제 2형 당뇨병환자의 자가혈당측정, 측정결과이용, 저혈당빈도와 당대사조절의 관계 (Self-Monitoring of Blood glucose(SMBG), Utilization of SMBG, Hypoglycemia Frequency and Glycemic Control in Type 2 Diabetes)

서지정보

· 발행기관 : 이화여자대학교 이화간호과학연구소
· 수록지 정보 : Health & Nursing / 32권 / 2호 / 51 ~ 60페이지
· 저자명 : 조민자, 이창관, 이은정, 김미영

초록

Purpose: The objective of this study is to investigate the association of Self-Monitoring of Blood glucose(SMBG), utilization of SMBG and glycemic control, hypoglycemia in patients with type 2 diabetes. Methods: A survey was conducted from November 2013 to May 2014 of 210 type 2 diabetic patients performing SMBG. Data on practice for SMBG, utilization of SMBG, self-reported episodes of hypoglycemia, and HbA1c values were obtained by questionnaires and laboratory assessments. Results: According to the data, 32.7% of patients had the complication, 38.1% of them were being treated with insulin. In frequency of blood glucose testing, 61.4% of patients monitored it less than 6 times per week. Exercise and insulin dose was frequently controlled by the result of SMBG. And three items of adjusting of oral agents dosage and records of blood glucose level and utilization of SMBG record in hospital visit were low. There were no statistically significant correlations between SMBG and glycemic control.
Conclusion: In order to improve the patient’s glycemic control, it is not enough just perform SMBG. It is suggested that self-regulation by result of SMBG and communication with medical staff should be accompanied.

영어초록

Purpose: The objective of this study is to investigate the association of Self-Monitoring of Blood glucose(SMBG), utilization of SMBG and glycemic control, hypoglycemia in patients with type 2 diabetes. Methods: A survey was conducted from November 2013 to May 2014 of 210 type 2 diabetic patients performing SMBG. Data on practice for SMBG, utilization of SMBG, self-reported episodes of hypoglycemia, and HbA1c values were obtained by questionnaires and laboratory assessments. Results: According to the data, 32.7% of patients had the complication, 38.1% of them were being treated with insulin. In frequency of blood glucose testing, 61.4% of patients monitored it less than 6 times per week. Exercise and insulin dose was frequently controlled by the result of SMBG. And three items of adjusting of oral agents dosage and records of blood glucose level and utilization of SMBG record in hospital visit were low. There were no statistically significant correlations between SMBG and glycemic control.
Conclusion: In order to improve the patient’s glycemic control, it is not enough just perform SMBG. It is suggested that self-regulation by result of SMBG and communication with medical staff should be accompanied.

참고자료

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