Correlation between blood glucose and self-management behaviors in patients with type 2 diabetic mellitus before initial basal insulin therapy_West China Medical Journal

Authors：

CHANG Xiaoxia ,  YUAN Li , XIONG Zhenzhen

Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YUAN Li, Email: 1409933235@qq.com

Keywords：

Basal insulin; Type 2 diabetes mellitus; Glycemic control; Self-management

DOI：

10.7507/1002-0179.201611108

Video：

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Objective To explore the correlation between blood glucose and self-management behaviors in patients with type 2 diabetic mellitus before initial basal insulin therapy. Methods A convenient sample of 200 patients with type 2 diabetic mellitus who were hospitalized in a tertiary hospital from February to August 2016 were enrolled in the study on a voluntary basis. Patients’ demographic information, fast blood glucose, glycosylated hemoglobin, and scores of diabetes self-care activities were gathered through questionnaires. Results A total of 193 valid questionnaires were recovered. Before starting basal insulin therapy, the mean blood glucose and the mean glycosylated hemoglobin of the 193 patients were (12.22±3.95) mmol/L and (10.01±2.38)%, respectively, with 12 patients (6.22%) meeting the goal of fasting blood glucose ≤7 mmol/L and 18 patients (9.33%) meeting the goal of glycosylated hemoglobin <7%, respectively. The total score of self-care activities was 26.76±14.77, in which 3 patients (1.55%) performed well. Spearman analysis demonstrated that the total score of self-care activities was negatively correlated with fast blood glucose ( r=–0.401, P<0.001) and glycosylated hemoglobin (r=–0.227, P=0.028). Conclusions The blood glucose levels and self-management behaviors in diabetic patients at the beginning of initial basal insulin therapy are not optimistic. Enhanced management of type 2 diabetic patients with initial basal insulin therapy is the prerequisite to promote diabetes self-care activities.

Citation： CHANG Xiaoxia, YUAN Li, XIONG Zhenzhen. Correlation between blood glucose and self-management behaviors in patients with type 2 diabetic mellitus before initial basal insulin therapy. West China Medical Journal, 2018, 33(5): 540-543. doi: 10.7507/1002-0179.201611108 Copy

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3.	李延兵. 規范基礎胰島素治療, 安全有效控糖. 中國糖尿病雜志, 2016, 24(6): 572-575.
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8.	魯莉, 魏素敏. 2型糖尿病患者自我管理行為與血糖控制水平的相關性研究. 保健醫學研究與實踐, 2016, 13(4): 67-68, 73.
9.	嵇加佳, 劉林, 樓青青, 等. 2型糖尿病患者自我管理行為及血糖控制現狀的研究. 中華護理雜志, 2014, 49(5): 617-620.
10.	Al Sayah F, Soprovich A, Qiu W, et al. Diabetic foot disease, self-care and clinical monitoring in adults with type 2 diabetes: the Alberta’s caring for diabetes (ABCD) cohort study. Can J Diabetes, 2015, 39(Suppl 3): S120-S126.
11.	李饒, 袁麗, 郭曉蕙, 等. 中國2型糖尿病患者足部護理知識和足部自我護理行為現狀及影響因素的研究. 中華護理雜志, 2014, 49(8): 909-913.
12.	Bus SA, van Netten JJ. A shift in priority in diabetic foot care and research: 75% of foot ulcers are preventable. Diabetes Metab Res Rev, 2016, 32(Suppl 1): 195-200.
13.	Nishimura A, Harashima SI, Fujita Y, et al. Effects of structured testing versus routine testing of blood glucose in diabetes self-management: a randomized controlled trial. J Diabetes Complications, 2017, 31(1): 228-233.
14.	Ganz ML, Wintfeld NS, Li Q, et al. Severe hypoglycemia rates and associated costs among type 2 diabetics starting basal insulin therapy in the United States. Curr Med Res Opin, 2014, 30(10): 1991-2000.
15.	黃明君, 蔣曉蓮. 糖尿病患者自我管理影響因素研究現狀及展望. 華西醫學, 2012, 27(6): 957-959.

1. International Diabetes Federation. IDF Diabetes Atlas, eighth edition. (2017-12-01)[2018-04-26]. http://www.diabetesatlas.org.
2. American Diabetes Association. Standards of medical care in diabetes-2014. Diabetes Care, 2014, 37(Suppl 1): S14-S80.
3. 李延兵. 規范基礎胰島素治療, 安全有效控糖. 中國糖尿病雜志, 2016, 24(6): 572-575.
4. 萬巧琴, 尚少梅, 來小彬, 等. 2型糖尿病患者自我管理行為量表的信、效度研究. 中國實用護理雜志, 2008, 24(7): 26-27.
5. 中華醫學會糖尿病學分會. 中國2型糖尿病防治指南（2017年版）. 中華糖尿病雜志, 2018, 10(1): 4-67.
6. 呂慶國, 童南偉. 《中國成人住院患者高血糖管理目標》專家共識解讀. 中華內分泌代謝雜志, 2013, 29(3): 26-30.
7. Wang D, Sun L, Song G, et al. Effects of intensive insulin therapy upon pancreatic β cell function in patients newly diagnosed with type Ⅱ diabetes. Int J Clin Exp Med, 2015, 8(1): 1391-1395.
8. 魯莉, 魏素敏. 2型糖尿病患者自我管理行為與血糖控制水平的相關性研究. 保健醫學研究與實踐, 2016, 13(4): 67-68, 73.
9. 嵇加佳, 劉林, 樓青青, 等. 2型糖尿病患者自我管理行為及血糖控制現狀的研究. 中華護理雜志, 2014, 49(5): 617-620.
10. Al Sayah F, Soprovich A, Qiu W, et al. Diabetic foot disease, self-care and clinical monitoring in adults with type 2 diabetes: the Alberta’s caring for diabetes (ABCD) cohort study. Can J Diabetes, 2015, 39(Suppl 3): S120-S126.
11. 李饒, 袁麗, 郭曉蕙, 等. 中國2型糖尿病患者足部護理知識和足部自我護理行為現狀及影響因素的研究. 中華護理雜志, 2014, 49(8): 909-913.
12. Bus SA, van Netten JJ. A shift in priority in diabetic foot care and research: 75% of foot ulcers are preventable. Diabetes Metab Res Rev, 2016, 32(Suppl 1): 195-200.
13. Nishimura A, Harashima SI, Fujita Y, et al. Effects of structured testing versus routine testing of blood glucose in diabetes self-management: a randomized controlled trial. J Diabetes Complications, 2017, 31(1): 228-233.
14. Ganz ML, Wintfeld NS, Li Q, et al. Severe hypoglycemia rates and associated costs among type 2 diabetics starting basal insulin therapy in the United States. Curr Med Res Opin, 2014, 30(10): 1991-2000.
15. 黃明君, 蔣曉蓮. 糖尿病患者自我管理影響因素研究現狀及展望. 華西醫學, 2012, 27(6): 957-959.

West China Medical Journal

Correlation between blood glucose and self-management behaviors in patients with type 2 diabetic mellitus before initial basal insulin therapy

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