Effect of food exchange regulation by hand measurement on patients with type 2 diabetes mellitus / 预防医学

ABSTRACT

Objective To explore the effect of food hand measurement exchange on patients with type 2 diabetes in communities. Methods A stratified random sampling method was used to divide the community into five groups according to the geographical location. Forty patients were randomly selected from each group and randomly divided into intervention group and control group. The control group was administered according to the requirements of the management of diabetes mellitus in the national basic public health service project. The intervention group conducted the dietary instruction for 12 months on the basis of the management of the national basic public health service project. Two groups were investigated before and after the intervention,and physical examination were conducted and biochemical indicators were detected. Results Before and after the intervention,there was no significant difference between the two groups in behavior and physical examination (P>0.05) . In the intervention group, the proportion of drug treatment decreased from 96.00% to 92.00% after 12 months of intervention. The proportion of people controlling diet increased from 90% to 99%, and the proportion of control weight increased from 75.00% to 91.00% . The proportion of patients who were monitored blood sugar was from 71% to 98%.Compared with the control group, the behavioral habits of the intervention group in drug use, diet control, weight control and blood glucose monitoring were higher than those in the control group(Wald x2=10.644, 4.324, 5.957, 12.229, P<0.05) . In the intervention group, the compliance rate of blood pressure and HDLC compliance rate increased from 16.00% and 56.00% to 64.00% and 76.00% respectively after 12 months intervention. Compared with the control group, the increase of blood pressure, FPG and HDL-C in the intervention group was higher than that in the control group(Wald x2=16.642, 10.128, 6.457, P<0.05) . Conclusion Food hand measurement exchange method on patients with type 2 diabetes in communities was a simple calorie intake measurement tool,and could greatly improve the patient's control diet compliance, and could promote drug treatment and monitor of blood sugar and other behavior improvement, thus ultimately improve the blood pressure, blood sugar and blood lipids.