Correlation between intakes of carbohydrates,protein,and fat with random blood sugar levels in menopausal women

Objective: Carbohydrates, proteins, and fats are energy sources needed by the body for performing daily activities and generating primary energy substances. In women who have undergone menopause, the function of thyroid hormone in their body begins to decline and thus affects the ability of the body to produce energy. The purpose of this study was to determine the correlation between the intakes of carbohydrates, proteins, and fats and random blood sugar levels in menopausal women.Methods: This study was a correlational analytical research with a cross-sectional design, which was conducted in 72 menopausal women recruited by the purposive sampling technique. In this study, a 24-hour food recall form was used, and randomized blood sugar levels were measured using a glucometer. The analysis of the data was performed using a Pearson product moment and multiple linear regression.Results: Carbohydrates and fats together affected random blood sugar levels with an F-value of 25.810 and a p-value of 0.000.Meanwhile, adjusted R^2 showed the value of 0.411, indicating that the difference in the intake of carbohydrates and fats together affected random blood sugar levels by 41.1%.Conclusions: Intake of carbohydrates and fats affected random blood sugar levels, whereas the rest were influenced by other factors,and protein intake was unrelated to random blood sugar levels in menopausal women.

Association between Socio-Demographic Factors and Blood Sugar Levels in Type 2 Diabetes Mellitus Patients in Bangladesh

Background: The aim of the current study was to evaluate the anthropometric and demographic factors and their correlation with type 2 diabetes mellitus (T2DM) in Bangladesh. Methods: One hundred fourteen patients (70 males and 44 females) between 30 and 75 years of age from various areas of Bangladesh were screened for T2DM. Fasting blood sugar (FBS) was analyzed by using laboratory kits and spectrophotometric technique. Anthropometric and socio-demographic data were collected using a structured questionnaire. Body mass index (BMI) was calculated from weight (kg) and height (m) of the individual respondents. Physical activity was categorized based on activity during daily work. Economic condition is defined by respective family income and education level is categorized into 3 levels: illiterate, 0 - 12 years of education and graduate or above. Results: According to the current study results, half of the patients were from the middle-class family with low physical activity and their age was within the range of 30 - 45 years. The male and female ratio of the study population was 60:40. Most of the patients were found to be obese and educated. Urban populations were more prone to have DM than the rural population. Age, education, the area of residence (urban and rural), physical activity and co-morbid diseases were significantly correlated with T2DM in Bangladesh (P Conclusion: Our study shows that different socio-demographic factors have a significant correlation with T2DM in Bangladesh. Diabetes awareness, early diagnosis, patient education and life-style modification can be initiated to manage T2DM efficiently.

The effects of consumption of raw garlic on serum lipid level, blood sugar and a number of effective hormones on lipid and sugar metabolism in hyperglycemic and/or hyperlipidemic individuals ——Benefit of raw garlic consumption

Diabetes mellitus is one of the worldwide largest growing metabolic diseases. In this study the effects of consumption of raw garlic on serum lipid level, blood sugar and a number of effective hormones on lipid and sugar metabolism (thyroid hormones and insulin) in individuals either with high level of blood sugar or lipid were investigated. Eighty five volunteers having following clinical history enrolled in the study: Group 1: having blood sugar more than 126 mg/dl (30 vo-lunteers);Group 2: having cholesterol higher than 245 mg/dl (30 volunteers);Group 3: having blood sugar over 126 mg/dl and cholesterol more than 245 mg/dl (25 volunteers). In group 1, there wasn’t a sig-nificant differences between biochemical factors be-fore and after garlic consumption, whereas, in the second group after 6 weeks of garlic consumption a decline in cholesterol (P < 0.001), FBS and TG (P < 0.01) was observed but HDL-C (P < 0.001) was in-creased. Six weeks after termination of garlic con-sumption, cholesterol (P < 0.001), FBS and TG (P < 0.05) were in- creased and HDL-C (P < 0.01) was de-creased. In the third group, total cholesterol (P < 0.001), FBS (P < 0.01) and HbA1c decreased while HDL-C was in- creased. Other factors, including thy-roid hormones (T3, T4), TSH and insulin showed no significant alte- ration. In conclusion our results shown that raw garlic consumption can reduce the FBS and Lipid in hyperglycemic and/or hyperlipidemic individuals.

