=0.004],more decreased glucose variability [(2.91 ±0.46)mmol/L VS.(3.34 ±0.49)mmol/L,P=0.001]and less incidence of hypoglycemia(1.8% VS. 2.9%,P=0.049)than those in the control group.The time of hospital stay was shorter[(13.63 ±2.06)d VS. (14.64 ±2.43)d,P=0.036]and success rate of optimal glycemic control was higher(65.1% VS.39.1%,P=0.014)in the glycemic management group.Conclusion The optimal glycemic management is clinically beneficial for elderly in-hospital patients with diabetes and dysorexia.关键词
老年/糖尿病/住院期血糖管理Key words
Elderly/Diabetes mellitus/In-hospital glycemic management分类
医药卫生引用本文复制引用
余季文,刘爱华,胡亚莉,陆春燕,张晶,邢惠莉,班华川,朱长万,朱建立..老年糖尿病伴食欲不佳患者住院期间的血糖管理[J].中国临床保健杂志,2018,21(2):185-188,4.基金项目
上海浦东新区卫生计生科技面上项目(PW2013A-61) （PW2013A-61）
