Abstract: Objective: To explore the effect of the flash glucose monitoring system combined with exercise management on self-management behavior in patients with type 2 diabetes. Methods: Patients with type 2 diabetes mellitus who were hospitalized in the endocrinology department of a class A tertiary hospital in Luoyang City from April 2019 to May 2020 were included. A total of 48 patients were divided into the intervention group and the control group with 24 in each group using the random number table method. The control group received flash glucose monitoring system combined with conventional diabetes health education and exercise instruction, while the intervention group received flash glucose monitoring system combined with exercise management based on conventional diabetes health education. The changes in self-management behavior, fasting glucose, glycated hemoglobin and lipid metabolism of patients were compared between two groups after 24 weeks. Results: After 24 weeks, the scores of three dimensions of the ability of self-management behavior including exercise, glucose monitoring and foot management in the intervention group were significantly higher than the control group (P< 0.05). The results of total cholesterol, triglyceride, HDL cholesterol, and LDL cholesterol were in the intervention group were better than the control group, and the differences were statistically significant(P<0.05). Conclusion: Flash glucose monitoring system combined with exercise management can improve self-management behavior and modify lipid metabolism in patients with type 2 diabetes mellitus.

Key words: Self-management behavior, Flash glucose monitoring system, Exercise management, Type 2 diabetes

摘要： 目的： 探讨扫描式葡萄糖监测系统联合运动管理在 2 型糖尿病患者自我管理行为中的应用效果。 方法： 选取 2019 年 4 月至 2020 年 5 月洛阳市某三级甲等医院内分泌科住院的 2 型糖尿病患者为研究对象， 采用随机数字表法分为干预组和对照组各 24 例。 对照组采用扫描式葡萄糖监测系统行常规糖尿病健康教育和运动指导，干预组在对照组基础上联合运动管理进行干预。 24 周 后比较糖尿病患者自我管理行为能力、空腹血糖、糖化血红蛋白及脂代谢的变化。 结果：24 周后，干预组糖尿病自我管理行为能力 中运动管理、血糖监测、足部管理 3 个维度得分高于对照组，差异具有统计学意义（P＜0.05）。 干预组总胆固醇、甘油三酯、高密度脂 蛋白胆固醇、低密度脂蛋白胆固醇结果优于对照组，差异具有统计学意义（P＜0.05）。 结论：扫描式葡萄糖监测系统联合运动管理可 提高 2 型糖尿病患者自我管理行为能力，改善患者脂代谢。

关键词: 自我管理行为, 扫描式葡萄糖监测系统, 运动管理, 2 型糖尿病