Progressive Muscle Relaxation Effectiveness of the Blood Sugar Patients with Type 2 Diabetes

Background: Diabetes Melilltus (DM) is one serious chronic illness. The proportion of incident type 2 diabetes is 95% of the population of DM in the world. The prevalence of DM in Indonesia showed an increase of 1.1% in 2007 to 2.1% of the population of DM in 2013, and the most cases are Type 2 Diabetes Mellitus. Management of blood sugar levels can be conducted of pharmacologic and nonpharmacologic. One of nonpharmacologic therapy is a complementary therapy. Progressive muscle relaxation is part of a of complementary therapy which is a mindbody therapy. Objective: This study aimed to measure the effectiveness of progressive muscle relaxation of the blood sugar levels of patients with type 2 diabetes. Materials and Methods: Quasi experiment with pre- and posttest randomized control group design, consisting of 48 samples, 24 samples 24 samples of the treatment group and the control group. Subjects treated group guided progressive muscle relaxation exercises 2 times a day for 3 consecutive days with a duration of 25 - 30 minutes in one workout. Subjects of the control group gave breathing exercises. Results: There were significant differences between the average blood sugar levels type 2 diabetes patients in the the treatment group and the control group, with p value = 0.000 (p < 0.05). Conclusion: The progressive muscle relaxation is effective to reduce blood sugar levels of patients with type 2 diabetes at Dr. Salamun Hospital and Advent Hospital in Bandung.

胰岛素泵与胰岛素多次注射对妊娠期糖尿病的治疗效果与安全性比较

目的探究胰岛素泵与胰岛素多次注射对妊娠期糖尿病患者的治疗效果与安全性。方法选取本院24例妊娠期糖尿病患者为研究对象,按照随机数字表法分为两组,各12例。多次注射组患者采取多次皮下注射胰岛素治疗,胰岛素泵组患者采取持续皮下胰岛素输注治疗。比较两组患者用药前后的血糖水平、用药期间低血糖发生率及妊娠结局。结果用药前,两组患者血糖水平比较差异无统计学意义(P>0.05)。用药后,胰岛素泵组患者的空腹血糖、餐后2h血糖、糖化血红蛋白水平明显低于多次注射组患者,差异有统计学意义(P<0.05)。两组患者胎膜早破发生率比较差异无统计学意义(P>0.05)。胰岛素泵组患者用药期间低血糖发生率低于多次注射组患者,自然分娩率高于多次注射组,差异有统计学意义(P<0.05)。结论相较于胰岛素多次注射给药,胰岛素泵给药能够有效控制妊娠期糖尿病患者的血糖水平,不良反应发生率更低,可以提高自然分娩率,具有较高的临床应用与推广价值。

循环质量管理引导下的双向协同干预对GDM产妇妊娠结局的影响

目的:探究循环质量管理(PDCA)引导下的双向协同干预对改善妊娠期糖尿病(GDM)患者影响.方法:选取2021年1月-2022年12月本院妇产科接诊的172例GDM产妇随机分为常规组和观察组各86例.常规组给予常规住院护理干预,观察组在常规组基础上给予PDCA引导下的双向协同的住院干预模式.对比两组干预前后血糖水平、新生儿Apgar评分、新生儿血糖水平、母婴结局和并发症.结果:干预后两组空腹血糖(FPG)和餐后2h血糖水平均降低且观察组低于常规组.观察组新生儿出生后1min、5min和10minApgar评分均高于常规组,新生儿出生6h、12h和24hFPG水平(3.89±0.15 mmol/L、3.98±0.26 mmol/L、3.88±0.19 mmol/L)均高于常规组(3.02±0.43 mmol/L、3.10±0.29mmol/L、3.06±0.31mmol/L),妊娠结局及相关并发症(16.3%)及新生儿结局及相关并发症(14.0%)均低于常规组(38.4%、30.2%)(均P<0.05).结论:应用PDCA引导下的双向协同干预管理,可显著改善GDM产妇和新生儿血糖水平,降低不良母婴结局和并发症发生率,临床效果较好.

