Objective To investigate the characteristic of psychological health status and blood glucose in elderly patients with newly diagnosed type 2 diabetes for one year. Methods 48 patients in elderly with newly diagnosed type 2 diabetes were followed up on their blood glucose level and psychological status for one year. Results At newly diagnosed phase, fasting plasma glucose, 2 h postprandial plasma glucose and HbA1C were (9.48?2.67) mmol/L, (13.49?4.79) mmol/L and (8.89 ?2.74)%, but after 3months, those descended to (7.35?2.47) mmol/L, (10.01?3.14) mmol/L and (6.75?2.14)%, respectively. Compared with newly diagnosed phase, psychological happiness and living satisfaction improved; while the negative emotion, including depression, loneliness, hypochondriasis and anxiety, decreased consistent with the drop of blood glucose level after 3 months. Following 6 and 12 months, blood glucose and psychological heath status were stabilized on the whole. Conclusion Psychological status deteriorated seriously at newly diagnosed phase than in 3, 6 and 12 months, when is important phase for psychological intervention. Moreover, optimal glycemic control can promote psychological heath.

Objective To investigate the relationship between active lifestyle and metabolic syndrome (MS) in the population of Shanghai Free Trade Zone companies and explore the effect of active lifestyle on controlling MS. Methods Collecting and analyzing the data of 526 employees in Shanghai Free Trade Zone companies by means of stratified-cluster sampling, who taken health examination from January 2006 to December 2007. All subjects were divided into active lifestyle A group (ALAG), active lifestyle B group (ALBG) and sedentary lifestyle group (SLG) based on their lifestyle surveys and physical activity questionnaires (PAQ). A variety of clinical in- dex and the prevalence of metabolic syndrome components were compared among the groups with different active lifestyles, as well as the relative risk of active lifestyle on MS. Results Body mass index (BMI), Waist-hip-ratio (WHR), blood pressure (SBP/DBP), fasting plasma glucose (FPG) and blood lipids (TG, TC, HDL-C) in the two active lifestyle groups (22.83?2.29) kg/m2, 0.862?0.037, (119.78?12.78)/(78.03?9.91) mm Hg, (4.82?0.78) mmol/L, (1.11?0.60) mmol/L, (4.44?0.78) mmol/L, (1.41?0.41) mmol/L and (24.43?2.32) kg /m2, 0.899?0.039, (127.16?15.64) /(81.63?9.12) mmHg, (1.51?0.84) mmol/L, (4.70?0.88) mmol/L, (1.35?0.47) mmol/L, (4.96?0.75) mmol/L) were significantly lower than those in SLG (all P0.05). Active lifestyle was a protective factor for MS with OR values as 0.154 (95%CI: 0.080～0.298) in ALAG; 0.609 (95%CI: 0.367～0.990) in ALBG, respectively. Conclusion Active lifestyle was a significant protective factor for MS. Health education on the population in Shanghai Free Trade Zone should be strengthening to help people establish scientific active lifestyle for preventing and controlling MS.

Objective To assess the prevalence of hyperuricemia and investigate the Correlations between hyperuricemia and a variety of metabolic-related factors in cadre members in Jangmen city. Methods 1019 cadre members aged 20～60 years who took health regular examination were selected, their data of the physical check-ups and corresponding lab indexes were collected and analyzed by SPSS 11.5. Results The general prevalence rate of hyperuricemia was 30.42%, and it was higher in male (33.53%) than in female (23.85%) (P

Objective To investigate the prevalence of metabolic syndrome (MS) among residents in Shuimogou district of Urumqi city and to compare the differences between the Uygur and Han Populations. Methods Adopting cluster sampling, a survey of diabetes mellitus was conducted in Shuimogou district in June, 2008. Data of total 2420 subjects aged over 18 years with complete data, including background information of each individual, blood pressure, lipid profile, blood glucose and so on, were analyzed in this study. The criterion of the China Diabetes society (CDS) in 2004 was applied for diagnosis. Results The crude prevalence rates of MS were 12.85% in total, 14.91% in male and 7.39% in female, respectively. The age-standardized prevalence rates of MS were 9.93% in total, 13.58% in male and 6.11% in female. The prevalence rates of MS in male was higher than that in female (P0.05). The prevalence rates of components of MS were 43.31% for obesity, 30.08% for hypertension, 25.79% for hypertriglyceridemia and 16.28 % for hyperglycosemia. Among the four factors above, there were about 65% subjects who had at lest one abnormal factor according to the CDS criterion. Conclusion There were no differences in the prevalence rates of MS between the Uygur and Han populations. However, the prevalence rate of MS in male was higher than that in female. More than half subjects had at least one abnormal metabolic factor.

