The correlation between glucose fluctuation from self-monitored blood glucose and the major adverse cardiac events in diabetic patients with acute coronary syndrome during a 6-month follow-up by WeChat application

Clinical Chemistry and Laboratory Medicine : CCLM
Jinggang XiaDong Xu

Abstract

Background This study aimed to investigate the correlation between glucose fluctuation from self-monitored blood glucose (SMBG) and the major adverse cardiac events (MACE) in diabetic patients with acute coronary syndrome (ACS) during a 6-month follow-up period using the WeChat application. Methods From November 2016 to June 2017, 262 patients with ACS were discharged in a stable condition and completed a 6-month follow-up period. SMBG was recorded using the WeChat application. The patients were divided to a high glucose fluctuation group (H group; n=92) and a low glucose fluctuation group (L group; n=170). The 6-month incidence of MACE, lost-to-follow-up rate and satisfaction rate were measured through the WeChat follow-up. Results MACE occurred in 17.4% of patients in the H group and in 8.2% of patients in the L group (p=0.04). Multivariable analysis suggested that high glucose fluctuation conferred an 87% risk increment of MACE in the 6-month follow-up period (odds ratio: 2.1, 95% confidence interval 1.95-4.85; p=0.03). The lost-to-follow-up rate was lower and the satisfaction rate was higher in the patients using the WeChat application during follow-up than those of the regular outpatient follow-up during the same period (p...Continue Reading

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Citations

Jul 6, 2020·Revista clínica española·J C Arévalo-Lorido, J Carretero-Gómez
Jun 2, 2021·Revista Clínica Espanõla·J C Arevalo-Lorido, J Carretero-Gómez
Jun 30, 2021·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Qin Fen SongChune Liu
Aug 28, 2021·International Journal of Molecular Sciences·Valentina AlfieriPaolo Poggio
Aug 29, 2020·Computer Methods and Programs in Biomedicine·Xin ChenHua Jiang

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