饮食疗法结合胰岛素治疗对控制老年2型糖尿病患者血糖水平及预防并发症的研究

Study on Diet Therapy Combined with Insulin Therapy to Control BloodGlucose Level and Prevent Complications in Elderly Patients with Type 2Diabetes Mellitus

目的 研究饮食疗法结合胰岛素治疗对控制老年2型糖尿病患者血糖水平及预防并发症的影响。方法 选取医院2020年1月—2021年12月收治的98例2型糖尿病患者为研究对象,采用单双号分组法随机分为两组,对照组(49例)采用胰岛素治疗,研究组(49例)应用饮食疗法联合胰岛素治疗,比较两组临床疗效、血糖水平、身体指标、血脂指标、并发症发生情况及生活质量水平。结果 研究组治疗总有效率为87.76%,高于对照组的69.39%,差异有统计学意义(P<0.05);治疗后,研究组空腹血糖、餐后2 h血糖、睡前血糖、糖化血红蛋白水平与腰围(WC)、臀围(HC)、体质指数(BMI)、W/H及三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平均低于对照组,高密度脂蛋白胆固醇(HDL-C)、简明健康调查量表(SF-36)评分均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为4.08%,低于对照组的18.37%,差异有统计学意义(P<0.05)。结论 联合应用饮食疗法与胰岛素治疗老年2型糖尿病患者的效果更佳,可有效控制血糖水平,降低并发症发生风险。

Objective To study the effect of diet therapy combined with insulin therapy on blood glucose level control and complication prevention in elderly patients with type 2 diabetes mellitus.Methods Ninety-eight patients with type 2 diabetes admitted to the hospital from January 2020 to December 2021 were selected as the research objects,they were randomly divided into two groups by single and double number grouping method.The control group(49 cases)received insulin therapy,and the study group(49 cases)received diet therapy combined with insulin therapy.The clinical efficacy,blood glucose level,body indexes,blood lipid indexes,complications and quality of life of the two groups were compared.Results The total effective rate was 87.76%in the study group,higher than 69.39%in the control group,the difference was statistically significant(P<0.05).After treatment,the levels of fasting blood glucose,2 h postmeal blood glucose,blood glucose before bed,glycated hemoglobin,waist circumference(WC),hip circumference(HC),body mass index(BMI),W/H,triglyceride(TG),total cholesterol(TC)and low density lipoprotein cholesterol(LDL-C)in the study group were lower than those in the control group,and high density lipoprotein cholesterol(HDL-C)and Concise Health Survey Scale(SF-36)scores were higher than those of control group,the difference was statistically significant(P<0.05).The complication rate of the study group was 4.08%,lower than 18.37%of the control group was,the difference was statistically significant(P<0.05).Conclusion The combination of diet therapy and insulin is more effective in treating elderly patients with type 2 diabetes, which can effectively control the blood sugarlevel and reduce the risk of complications.