“一对一”人性化指导护理在糖尿病患者中的应用

目的在糖尿病患者实施“一对一”人性化指导护理,分析其护理效果。方法抽取2021年1月—2023年12月我院糖尿病患者60例为本次研究对象,依据随机抽签法将其分为对照组(常规护理,n=30)和观察组(“一对一”人性化指导护理,n=30)。比较两组患者血糖水平、护理依从性、心理状态评分以及自护能力评分。结果护理后,观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平、SAS及SDS评分均低于对照组(均P<0.05);护理后,观察组自我概念、自我责任感、自我护理技能、健康知识水平等自护能力评分及护理总依从性均高于对照组(均P<0.05)。结论“一对一”人性化指导护理在糖尿病患者中,能够有效改善患者血糖水平,缓解心理状态,提升护理依从性与自护能力评分。

动态血糖监测在糖尿病患者中的应用效果

目的:探讨动态血糖监测在糖尿病患者中的应用效果。方法:选取2021年3月—2022年3月东台市人民医院内分泌科收治的100例糖尿病患者为研究对象,采用随机数字表法分为观察组(n=50)与对照组(n=50)。其中观察组采用动态血糖监测,对照组采用常规自我血糖监测。比较两组干预后的空腹血糖(FPG)水平、餐后2 h血糖(2 hPBG)水平、糖化血红蛋白(HbA1C)水平、低密度脂蛋白胆固醇(LDL-C)水平、糖尿病自我管理量表(SDSCA)评分、糖尿病自我效能量表(DMSES)评分。结果:干预后,两组患者的HbA1C、LDL-C、FPG与2 hPBG水平均低于干预前,且观察组的HbA1C、LDL-C、FPG与2 hPBG水平均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的SDSCA与DMSES评分均高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:糖尿病患者实施动态血糖监测效果较好,有利于改善患者血糖水平,并可提高患者血糖监测依从性与自我管理能力。

针刺联合甘麦大枣汤治疗糖尿病合并焦虑抑郁状态的临床疗效观察

目的:探讨糖尿病(DM)合并焦虑抑郁状态患者应用针刺联合甘麦大枣汤治疗的临床疗效。方法:将60例DM合并焦虑抑郁状态患者随机分为对照组和观察组,各30例。对照组口服氟哌噻吨美利曲辛片治疗,观察组在此基础上加用针刺联合甘麦大枣汤治疗,两组均连续治疗4周。对比两组临床疗效、血糖水平、情绪指标及不良反应。结果:观察组临床总有效率高于对照组,治疗后空腹血糖、餐后2 h血糖水平及汉密尔顿焦虑量表、汉密尔顿抑郁量表评分低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:DM合并焦虑抑郁状态患者应用针刺联合甘麦大枣汤治疗可改善血糖水平及焦虑抑郁状态,效果良好,安全性好,有一定的临床应用价值。

对妊娠合并糖尿病孕产妇实施综合护理干预的临床效果研究

目的深入地探究综合护理干预在妊娠合并糖尿病孕产妇临床护理过程当中的应用及其成效。方法选取2021年1月至2022年12月期间在福鼎市妇幼保健院产前门诊检查、且于福鼎市医院分娩的妊娠合并糖尿病孕产妇,共计50例。使用随机数字表法将所选定的研究对象分为对照组和观察组,每组均包括25例。针对对照组孕产妇实施的是常规的护理干预方案,针对观察组孕产妇实施的是综合护理干预方案。对比分析两组孕产妇在接受护理干预前后空腹血糖浓度以及餐后2 h的血糖浓度水平、分娩结局、新生儿结局及护理满意度。结果护理后,观察组的空腹血糖及餐后2 h血糖水平、不良分娩结局的发生率、新生儿不良事件的发生率均低于对照组(均P<0.05);观察组孕产妇对护理干预工作实践成效的满意度(96.00%)高于对照组孕产妇对护理干预工作实践成效的满意度(72.00%)(P<0.05)。结论综合护理干预在妊娠合并糖尿病孕产妇临床护理过程当中拥有极为良好的应用成效,能够高效地实现对于孕产妇血糖水平的控制,降低不良分娩结局和新生儿结局发生率,提高患者对护理的满意度。

