| Objectives1. Try to design an exercise prescription with Traditional Chinese Medicine (TCM) characteristics which can provide suitable exercise intensity and meet patients’ s individual needs at the same time.2. To verify the efficacy of the exercise prescription in type2 diabetes mellitus.Methods1. Choose actions to design the exercise prescription with Traditional Chinese Medicine characteristics for diabetes patients, according to the exercise treatment experiences of Capital Traditional Chinese Medicine Master Professor Lv Renhe and national sports Master Professor Su Xueliang in Capital Institute of Physical Education.2. Made clinical exercise test about the efficacy of basic formulation in type2 diabetes mellitus and the attribute of basic formulation. The 12 week exercise test would focus on the efficacy about controlling fasting plasma glucose (FPG) and glycosylated hemoglobin (HbAlc), improving diabetic Traditional Chinese Medicine symptoms and enhancing shoulder joint flexibility. The immediate test would focus on the basic formulation’s efficacy in decreasing random blood glucose as well as the exercise intensity of basic formulation. And a research would be done to know about the difficulty and safety of the basic formulation.Results1. Complete the designing of the exercise prescription with Traditional Chinese Medicine characteristics. The exercise prescription includes two parts, basic formulation and individual formulation. The basic formulation provides suitable exercise intensity and mobilizes the function of main and collateral channels together with joints and muscles. While the individual parts would put or get rid of some actions according to patients’s individual characteristics, for example a patients’s symptoms as well as his or her three Yin and three Yang physique2. The results of clinical trials:After 12 week exercises,the FPG decreased by 0.64 ± 0.85mmol/L, and FPG controlling proportion increased by 21% The actual value of HbAlc decreased by 0.30(0.00,0.90)%, and HbAlc controlling proportion increased by 25%.The HbAlc of most patients was controlled between 6% and 7%, which proved that the basic formulation had controlled patients’s HbAlc in a suitable scope. The Traditional Chinese Medicine symptom integral decreased by 4.00(2.00,8.00),with an improvement of 38.37±21.17%.There are totally 24 symptoms in the Traditional Chinese Medicine symptom integral scale with 23 symptoms improved. And 18 symptoms had an improvement rate of over 50%. The only ineffective symptom was amnesia. And all the high incidence symptoms had an improvement of over 50%, except amnesia. The most obviously effective symptom was low back pain, following by fatigue and weakness, insomnia, abdominal discomfort as well as hyperphagia, when comprehensively considering about incidence rate, improvement rate and improvement degree.The shoulder joint flexibility improved in both sides. The hands back hook test increased by 3.80 (2.25,5.65) cm in the weak side of flexibility, and 2.00 (0.50,4.70) cm in the side of strong flexibility. The immediate test showed that the random blood glucose would decreased by 1.00 (0.43,2.45) mmol/L after the basic formulation was practiced once. There are three methods of evaluating exercise intensity in the Chinese Guidelines of Exercise Therapy in Diabetes Mellitus, and the basic formulation is an exercise with low to moderate intensity, according to the evaluation methods. The research about the difficulty in learning the basic formulation revealed that basic formulation had a suitable difficulty.12% patients thought it very easy, and 76% general. There were only 12% patients who thought it a little difficult. And the patients could master the actions in only 5 hours in general. Nobody presented hypoglycemic events or worse state, which illustrated the safety of basic formulation.Conclusions:The basic formulation can control the FPG and HbAlc of type 2 diabetes mellitus patients, and improve the Traditional Chinese Medicine symptoms, as well as enhancing shoulder joint flexibility. In addition, the basic formulation is a low to meditate intensity exercise with suitable difficulty and good safety. It is necessary trying to perfect and extend the exercise prescription with Traditional Chinese Medicine characteristic, and then put it into the prevention and cure of chronic diseases.
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