Effects intensive health management on 585 diabetic patients from Desheng Community of Beijing
10.3760/cma.j.issn.1674-0815.2013.01.011
- VernacularTitle:北京某社区对585例糖尿病患者强化管理的效果分析
- Author:
Juhong LIU
;
Zhengzheng HAN
;
Lingyun WANG
;
Chunhong MA
;
Pengtao MA
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Diet;
Exercise;
Health promotion
- From:
Chinese Journal of Health Management
2013;(1):40-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of known-to-have health management on diabetes patients.Methods A total of 585 diabetic patients from Desheng Community of Beijing received an intensive health management for 3 months,including diet intervention,physical exercises,medication,health education and individual health guidance.Body weight (BW),body mass index (BMI),waist circumference (WC),blood pressure (BP),fasting blood glucose (FBG),2-h postprandial blood glucose (PBG),glycated hemoglobin A1C (HbA1 c),total cholesterol (TC),triglycerides (TG),high-density lipoprotein cholesterol (HDL-C),low-density lipoprotein cholesterol (LDL-C),total physical exercises,effective physical exercises,effective physical exercise ratio to BW and dietary intake were compared before and after the intervention.Results Of 585 patients with type 2 diabetes mellitus,240 were male and 345 were female (average age (64.4 ± 9.1) years old).BW,BMI,WC,systolic blood pressure,diastolic blood pressure,FBG,2-h PBG,HbA1c,TC,TG,HDL-C,LDL-C,amount and time or frequency of effective physical exercises,effective physical exercise ratio to BW and total dietary intake were significantly improved after intensive health management (t values were 20.35,20.34,23.74,14.06,12.35,13.35,16.50,9.90,7.53,6.37,-3.74,4.91,-7.44,-7.91,-5.60,-8.41 and 5.21,respectively ; all P < 0.05).More healthy eating habits were found in 321 subjects (54.8%).Those having normal FBG were increased from 54.2% to 80.1% following known-to-have health management,with 2-h PBG from 60.4% to 87.8% and HbA1c from 58.9% to 77.9% (x2 values were 88.21,109.31 and 39.97,respectively; all P < 0.05).Conclusion Known-to-have management may provide an effective tool for community diabetics.