目的:探讨不同运动水平对2型糖尿病患者糖脂代谢及并发症的影响。方法:在全国范围内选择各省市有代表性的50家中心,共纳入2型糖尿病患者5961例,进行问卷调查。根据患者运动锻炼治疗方案的遵循情况分为:完全遵循组(2096例),部分遵循组(2398例),遵循不佳组(1466例)。结果:三组患者的糖脂代谢指标存在显著差异,完全遵循组患者的空腹血糖(7.70±2.83mmol/L vs 8.17±2.91mmol/L vs 8.55±3.47mmol/L)、餐后2h血糖(10.80±4.23mmol/L VS 11.71±4.38mmol/L VS 12.16±4.75mmol/L)、糖化血红蛋白(7.96%±2.12%vs 8.31%±2.23%vs 8.70%±2.32%)、总胆固醇(4.75±1.33mmol/L vs 4.90±1.51mmol/L vs 4.82±1.36mmol/L)、甘油三酯(1.90±1.60mmol/L vs 2.09±1.72mmol/L vs 2.25±2.00mmol/L)、体质指数(24.12±3.73kg/m vs 24.61±4.04kg/m vs 24.80±4.68kg/m)、收缩压(129.26±16.32mmHg vs129.97±16.71mmHg vs 131.86±17.80mmHg)、舒张压(78.03±9.89mmHg vs 79.24±10.38mmHg vs79.83±10.81mmHg)低于部分遵循组和(或)遵循不佳组(P<0.05)。完全遵循组患者的糖尿病周围血管病变(12.51%vs 15.96%,χ=8.580)、糖尿病肾病(12.56%vs 18.69%,χ=25.547)、糖尿病周围神经病变(24.50%vs 29.33%,χ=10.715)、糖尿病眼病(28.84%vs 33.63%,χ=9.629)和糖尿病足(4.11%vs 9.14%,χ=47.724)的患病率均低于遵循不佳组(P<0.05)。结论:运动可以有效改善患者的血糖控制,积极影响脂质、血压、体质指数,并能降低部分糖尿病相关并发症的患病率。
Diabetes Research Institute Bad Mergentheim,Germany(FIDAM)Diabetes self-care behaviours in people with diabetes are one main determinant of the long-term prognosis of the disease with regard to metabolic control and t...
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Diabetes Research Institute Bad Mergentheim,Germany(FIDAM)Diabetes self-care behaviours in people with diabetes are one main determinant of the long-term prognosis of the disease with regard to metabolic control and the prevention of *** self-management education is therefore regarded as an integral part of diabetes treatment in many *** has an established tradition of
Many sources would agree that there are not enough well educated health professionals in the diabetes *** this presentation the results of a situational analysis regarding how health professionals learn about diabetes...
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Many sources would agree that there are not enough well educated health professionals in the diabetes *** this presentation the results of a situational analysis regarding how health professionals learn about diabetes and what professional development is available to them will be *** of the barriers to professional development is the
Introduction:Diabetes is a chronic disease which involves multiple organs and complicated issues of personal life *** number of diabetes patients with medications increased from 747,800 to 1,676,925 during 2001 to 201...
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Introduction:Diabetes is a chronic disease which involves multiple organs and complicated issues of personal life *** number of diabetes patients with medications increased from 747,800 to 1,676,925 during 2001 to 2013 in *** with diabetes need multidisciplinary approach for physiological,psychological,educational,dietary,activity and
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