膳食结构和血糖负荷食物交换法对老年糖尿病患者的血糖控制效果研究

Study on the Effect of Diet Structure and Glycemic Load Food Exchange Method on Blood Glucose Control in Elderly Diabetic Patients

目的探讨基于膳食结构和血糖负荷概念的食物交换法对老年糖尿病患者的治疗效果。方法将该院2018年2月—2020年2月期间140例老年糖尿病患者按照掷硬币法分为对照组70例,给予传统的食物交换份法控糖,观察组70例,给予膳食结构和血糖负荷概念的食物交换法控糖,比较两组血液生化指标和人体测量学指标。结果治疗后,两组空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbAlc)、总胆固醇(TC)、三酰甘油(TG)、血压(收缩压、舒张压)、腰围、体质量指数(BMI)均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于膳食结构和血糖负荷概念的食物交换法可有效改善老年糖尿病患者血糖、血脂水平,更好地控制患者体质量。

Objective To explore the therapeutic effect of food exchange method based on the concept of dietary structure and blood glucose load on elderly diabetic patients.Methods From February 2018 to February 2020,140 elderly diabetic patients in the hospital were divided into 70 cases of control group according to the coin toss method.The traditional food exchange method was given to control glucose.70 cases of observation group was given to dietary structure and glycemic load food exchange method of load concept controls sugar and compared the two groups of blood biochemical indicators and anthropometric indicators.Results After treatment,the two groups of fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbAlc),total cholesterol(TC),triglycerides(TG),blood pressure(systolic blood pressure,diastolic blood pressure),waist circumference,body mass index(BMI)were lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion The food exchange method based on the concept of dietary structure and blood glucose load can effectively improve the blood glucose and blood lipid levels of elderly diabetic patients,and better control the weight of patients.