Standardized diagnosis and treatment program for type 2 diabetes mellitus in a community in Urumqi
10.3760/cma.j.issn.1674-0815.2018.04.013
- VernacularTitle: 乌鲁木齐某社区2型糖尿病标准化诊疗方案的推广研究
- Author:
Fuhui MA
1
;
Yunzhi LUO
1
;
Lan WU
1
;
Jie ZHANG
1
;
Munila ABUDUNAIYIMU
1
;
Nurongguli MAIMAITI
1
;
Xinling WANG
1
Author Information
1. Department of Endocrinology, People's Hospital of Xinjiang Uyghur Autonomous Region, Urumqi 830001, China
- Publication Type:Journal Article
- Keywords:
Type 2 diabetes mellitus;
Standardized diagnosis and treatment;
Self-management;
Standard rate
- From:
Chinese Journal of Health Management
2018;12(4):355-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effects of a standardized diagnosis and treatment program for type 2 diabetes mellitus patients, in a community in Urumqi.
Methods:In March 2016, 1 000 patients with type 2 diabetes at the Urumqi Xinhua Road community health service center and affiliated communities were selected to participate in a questionnaire survey and in a promotion for a 12-month standardized treatment. T-test and χ2 test were used to compare the blood sugar, blood pressure, blood lipids, ratio of urine microalbumin and creatinine (urine A/C) and other metabolic indices in patients before and after the promotion.
Results:In a total of 112 finalists, after a 4-month follow-up, rates of regular exercise, diet control, taking medication on time and regular blood glucose monitoring all improved significantly from 35.7%, 40.2%, 13.7%, 29.5% to 56.3%, 68.8%, 56.3%, 45.5%, respectively (χ2=9.508, 8.643, 45.319, 6.171; P < 0.05). The rates of smoking and drinking were lower after the promotion (χ2=4.291, 4.56; P < 0.05). Body mass index (BMI), fasting blood glucose (FPG), glycated hemoglobin (HbA1c), systolic blood pressure, total cholesterol (TC), creatinine, and urine A/C decreased significantly, while there was no significant difference in the diastolic blood pressure. The percentage of participants with normal blood sugar, lipids and blood pressure, significantly improved from 38.4%, 37.5%, 23.6%, 8.9% to 63.4%, 66.4%, 43.7%, 23.2%, respectively. The rate of urine A/C positivity decreased from 40.2% to 26.8% (χ2=14.004, 18.309, 10.604, 8.473, 4.510, P < 0.05).
Conclusion:Standardized type 2 diabetes treatment programs can improve the blood levels of glucose and lipids, as well as lower blood pressure and the positive rate of urine A/C. It can help reduce the multiple risk factors and long-term complications by improving the self-management of diabetes.
