同质化集群饮食行为管理对合并高血压及肥胖的2型糖尿病患者血糖代谢相关指数的影响

The effect of homogenized group diet behavior management on blood glucose metabolism related indexes in type 2 diabetes patients with hypertension and obesity

目的:探讨采取同质化集群饮食行为管理对合并高血压及肥胖的2型糖尿病患者血糖代谢等相关指数的影响。方法:选择本院内分泌科于2017年1月至2019年12月收治的合并高血压的2型糖尿病肥胖患者80例,随机均分为两组,观察组(n=40)和对照组(n=40)。对照组予糖尿病常规饮食指导,观察组实施同质化集群糖尿病饮食行为健康教育管理模式。对比两组患者干预6个月前后的血糖代谢相关指标,包括空腹血糖、餐后2h血糖、血压、饮食行为评分及体质量指数(BMI)的变化幅度。结果:两组干预前的空腹血糖、餐后2h血糖、血压、饮食行为评分及BMI比较无明显差异(P>0.05);两组患者空腹血糖、餐后2h血糖干预后水平均较干预前下降,但观察组下降幅度明显大于对照组(P<0.05)。对照组饮食行为评分、血压及BMI干预前后无明显变化(P>0.05);而观察组饮食行为评分、血压及BMI干预前后变化明显(P<0.05)。结论:在常规糖尿病健康教育基础上实施同质化集群饮食行为管理模式,能显著改变合并高血压的2型糖尿病肥胖患者的饮食行为,降低患者血糖和血压水平,体质量指数也明显降低。

Objective:To explore the effect of homogenized group diet behavior management on blood glucose metabolism and other related indexes in type 2 diabetes patients with hypertension and obesity.Methods:A total of 80 obese patients with type 2 diabetes and hypertension who were admitted to the Department of Endocrinology in our hospital from January 2017 to December 2019 were randomly divided into two groups,observation group(n=40)and control group(n=40).The control group was given regular dietary guidance for diabetes,and the observation group implemented a health education and management model of homogenized cluster diabetes diet behavior.The blood glucose metabolism related indicators of the two groups of patients before and after the intervention for 6 months were compared,including the change range of fasting blood glucose,2h postprandial blood glucose,blood pressure,eating behavior score and body mass index(BMI).Results:There was no significant difference in fasting blood glucose,2h postprandial blood glucose,blood pressure,eating behavior score and BMI between the two groups before intervention(P>0.05);the levels of fasting blood glucose and 2h postprandial blood glucose of the two groups after intervention were lower than before intervention,but The decline in the observation group was significantly greater than that in the control group(P<0.05).The dietary behavior score,blood pressure and BMI of the control group did not change significantly before and after intervention(P>0.05);while the diet behavior score,blood pressure and BMI of the observation group changed significantly before and after the intervention(P<0.05).Conclusion:Implementing a homogeneous cluster diet behavior management model on the basis of conventional diabetes health education can significantly change the diet behavior of obese patients with type 2 diabetes with hypertension,reduce blood sugar and blood pressure levels,and significantly reduce body mass index.