지속형 인슐린 투여 중인 제 형 당뇨병환자에서 2 단기간 전화 상담이 혈당관리에 미치는 효과 (The Effects of a Short-Term Telephone Consults on Glucose Control in Using Long Acting Insulin in Type 2 Diagetes)

서지정보

· 발행기관 : 고신대학교(의대) 고신대학교 의과대학 학술지
· 수록지 정보 : 고신대학교 의과대학 학술지 / 23권 / 4호 / 88 ~ 93페이지
· 저자명 : 최인환, 최영식, 박요한

초록

Background: Diabetes is a chronic non-curable diseases with chronic complications. To maintain within normal blood sugar level is demanded for the treatment and prevention of type 2 diabetes. The purpose of this study was to evaluate the effects of a short-term telephone counsel on glucose control in Lantus using type 2 diabetes. Ⓡ Methods: Sevety-one type 2 diabetes patients who were treated with Lantus at Kosin University Gospel hospital Ⓡ participated. Thirty-three were assigned to control group and 38 were intervention group. Telephone counsel was applied three times per week and both groups were assessed by pre-test, and at 1 month, 2 months, and 3 months.
Results: In control groups, the mean fasting blood sugar level of pretest (199.03±37.62 mg/dL) was significantly decreased after 1 month (138.83±25.88 mg/dL), 2 months (129.21±27.07 mg/dL), and 3 months (112.48±9.165 mg/dL), respectively (p<0.001). HbA1c level of pretest (9.95± 1.28 %) also significantly decreased after 3 month (7.92±0.65 %) (p<0.001). In intervention groups, the mean fasting blood sugar level of pretest (199.82±46.94 mg/dL) was significantly decreased after 1 month (145.24±21.53 mg/dL), 2 months (127.21±17.89 mg/dL), and 3 months (123.06±17.66 mg/dL), respectively (p<0.001). HbA1c level of pretest (10.67± 2.11 %) also significantly decreased after 3 month (7.15±0.49%) (p<0.001). After 3 months of consults, significant differences of the mean fasting blood sugar and HbA1c levels between both groups were founded. Increasement of mean body weight was lower than 0.5 kg in both group. Care satisfaction scale was also significantly differed between control and intervention groups.
Conclusions: These findings indicated that short-term telephone counsel would improve glucose levels and HbA1c in insulin treated type 2 diabetes.

영어초록

Background: Diabetes is a chronic non-curable diseases with chronic complications. To maintain within normal blood sugar level is demanded for the treatment and prevention of type 2 diabetes. The purpose of this study was to evaluate the effects of a short-term telephone counsel on glucose control in Lantus using type 2 diabetes. Ⓡ Methods: Sevety-one type 2 diabetes patients who were treated with Lantus at Kosin University Gospel hospital Ⓡ participated. Thirty-three were assigned to control group and 38 were intervention group. Telephone counsel was applied three times per week and both groups were assessed by pre-test, and at 1 month, 2 months, and 3 months.
Results: In control groups, the mean fasting blood sugar level of pretest (199.03±37.62 mg/dL) was significantly decreased after 1 month (138.83±25.88 mg/dL), 2 months (129.21±27.07 mg/dL), and 3 months (112.48±9.165 mg/dL), respectively (p<0.001). HbA1c level of pretest (9.95± 1.28 %) also significantly decreased after 3 month (7.92±0.65 %) (p<0.001). In intervention groups, the mean fasting blood sugar level of pretest (199.82±46.94 mg/dL) was significantly decreased after 1 month (145.24±21.53 mg/dL), 2 months (127.21±17.89 mg/dL), and 3 months (123.06±17.66 mg/dL), respectively (p<0.001). HbA1c level of pretest (10.67± 2.11 %) also significantly decreased after 3 month (7.15±0.49%) (p<0.001). After 3 months of consults, significant differences of the mean fasting blood sugar and HbA1c levels between both groups were founded. Increasement of mean body weight was lower than 0.5 kg in both group. Care satisfaction scale was also significantly differed between control and intervention groups.
Conclusions: These findings indicated that short-term telephone counsel would improve glucose levels and HbA1c in insulin treated type 2 diabetes.

참고자료

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