AIM To discuss type 2 diabetes mellitus(T2DM) medication changes required during the popular 5:2 intermittent energy restriction(IER) diet. METHODS A search was conducted in MEDLINE, EMBASE, AMED, CINAHL and Cochrane ...AIM To discuss type 2 diabetes mellitus(T2DM) medication changes required during the popular 5:2 intermittent energy restriction(IER) diet. METHODS A search was conducted in MEDLINE, EMBASE, AMED, CINAHL and Cochrane library for original research articles investigating the use of very low calorie diets(VLCD) in people with T2 DM. The search terms used included "VLCD" or "very low energy diet" or "very low energy restriction" or "IER" or "intermittent fasting" or "calorie restriction" or "diabetes mellitus type 2" and "type 2 diabetes". Reference lists of selected articles were also screened for relevant publications. Only research articles written in English, which also included an explanation of medication changes were included. A recent pilot trial using the 5:2 IER method, conducted by our research group, will also be summarized.RESULTS A total of 8 studies were found that investigated the use of VLCD in T2 DM and discussed medication management. Overall these studies indicate that the use of a VLCD for people with T2 DM usually require the cessation of medication to prevent hypoglycemia. Therefore, the 5:2 IER method will also require medication changes, but as seen in our pilot trial, may not require total cessation of medication, rather a cessation on the 2 IER days only. CONCLUSION Guidelines outlined here can be used in the initial stages of a 2-d IER diet, but extensive blood glucose monitoring is still required to make the necessary individual reductions to medications in response to weight loss.展开更多
This research protocol design is aimed at exploring the qualitative health research in self-management of Type 2 diabetes and patient’s perceptions and experiences of undertaking physical activity and eating behaviou...This research protocol design is aimed at exploring the qualitative health research in self-management of Type 2 diabetes and patient’s perceptions and experiences of undertaking physical activity and eating behaviour as part of their diabetes self-management. In addition, the study would analyze how the health issue related to diabetes is viewed and addressed in the community (Pakistan and Saudi Arabia) and would use the concepts of socio-ecological approach to self-management of Type 2 diabetes and explore the factors affecting the self-management practices in these countries. The other objective of this protocol is to examine the role of physical inactivity and obesity in the development of Type 2 diabetes and its self-management in middle-aged population living in rural area of Pakistan and to evaluate a lifestyle intervention (Physical Activity and Diet) in the management of Type 2 diabetes. The brief review conducted in this protocol design will identify the potential areas of health care which need attention including the overall functioning of community healthcare clinics to diabetes care in terms of recognizing the symptoms of diabetes to early detection and diagnosis, easy access to community doctors. This review will impress upon the need to recognize that in developing strategies and interventions to address diabetes, self-care, family support, community education and community ownership are important and it will be demonstrated by the comparison of two culturally diversified populations of Pakistan and Saudi Arabia in relation to the self-management of Type 2 diabetes.展开更多
目的探讨以自我管理为导向的护理模式结合正念饮食察觉训练对2型糖尿病患者自我管理能力及血糖控制的影响。方法选择2021年1月至2022年1月收治的80例2型糖尿病患者为研究对象,采用随机数字表法将其分为对照组与观察组,各40例。对照组采...目的探讨以自我管理为导向的护理模式结合正念饮食察觉训练对2型糖尿病患者自我管理能力及血糖控制的影响。方法选择2021年1月至2022年1月收治的80例2型糖尿病患者为研究对象,采用随机数字表法将其分为对照组与观察组,各40例。对照组采取常规护理干预,观察组在对照组基础上加以自我管理为导向的护理模式结合正念饮食察觉训练。比较两组的干预效果。结果干预后,观察组的自我管理行为量表各维度评分高于对照组(P<0.05)。干预后,观察组的自我效能感及健康知识掌握程度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)水平及糖化血红蛋白(HbA1c)低于对照组(P<0.05)。结论以自我管理为导向的护理模式结合正念饮食察觉训练能够提高2型糖尿病患者的自我管理能力,也能提高自我效能感及健康知识掌握程度,有助于血糖控制,值得推广。展开更多