医护人员督导下的医院-家庭持续运动干预对糖尿病患者血糖水平、睡眠质量、心理及主观幸福感的影响

目的:探究医护人员督导下的医院-家庭持续运动干预对糖尿病患者血糖水平、睡眠质量、心理及主观幸福感的影响。方法:选取2022年7月至2023年7月福建省莆田市涵江区妇幼保健院糖尿病患者80例作为研究对象,按照随机数字表法分为观察组和对照组,每组40例。观察组施以医护人员督导下的医院-家庭持续运动干预,对照组施以常规护理。比较分析2组血糖水平、睡眠质量、心理评分及主观幸福感等。结果:观察组糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平均低于对照组(P<0.05);干预后观察组睡眠质量评分低于对照组(P<0.05);观察组焦虑、抑郁评分低于对照组(P<0.05);干预后观察组主观幸福感评分高于对照组(P<0.05)。结论:采用医护人员督导下的医院-家庭持续运动干预糖尿病患者,可明显改善患者血糖水平和睡眠质量,提升主观幸福感,降低不良心理情绪,可在临床推广应用。

剖宫产对母婴双方的多器官功能、免疫水平及血糖变化的影响研究

探究剖宫产对母婴双方的多器官功能、免疫水平及血糖变化所造成的影响。选取2021年1月—2022年1月于南京市妇幼保健院分娩的90例产妇作为研究对象,其中45例产妇实施剖宫产,纳入观察组;另外45例产妇实施阴道分娩,纳入对照组。比较两组产妇以及新生儿的多器官功能、免疫水平及血糖变化。结果显示,两组产妇以及新生儿多器官功能之间的差异不显著;对两组产妇的免疫水平进行对比,发现两组产妇IgG指标差异较为显著,其他指标差异不明显;经阴道分娩产妇以及新生儿各个阶段血糖指标优于剖宫产产妇以及新生儿,组间差异存在统计学意义(P<0.05)。剖宫产产妇以及新生儿相较于经阴道分娩的产妇以及新生儿而言,多器官的功能以及免疫水平差异相对较小,血糖变化差异较大。

Effect of Selective Medicinal Plant Extract on Blood Glucose, Sperm Shape and Various Physiological Parameters

Salvadora persica, Moringa pergrina and Citrullus colocynthis are three traditional important medicinal species used in indigenous medicinal herbal drugs to cure various diseases in South Asia and Middle East countries. The objective of the present study is to investigate the effects of oral administration of extracts of Salvadora persica leaves, Moringa pergrina leaves and Citrullus colocynthis seeds on different physiological parameters of mice. The leaves of Salvadora persica, Moringa pergrina and Citrullus colocynthis seeds were collected from Ibri and Al-Musanaa, dried and crushed into powder and extract was obtained by soxhalet apparatus. The extract was then administered to mice at a dosage of 0.5%, 1.0%, 1.5% and 2.0% for twenty one days. The mice treated with different concentrations of plant extracts showed different physiological changes, Salvadora persica leaf extract at 1.5% and 2.0% showed hypo activity, grooming, prostration, while mice treated with 0.5% and 1.0% showed no effective behavioral changes. The Moringa pergrina leaf extract dosage of 0.5%, 1.0%, 1.5% and 2.0% produced significant weight loss and affected the blood sugar level. Citrullus colocynthis seed extract at 1.5% and 2.0% showed abnormal sperms shape like circular head, double head and double tails whereas at 0.5% and 1.0% exhibited normal sperm shape.

