Application of standardized nutritional care model in type 2 diabetes patients with poor glycemic control by basic insulin therapy
10.3760/cma.j.issn.1674-2907.2019.01.020
- VernacularTitle:标准化营养照护模式在使用基础胰岛素治疗血糖控制不佳的2型糖尿病患者中的应用
- Author:
Meng LI
1
;
Yanzi LI
;
Xi SU
;
Rong HUI
;
Bingyin SHI
Author Information
1. 西安交通大学第一附属医院内分泌科
- Keywords:
Diabetes,type 2;
? Basic insulin;
? Standardized nutritional care model
- From:
Chinese Journal of Modern Nursing
2019;25(1):89-93
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of the standardized nutritional care on the dietary structure, caloric intake, blood glucose, blood lipid and body mass index (BMI) control in type 2 diabetes patients with poor glycemic control by basic insulin therapy. Methods? Totally 82 type 2 diabetes patients who were hospitalized and received basic insulin therapy in the Department of Endocrinology of a ClassⅢ Grade A hospital between March and July 2017 were selected by convenient sampling and randomly divided into the intervention group (n=42) and the control group (n=40). The intervention group received standardized nutritional care, while the control group received conventional nutritional health education. Fasting blood glucose (FBG), 2 h postprandial blood glucose (2hPBG), glycosylated hemoglobin (HbA1c), total cholesterol (TC), 24 h total calorie, dietary structure and other indexes were evaluated and compared between the two groups after 24 weeks. Results? After the intervention, the 24 h total calorie of the intervention group was (7 326.99± 1 535.46) kJ, lower than that of the control group; and the protein intake of the intervention group was (64.19±7.83) g, higher than that of the control group (t=2.997, -3.170; P＜0.01). The dinner caloric intake of the intervention group was lower than that of the control group (P＜ 0.01); and the HbA1c, FBG, 2hPBG and TC of the intervention group were (6.67±0.98) %, (6.50±1.03) mmol/L, (10.25±0.81) mmol/L and (4.26±0.71) mmol/L, respectively, which were lower than those of the control group (t=2.711, 9.998, 17.500, 5.757; P＜ 0.01). Conclusions? The standardized nutritional care model can improve the patients' dietary structure, control the total caloric intake, and enhance the control over blood glucose, blood lipid and other metabolic indicators in type 2 diabetes patients with poor glycemic control by basic insulin therapy.