目的探讨基于微信平台的病友互助小组结合奥马哈系统护理干预在老年2型糖尿病(T2DM)患者中的应用效果。方法选择2020年1月至2021年2月收治的90例老年T2DM患者作为研究对象,以随机数字表法将其分为对照组与观察组,各45例。对照组采用常...目的探讨基于微信平台的病友互助小组结合奥马哈系统护理干预在老年2型糖尿病(T2DM)患者中的应用效果。方法选择2020年1月至2021年2月收治的90例老年T2DM患者作为研究对象,以随机数字表法将其分为对照组与观察组,各45例。对照组采用常规护理,观察组在对照组基础上加施基于微信平台的病友互助小组结合奥马哈系统护理干预。比较两组的干预效果。结果干预后,观察组的饮食自我管理行为量表各维度评分均高于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS)各维度评分均低于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)低于对照组(P<0.05)。结论基于微信平台的病友互助小组结合奥马哈系统护理干预有助于改善老年T2DM患者饮食自我管理行为及疾病自我感受负担,提高血糖控制效果。展开更多
文摘AIM To discuss type 2 diabetes mellitus(T2DM) medication changes required during the popular 5:2 intermittent energy restriction(IER) diet. METHODS A search was conducted in MEDLINE, EMBASE, AMED, CINAHL and Cochrane library for original research articles investigating the use of very low calorie diets(VLCD) in people with T2 DM. The search terms used included "VLCD" or "very low energy diet" or "very low energy restriction" or "IER" or "intermittent fasting" or "calorie restriction" or "diabetes mellitus type 2" and "type 2 diabetes". Reference lists of selected articles were also screened for relevant publications. Only research articles written in English, which also included an explanation of medication changes were included. A recent pilot trial using the 5:2 IER method, conducted by our research group, will also be summarized.RESULTS A total of 8 studies were found that investigated the use of VLCD in T2 DM and discussed medication management. Overall these studies indicate that the use of a VLCD for people with T2 DM usually require the cessation of medication to prevent hypoglycemia. Therefore, the 5:2 IER method will also require medication changes, but as seen in our pilot trial, may not require total cessation of medication, rather a cessation on the 2 IER days only. CONCLUSION Guidelines outlined here can be used in the initial stages of a 2-d IER diet, but extensive blood glucose monitoring is still required to make the necessary individual reductions to medications in response to weight loss.
文摘This research protocol design is aimed at exploring the qualitative health research in self-management of Type 2 diabetes and patient’s perceptions and experiences of undertaking physical activity and eating behaviour as part of their diabetes self-management. In addition, the study would analyze how the health issue related to diabetes is viewed and addressed in the community (Pakistan and Saudi Arabia) and would use the concepts of socio-ecological approach to self-management of Type 2 diabetes and explore the factors affecting the self-management practices in these countries. The other objective of this protocol is to examine the role of physical inactivity and obesity in the development of Type 2 diabetes and its self-management in middle-aged population living in rural area of Pakistan and to evaluate a lifestyle intervention (Physical Activity and Diet) in the management of Type 2 diabetes. The brief review conducted in this protocol design will identify the potential areas of health care which need attention including the overall functioning of community healthcare clinics to diabetes care in terms of recognizing the symptoms of diabetes to early detection and diagnosis, easy access to community doctors. This review will impress upon the need to recognize that in developing strategies and interventions to address diabetes, self-care, family support, community education and community ownership are important and it will be demonstrated by the comparison of two culturally diversified populations of Pakistan and Saudi Arabia in relation to the self-management of Type 2 diabetes.
文摘目的探讨以自我管理为导向的护理模式结合正念饮食察觉训练对2型糖尿病患者自我管理能力及血糖控制的影响。方法选择2021年1月至2022年1月收治的80例2型糖尿病患者为研究对象,采用随机数字表法将其分为对照组与观察组,各40例。对照组采取常规护理干预,观察组在对照组基础上加以自我管理为导向的护理模式结合正念饮食察觉训练。比较两组的干预效果。结果干预后,观察组的自我管理行为量表各维度评分高于对照组(P<0.05)。干预后,观察组的自我效能感及健康知识掌握程度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)水平及糖化血红蛋白(HbA1c)低于对照组(P<0.05)。结论以自我管理为导向的护理模式结合正念饮食察觉训练能够提高2型糖尿病患者的自我管理能力,也能提高自我效能感及健康知识掌握程度,有助于血糖控制,值得推广。
文摘目的探讨基于微信平台的病友互助小组结合奥马哈系统护理干预在老年2型糖尿病(T2DM)患者中的应用效果。方法选择2020年1月至2021年2月收治的90例老年T2DM患者作为研究对象,以随机数字表法将其分为对照组与观察组,各45例。对照组采用常规护理,观察组在对照组基础上加施基于微信平台的病友互助小组结合奥马哈系统护理干预。比较两组的干预效果。结果干预后,观察组的饮食自我管理行为量表各维度评分均高于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS)各维度评分均低于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)低于对照组(P<0.05)。结论基于微信平台的病友互助小组结合奥马哈系统护理干预有助于改善老年T2DM患者饮食自我管理行为及疾病自我感受负担,提高血糖控制效果。