正念减压训练联合微课健康教育在1型糖尿病患儿中的应用效果

目的探讨正念减压训练联合微课健康教育在1型糖尿病患儿中的作用。方法选取2020年5月至2022年5月九江市妇幼保健院收治的70例1型糖尿病患儿作为研究对象,按照随机数字表法分为对照组和观察组,每组35例。对照组给予常规护理,观察组在常规护理的同时给予正念减压训练联合微课健康教育,两组均持续护理2周。比较两组患儿的负面情绪、自我管理能力、健康知识掌握情况、血糖水平与并发症发生情况。结果两组护理前负面情绪、自我管理能力、健康知识掌握情况比较,差异无统计学意义(P>0.05);观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,自我管理能力、健康知识评分高于对照组,差异有统计学意义(P<0.05)。两组护理前血糖水平比较,差异无统计学意义(P>0.05);观察组护理后空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)均低于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论正念减压训练联合微课健康教育可减轻1型糖尿病患儿不良情绪,提升患儿对健康知识掌握,促进自我管理能力的提高,有效维持血糖水平稳定,降低并发症风险。

孕32周前给予胰岛素治疗妊娠期糖尿病的临床效果研究

目的 探讨不同孕周给予胰岛素治疗妊娠期糖尿病(gestational diabetes mellitus,GDM)的临床效果。方法 选取滨州医学院附属医院在2020年1月—2022年12月收治的500例妊娠期糖尿病患者,对其临床资料进行回顾性分析。以不同孕周分为对照组(250例,孕32周后给予胰岛素治疗)与试验组(250例,在孕32周前给予胰岛素治疗),对两组不同时间的血糖水平、分娩结局等进行比较。结果 治疗前,两组血糖水平(空腹血糖及餐后2 h血糖)比较,差异无统计学意义(P>0.05);治疗后,分娩前1周血糖均得到改善,且试验组糖化血红蛋白[(5.59±1.23)%]、空腹血糖[(4.69±1.22)mmol/L]及餐后2 h血糖[(6.47±1.56)mmol/L]均明显低于对照组,差异有统计学意义(P <0.05)。治疗前,两组胰岛素抵抗指数(insulin resistance inde,HOMA-IR)、胰岛β细胞功能指数(islet beta cell function index,HOMA-IS)比较,差异无统计学意义(P> 0.05);治疗后,试验组HOMA-IR显著低于对照组,HOMA-IS显著高于对照组(P <0.05)。试验组不良妊娠结局发生率为8.80%,明显低于对照组的24.40%,差异有统计学意义(P <0.05)。结论 孕32周之前给予胰岛素治疗妊娠期糖尿病,效果肯定,可更好地控制血糖水平,改善胰岛素功能,同时减少不良妊娠结局的发生。

门冬胰岛素治疗妊娠期糖尿病的临床效果

目的探讨门冬胰岛素治疗妊娠期糖尿病的临床效果。方法选取58例妊娠期糖尿病患者为研究对象,根据随机数字表法分为两组,各29例。对照组采用生物合成人胰岛素治疗,试验组采用门冬胰岛素治疗,比较两组血糖水平、孕妇不良妊娠结局、围产儿不良结局、胰岛素抵抗相关指标及药物不良反应发生情况。结果治疗后,试验组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组(P<0.05);试验组孕妇不良妊娠结局发生率为6.90%,显著低于对照组的24.14%(P<0.05);试验组围产儿不良结局发生率为3.45%,低于对照组的13.79%(P<0.05);治疗后,试验组空腹胰岛素、胰岛素抵抗指数低于对照组,胰岛β细胞功能指数高于对照组(P<0.05);两组药物不良反应率比较差异无统计学意义(P>0.05)。结论门冬胰岛素治疗妊娠期糖尿病,效果显著,能有效控制患者的血糖水平,改善母婴结局。

