2022年医学专题—控制低血糖的SMBG策略(1).pptVIP免费

控制(kòngzhì)低血糖的SMBG策略第一页，共五十三页。第一页，共五十三页。AACE护理(hùlǐ)指南•患者积极参与患者的个体目标开始可能不同•尽责的健康保健小组密切(mìqiè)的工作关系是最有效的•坚持执行已制定的患者和健康保健组之间的交流计划AmericanAssociationofClinicalEndocrinologists.AACEDiabetesGuidelines.AmericanAssociationofClinicalEndocrinologists.AACEDiabetesGuidelines.EndocrineEndocrinePracticePractice.Vol.6.No.1January/February2000.42-79..Vol.6.No.1January/February2000.42-79.AAAACECEAAAACECE第二页，共五十三页。第二页，共五十三页。血糖(xuètáng)治疗目标值(血浆参考值)时间时间正常正常mg/dl(mmol/l)mg/dl(mmol/l)目标目标mg/dl(mmol/l)mg/dl(mmol/l)亚理想亚理想mg/dl(mmol/l)mg/dl(mmol/l)控制不良控制不良mg/dl(mmol/l)mg/dl(mmol/l)餐前餐前//空腹空腹<110<110(6)(6)(3.8-6.1)(3.8-6.1)90-13090-130(1)(1)(5.0-7.2)(5.0-7.2)128-180128-180(4)(4)(7.1-10.0)(7.1-10.0)>180>180(4)(4)(>10.0)(>10.0)1-21-2hourhour(4)(4)79.2-12679.2-126(4)(4)(4.0-7.0)(4.0-7.0)90-19890-198(4)(4)(5.0-11.0)(5.0-11.0)99.8-25299.8-252(4)(4)(11.1-14.0)(11.1-14.0)>252>252(4)(4)(>14.0)(>14.0)2-2-hourPPGhourPPG(2)(2)<140<140(2)(2)(<7.8)(<7.8)MeanPeakBGMeanPeakBG(6)(6)<180<180(6)(6)(<10.0)(<10.0)%%HbA1cHbA1c6.0%6.0%(5,6)(5,6)<6.5%<6.5%(2)(2)<7.0%<7.0%(1,6)(1,6)<9.5%<9.5%(5)(5)8.0%8.0%(1)(1)HbA1cHbA1c(4)(4)0.04-0.060.04-0.06<0.07<0.070.07-0.0840.07-0.084>0.084>0.084(1)(1)ADAStandardsofMedicalCareforPatientswithDiabetesDiabetesCarevol28ADAStandardsofMedicalCareforPatientswithDiabetesDiabetesCarevol28(supplement1):S5-S36,2005.(supplement1):S5-S36,2005.(2)AmericanCollegeofEndocrinology(ACE)ConsensusStatementonGuidelinesforGlycemicControl.(2)AmericanCollegeofEndocrinology(ACE)ConsensusStatementonGuidelinesforGlycemicControl.EndocrinePracticeEndocrinePracticeVol8(SupplVol8(Suppl1):5-111,2002.1):5-111,2002.(4)CanadianMedicalAssociationJournal-JAMC1998ClinicalGuidelines(4)CanadianMedicalAssociationJournal-JAMC1998ClinicalGuidelines(5)HEDIS2000Guidelines(5)HEDIS2000Guidelines(6)ADA:StandardsofMedicalCareforPatientswithDi...