Objective To know the prevalence of type 2 diabetes and its risk factors in the elderly in Gushan Town, Fuzhou City. Methods From July to November of 2007, 4653 elderly permanent residents from 14 administrative units were selected using random cluster sampling. Results The prevalence of elderly type 2 diabetes was 11.2%. Non-conditional logistic regression analysis showed that age, occupation, monthly income (OR=1.42, 95%CI: 1.13～1.77), family history of diabetes (OR=6.49, 95%CI: 4.62～9.10), concen- tric obesity (OR=1.47, 95%CI: 1.15～1.88) were independent risk factors for diabetes. Conclusion The type 2 diabetes prevalence rate of the elderly was higher, and the health education and interventions should be strengthened to the people who have family history of diabetes and concentric obesity.

Objective To explore the clinical characteristics of coronary heart disease (CHD) companied by type-2 diabetes mellitus (DM) and features of their coronary angiographies. Methods The data of clinical characteristics and coronary angiography results of 108 CHD cases with T2DM and 103 CHD cases without T2DM were compared and analyzed. Results Compared with the cases of CHD without diabetes mellitus, the cases of CHD with T2DM exhibited significantly increased incidence rates of hypertension and dyslipidemia. The body mass index and serum uric acid level also increased obviously. The main manifestation of dyslipidemia of CHD patients with T2DM was the higher levels of triglycerides and lower level of serum high-density lipoprotein cholesterol. And the severe coronary artery disease and lower left ventricular ejection fraction were often found in CHD patients with T2DM Conclusion CHD patients with type-2 DM tend to have multiple cardiovascular-risk factors, and often have multi-branches lesion and more severe lesions.To treat cardiovascular risk factors actively is very important to prevent the CHD and improve its prognosis.

Objective To analyze the prognosis of people with impaired glucose tolerance (IGT) after 10 years follow-up. Methods 30 patients with IGT, screened out in 1995 census, were intervened with medication and the change of life style for ten years. Results There were 7 cases (23.3%) in 30 patients with IGT were developed into DM and 13 cases (43.3%) were still IGT, others (10 cases, 33.3%) were reverted to NGT. In the beginning of the study, the means of TG and HBCI in DM turnover group were significantly higher than those of IGT and NGT turnover group (P0.05). After Ten years of follow-up, the prevalence rates of obesity and abdominal obesity in DM groups were significantly higher than those in NGT group (P

Objective To observe the effect of Lipo PGE1 and Mecobalamine and Ginkgo-dipyidamolun in the treatment of dia-betic peripheral neuropathy. Methods 60 Patients with diabetic peripheral neuropathy were divided randomly into two groups; the control group (30 cases) and the treatment group (30 cases). The patients of the treatment group were given with Lipo PGE1 100 ?g dissolved in 0.9% normal saline solution 100ml once a day intravenously, and given mecobalamine 500 ?g once a day intramuscular, and given Ginko-dipyidamolum injection 20ml dissolved in 0.9% normal saline solution 250ml once a day intravenously; and in the control group were only given with mecobalamine 500?g once a day intramuscular. Nerve conduction velocity (MNCV and SNCV) in two groups of patients was observed after 14 days treatment. Results After treatment for 14 days, the subjective symptoms and signs were significantly improved with a total effective rate of 86.7% in the treatment group versus 56.7% in the control group. Compared with the control group, the total effective rates of treatment group was significantly higher (P

Objective To observe the effect of nursing intervention on type 2 diabetes in communities. Methods During Jul. 2007 to Jul. 2008, 256 cases with type 2 diabetes were chosen and intervened with non-medication treatment, direction for rational application of medication and management of the follow-up by community nurses. Results The awareness rates about blood presure, blood glucose, blood lipids and diabetes prevention & treatment among the patients were 47% , 43.8% , 60.7% and 91.5% . The compliance rates for medication, the treatment of non-medication and the attainment rate of self monitoring were 89%, 77.6% and 68%, respectively, and all of these results were significantly increased. Conclusion Nursing intervention on patients with Type 2 Diabetes in communities promotes the comprehensive treatment of diabetes.

Objective To explore the effect of health education on the blood glucose controlling target in patients with type 2 diabetes. Methods 598 cases of patients with type 2 diabetes were randomly divided into the control group (given conventional treat- ment and medication guide) and the intervention group (besides the above-mentioned treatment, also given diabetes health management program including the systemic health education and promotion, and with stress on behavioral, psychological, dietary intervention) and observed for 7 months. Results After 7 months intervention, there were differences in the levels of glycosylated hemoglobin, fasting plasma glucose and 2h postprandial blood glucose between two groups (P