基于扎根理论的临床护理路径对糖尿病视网膜病变患者的影响

目的 探讨基于扎根理论的临床护理路径(CNP)对糖尿病视网膜病变(DR)患者的干预效果。方法 选取2020年1月至2022年12月郑州人民医院170例DR患者作为研究对象,按入院建档顺序分组,奇数为对照组,偶数为观察组,各85例。对照组接受常规护理,观察组接受基于扎根理论的CNP。比较两组血糖水平、治疗依从性、疾病认知度、预后效果、生活质量。结果 干预后观察组空腹血糖(FPG)、餐后2 h血糖(2 h PG)低于对照组,治疗依从性总分高于对照组,疾病认知度高于对照组,并发症发生率低于对照组(P<0.05);随访3个月后观察组视功能生存质量量表评分低于对照组(P<0.05)。结论 基于扎根理论的CNP能改善DR患者的血糖水平,提升其疾病认知度和治疗依从性,同时能减少患者并发症的发生,提高其生活质量。

二甲双胍联合高膳食纤维治疗妊娠期糖尿病患者的效果研究

目的探讨二甲双胍联合高膳食纤维治疗妊娠期糖尿病患者的效果。方法选取251例妊娠期糖尿病患者为研究对象,根据随机数字表法分为A组(125例)和B组(126例)。两组均给予二甲双胍治疗,B组添加高膳食纤维治疗。对比两组血糖指标、血脂指标、不良妊娠结局及自然分娩率。结果治疗后,B组空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)及甘油三酯(TG)、总胆固醇(TC)水平较A组更低(P<0.05)。A组早产19例,前置胎盘15例,巨大儿8例,新生儿窒息7例。B组早产6例,前置胎盘3例,巨大儿1例,新生儿窒息1例。B组早产、前置胎盘、巨大儿及新生儿窒息发生率低于A组(P<0.05)。结论妊娠期糖尿病患者采用二甲双胍联合高膳食纤维治疗效果显著,不仅有助改善血脂及血糖指标水平,还可以降低不良妊娠结局,值得临床推广与运用。

探讨达格列净治疗2型糖尿病合并心衰的临床效果

目的 探析达格列净对2型糖尿病合并心衰的临床治疗作用。方法 选取来本院就诊的108例2型糖尿病合并心衰患者,随机将其分为对照组和观察组,每组54例。对照组采用胰岛素治疗,观察组采用达格列净治疗,比较两组患者的临床治疗效果、血糖水平、心功能、不良反应等。结果 观察组总有效率优于对照组,差异有统计学意义(P<0.05);治疗后,观察组的HbA1c、FBG、2hPG水平均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组的左心室舒张末期容积、左心室收缩末期容积、左心室射血数值均优于对照组,差异有统计学意义(P<0.05);观察组的不良反应发生率低于对照组,差异无统计学意义(P>0.05)。结论 临床采取中达格列净治疗2型糖尿病合并心衰,能够提高临床效果,显著改善患者心功能水平,有效控制患者血糖水平,用药不良反应较少,安全性更高,值得临床推广。

以膳食营养干预为基础的5A护理管理在糖尿病患者中的应用

目的分析以膳食营养干预为基础的5A护理管理在糖尿病患者中的应用价值。方法选取福建医科大学附属第二医院2022年1—6月收治的60例糖尿病患者,按照入院先后顺序分为对照组与研究组,各30例;其中对照组接受常规护理管理,而研究组则接受以膳食营养干预为基础的5A护理管理,比较两组的身体质量指数、血糖水平、自我管理行为与生存质量。结果研究组护理后的身体质量指数、糖化血红蛋白(glycosylated hemoglobin,HbA1c)、空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2 hour postprandial plasma glucose,2 hPG)水平以及糖尿病特异性生存质量量表修订版(adjusted diabetes-specific quality of life scale,A-DQOL)量表各维度评分均低于对照组(P<0.05),糖尿病自我管理行为量表(the summary of diabetes self-care activities measure,SDSCA)各维度评分则高于对照组(P<0.05)。结论在糖尿病患者的护理管理中,应用以膳食营养干预为基础的5A护理管理能有效降低患者血糖水平,控制其体质量,而且能让其自我管理水平及生存质量显著提高,值得推广。