The effect of care intervention for obese patients with type II diabetes

Abstract

The incidence of type II diabetes mellitus (T2DM) is increasing worldwide and affecting the quality of people's life. This study was designed to evaluate the effect of care intervention on body weight and glycemic parameters in obese T2DM patients.One hundred twenty-six obese T2DM cases were randomly divided into 2 groups. Patients in control group received conventional care, while patients in the intervention group received dietary, exercise, and psychology interventions on the basis of conventional care. Twelve months follow-up was performed to compare the changes of body weight and glycemic parameters in the 2 groups.There were 119 patients completing the research, 60 in the intervention group and 59 in control group. The levels of fasting plasma glucose (FPG), 2 hours postprandial blood glucose (PBG2 h), hemoglobin A1c (HbA1c), and aldose reductase (AR) were all significantly decreased (all, P < .05) in intervention group compared with the control group after 12 months follow-up. Moreover, the body weight and BMI (body mass index) were also significantly reduced in intervention group, and the weight loss was significantly higher in intervention group than that in control group during the follow-up.To implement care intervention for obese T2DM patients could strengthen the management of blood glucose, reduce body weight and complications.

Effectiveness of A Multifactorial Intervention in Increasing Adherence to the Mediterranean Diet among Patients with Diabetes Mellitus Type 2: A Controlled and Randomized Study (EMID Study)

“…These changes in dietary habits resulted in changes in the clinical variables. These changes correspond to those achieved by other multifactorial interventions such as that of Jiang et al [39], who observed a decrease in postprandial glycaemia (10.7 ± 3.2 vs. 5.8 ± 2.1 mmol/L) in the IG after 12 months of follow-up, through changes in diet, exercise and a psychological approach. In the same way, several studies [39,40,41,42] have managed to significantly improve BMI among other parameters through a multifactorial intervention based on changes in diet and exercise in subjects with T2DM.…”

“…These changes correspond to those achieved by other multifactorial interventions such as that of Jiang et al [39], who observed a decrease in postprandial glycaemia (10.7 ± 3.2 vs. 5.8 ± 2.1 mmol/L) in the IG after 12 months of follow-up, through changes in diet, exercise and a psychological approach. In the same way, several studies [39,40,41,42] have managed to significantly improve BMI among other parameters through a multifactorial intervention based on changes in diet and exercise in subjects with T2DM. Finally, we think that the results obtained in this work could be pioneering, since as far as we know, this study is the first to analyse the effects of a multifactorial intervention on diet in subjects with T2DM based on a food workshop and a smartphone application, as well as achieving improvement in the MEDAS and the DQI questionnaire.…”

The effect of educational intervention based on health belief on improvement of metabolic indices of patients with diabetes type II living in rural areas

“…Moreover, the results are consistent with Pourgholami et al (2017), Nadine Kuniss et al (2018), and Jiang et al (2018)[18][19][20]. The findings can be considered as indicators of effectiveness of the educational strategy.…”

Glycemic Index of Pre-Exercise Meal in Diabetes Mellitus: A Systematic Review

“…Recent studies show the benefits of different types of physical exercise and highlight LGI foods as part of the nutritional intervention in individuals with type 2 DM. 24,25 In contrast, in recent studies of exercise and DM type 1, pre-exercise food GI is not clearly considered as a nutritional care option for glycemic control during physical exercise. 26,27 This current view may reflect that the relevance of GI to clinical practice is not yet clear.…”