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

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 ra...

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Veröffentlicht in:Medicine (Baltimore) 2017-10, Vol.96 (42), p.e7524-e7524
Hauptverfasser: Jiang, Xuelian, Fan, Xiyun, Wu, Rui, Geng, Fengqin, Hu, Chenping
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creator Jiang, Xuelian
Fan, Xiyun
Wu, Rui
Geng, Fengqin
Hu, Chenping
description 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 
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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 &lt; .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.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000007524</identifier><identifier>PMID: 29049180</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adolescent ; Adult ; Aged ; Aldehyde Reductase - blood ; Behavior Therapy - methods ; Blood Glucose - analysis ; Body Mass Index ; Body Weight ; Combined Modality Therapy ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; Diet, Diabetic - methods ; Exercise Therapy - methods ; Fasting - blood ; Female ; Follow-Up Studies ; Glycated Hemoglobin A - analysis ; Humans ; Male ; Middle Aged ; Obesity - complications ; Obesity - psychology ; Obesity - therapy ; Observational Study ; Postprandial Period ; Treatment Outcome ; Weight Loss ; Young Adult</subject><ispartof>Medicine (Baltimore), 2017-10, Vol.96 (42), p.e7524-e7524</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2017 the Author(s). 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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 &lt; .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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aldehyde Reductase - blood</subject><subject>Behavior Therapy - methods</subject><subject>Blood Glucose - analysis</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Combined Modality Therapy</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diet, Diabetic - methods</subject><subject>Exercise Therapy - methods</subject><subject>Fasting - blood</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - complications</subject><subject>Obesity - psychology</subject><subject>Obesity - therapy</subject><subject>Observational Study</subject><subject>Postprandial Period</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><subject>Young Adult</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUctuFDEQtBCILIEvQEI-cpnEb48vSCgJZKVEXMLZsj1txjA7XmxvVvl7JmyIEvrSUnd1dakKofeUnFBi9On1-Ql5Uloy8QKtqOSqk0aJl2hFCJOdNlocoTe1_iSEcs3Ea3TEDBGG9mSFLm9GwBAjhIZzxMEVwGluUG5hbinPOOaCs4cKeOtaWoYV71MbcbvbAl6v8ZCchwb1LXoV3VTh3UM_Rt-_XNycXXZX376uzz5fdUFI0nfB92oIxntPtTdD0FywyIIEH4fBiahhiN6r3kUSjTAhEBq54ir2upeaKX6MPh14tzu_gSEsioqb7LakjSt3Nrtkn2_mNNof-dZKpRgX9wQfHwhK_r2D2uwm1QDT5GbIu2qpkYIoYSRfoPwADSXXWiA-vqHE3mdgr8_t_xksVx-eKny8-Wf6AhAHwD5Pi9P117TbQ7EjuKmNf_mkNqxjhGpKGCHdMqE9_wNBFZL7</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Jiang, Xuelian</creator><creator>Fan, Xiyun</creator><creator>Wu, Rui</creator><creator>Geng, Fengqin</creator><creator>Hu, Chenping</creator><general>The Authors. 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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 &lt; .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.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>29049180</pmid><doi>10.1097/MD.0000000000007524</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aldehyde Reductase - blood
Behavior Therapy - methods
Blood Glucose - analysis
Body Mass Index
Body Weight
Combined Modality Therapy
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - therapy
Diet, Diabetic - methods
Exercise Therapy - methods
Fasting - blood
Female
Follow-Up Studies
Glycated Hemoglobin A - analysis
Humans
Male
Middle Aged
Obesity - complications
Obesity - psychology
Obesity - therapy
Observational Study
Postprandial Period
Treatment Outcome
Weight Loss
Young Adult
title The effect of care intervention for obese patients with type II diabetes
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