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Glargine is commonly used in insulin supplemental therapy in patients with type 2 diabetes(T2D) at present. However, many patients who treated with glargine still have poor blood glucose control because of insufficient insulin dose or improper oral medication. This study aims to investigate the optimal treatment scheme in order to improve the blood control in these patients. Continuous Glucose Monitoring System (CGMS) will be used to assess the blood glucose control at baseline and the moment when the patients achieved standard. Oral medications will be standardized first, and insulin doses will be adjusted according to blood glucose values obtained by self-monitoring. Glycemic control will be considered as reaching target of glucose if the fasting capillary blood glucose is less than 6.1 mmol/L. The maximum period of blood glucose adjustment will be 1 months. Oral medication, the type and dosage of insulin, exercise status, insulin injection skill evaluation, islet function, duration of diabetes, complications and insulin antibodies will be recorded in detail at baseline, reaching target of glucose standard and 3 months after reaching target of glucose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Optimal hypoglycemic treatment | Experimental | The patients will receive optimal hypoglycemic treatments, including adjustment of insulin dose and oral antidiabetic agents |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Optimal hypoglycemic treatment | Combination Product | Standardize oral hypoglycemic medication and adjust insulin dose according to blood glucose values obtained by self-monitoring |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of reaching target of glucose | Rate of reaching target of glucose | 0-1 month |
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c | Glycated hemoglobin at baseline and 3 months after reaching target of blood glucose | 0-3 month |
| Dosage of insulin | Change of insulin dose |
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Inclusion Criteria:
Exclusion Criteria:
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| 0-1 month |
| Time of reaching target of glucose | Time of reaching target of glucose | 0-1 month |