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Parsimonious Model for Blood Glucose Level Monitoring in Type 2 Diabetes patients

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机构: [1]China-Japan Friendship Hospital, Beijing 100029, China [2]Peking University First Hospital, Beijing 100034, China [3]Affiliated Beijing Tongren Hospital of Capital Medical University, Beijing 100005, China [4]Chinese PLA General Hospital, Beijing 100853, China
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To establish the parsimonious model for blood glucose monitoring in patients with type 2 diabetes receiving oral hypoglycemic agent treatment. One hundred and fifty-nine adult Chinese type 2 diabetes patients were randomized to receive rapid-acting or sustained-release gliclazide therapy for 12 weeks. Their blood glucose levels were measured at 10 time points in a 24 h period before and after treatment, and the 24 h mean blood glucose levels were measured. Contribution of blood glucose levels to the mean blood glucose level and HbA1c was assessed by multiple regression analysis. The correlation coefficients of blood glucose level measured at 10 time points to the daily MBG were 0.58-0.74 and 0.59-0.79, respectively, before and after treatment (P<0.0001). The multiple stepwise regression analysis showed that the blood glucose levels measured at 6 of the 10 time points could explain 95% and 97% of the changes in MBG before and after treatment. The three blood glucose levels, which were measured at fasting, 2 h after breakfast and before dinner, of the 10 time points could explain 84% and 86% of the changes in MBG before and after treatment, but could only explain 36% and 26% of the changes in HbA1c before and after treatment, and they had a poorer correlation with the HbA1c than with the 24 h MBG. The blood glucose levels measured at fasting, 2 h after breakfast and before dinner truly reflected the change 24 h blood glucose level, suggesting that they are appropriate for the self-monitoring of blood glucose levels in diabetes patients receiving oral anti-diabetes therapy.

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出版当年[2013]版:
大类 | 4 区 环境科学与生态学
小类 | 4 区 环境科学 4 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 环境科学 4 区 公共卫生、环境卫生与职业卫生
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出版当年[2012]版:
Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q3 ENVIRONMENTAL SCIENCES
最新[2024]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q2 ENVIRONMENTAL SCIENCES

影响因子: 最新[2024版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

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第一作者机构: [1]China-Japan Friendship Hospital, Beijing 100029, China
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