Application of flash glucose monitoring system in perioperative glucose management
XIAO Lei1, LIU Xiaomin2, YAO Li2, GAO Yahui2, AI Xing2
1. The medical district south of Beijing, Chinese PLA general hospital,Beijing 100071,China; 2. Urology Surgery,the Seventh Medical Center of Chinese PLA Ceneral Hospital,Beijing 100700,China
Abstract：Objective To study the effect of the flash glucose monitoring system(FGM) on perioperative glucose control in diabetic patients.Methods Sixty patients with type 2 diabetes who were hospitalized in the Department of Urology, the Seventh Medical Center of PLA General Hospital, between June and December 2019 were selected,whose fasting blood glucose was ≥8 mmmol/L or ≥12 mmmol/L 2 hours after meal. Using the random number table method, the patients were divided into the observation group and control group, with 30 cases in each. Both groups received intensive subcutaneous insulin treatment four times. The insulin amount in the observation group was adjusted according to the real-time glucose value and map of FGM, while multiple monitoring of blood glucose(MMBG) was mandatory in the other group (control group). The blood glucose control level, the time taken by blood glucose to return to normal and the control rate on the 1st, 2nd and 3rd days after operation were compared between the two groups.Results There were three cases of incomplete observation, including one case in the observation group and two cases in the control group. The daily frequency of blood glucose adjustment in the observation group was (2.20±0.77) times, significantly higher than (0.80±0.45) times in the control group. There was statistically significant difference between the two groups in levels of fasting glucose on the first and second days after operation, and two hours after meal (P< 0.05). Before or after operation, blood glucose took much less time to return to normal in the observation group [(4.72±2.39)d,(2.59±1.18)d] than in the control group [(6.21±2.46)d、(3.57±1.23)d]. The glucose control level in the observation group was significantly better than that in the control group on the first and second days after operation. The rate of glucose control in the observation group on the second and third days after operation(48.3%, 79.3%) was significantly higher than that in the control group(17.9%, 42.9%) (P<0.05).Conclusions The clinical effect of FGM is better than that of MMBG in perioperative patients with type 2 diabetes, which should be made more accessible.
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2020, Vol. 31 
