| BACKGROUNDDM is one of the most prevalenced disease which is following to the tumor and cardiovascular disease.In developed country, the attack rate is above 6%--10%, in China ,it is about over 2%-4%, and it is increasing in the rate of 1%%--2%%. As the experts said, there are about 70%--80%issues are associated with diet in the therapy. Therefore, the DM diet Instruction is very important. Because poor diet control would not follow calori stander, increase blood glucose, blood. cholesterol ,blood pressure and lead to other complicationsPURPOSEIn order to effectively control II-type. DM with CVA and other complications, as performing routine treatment to CVA, we carry on diet intervention to make sure the diabetics take food within the diet stander in every day every diet, in order to effectively prevent the three risk factors, discuss better diet intervention for the clinic DM with CVA.MATERIAL AND METHODDivide 61 cases into two groups randomely. 30 in the experimental group, there are 12 males and 9 females.31 in the contrast group, there are 22 males and 9 females, the average age is 58. Intervention to the experimental group with CVA therapy. No intervention to the contrast group group. Make official files of patients, assess and exam DM knowledge during admission and discharge. (self-made paper, totalscore is 14). Instruct the knowledge according to assessment, provide diet intervention. (Food conversion chart) Teach the patients how to estimate the weight according to food model. Teach the patients and family how to calculate the total calori (according to weight, work) and make out conversion. Direct how to use Food conversion chart and make every diet menu. Follow and recall the patients to participate in every diet and check out the calori. Make a diet card, assess and exam DM knowledge during admission and discharge. Gather fasting blood sugar, blood glucose of the 2nd hour after a meal, urine glucose, glycosylated hemoglobin, total biliary cholesterol, triglycerin and blood pressure etc.RESULT1,Put the two groups'II--type DM knowledge exam paper into comparison, before intervention, the scores are not different apparently (p>0.05); after intervention, the scores are different apparently (p<0.05). The average score of experimental group is much higer than the contrast group. T he difference is apparently (p<0.05).2,Fasting blood glucose, 2nd hour blood glucose after a meal, glycosylated hemoglobin, and urine glucose of the two groups make no sense in statistics (p>0.05) After 2 weeks,4 weeks intervention, fasting blood sugar of experimental group decrease more apparently than contrast group (p<0.05). I t makes sense in statistics. After 1 week,2weeks and 4weeks intervention, 2nd hour blood glucose after a meal of experimental group decrease more apparently than contrast group, itmakes sense in statistics. After 1 week,2 week and 4 weeks intervention, glycosylated hemoglobin of experimental group decrease more apparently than contrast group (p<0.01), it makes sense in statistics. After 1 week,2week and 4 weeks intervention, urine glucose of experimental group approved much apparently than contrast group (p<0.05), it makes sense in statistics. 2nd hour blood glucose after a meal, glycosylated hemoglobin both decrease after intervention in the same group, they make sense in statistics. (p<0.05).3,Before intervention, total bililary cholesterol and triglycerin of experimental group and contrast group do not make any sense in statistics.(p.>0.05). After 1 week,2 week and 4 weeks intervention, experimental group are lower than contrast group, they make sense in statistics (p<0.05). As to experimental itself, total biliary cholesterol and triglycerin are both lower than before intervention, the differences are apperent (p<0.05), make sense in statictics.4,Before and after 1week 2 weeks intervention, systolic and diastolic blood pressure of experimental and contrast groups patients are not abviously different, make no sense in statistics. After 4 weeks intervention, the changes of experimental group patients'systolic blood pressure make no sense in statistics (p>0.05). The diastolic blood pressure decreases apparently it makes sense in statistics. (p<0.05) As to experimental group itself, systolic and diastolic blood pressure are both lower than before intervention, make sense in statistics. (p<0.05)CONCLUSION1,Health instruction can improve the diabetics with CVA the recognition of DM.2,Provide health instruction and diet intervention to II-- type dibeteics with CVA (according to Food conversion chart), to take food following standard(±10%)can decrease fasting blood sugar, 2nd hour blood sugar after a meal, glycosylated hemoglobin and urine sugar.3,Provide health instruction and diet intervention to II-type diabetics with CVA (every nutrition ingestions are proper) can make the patients'total biliary cholesterol and triglycerin lower.4,Except diet intervention to II-type diabetics with CVA, focus on health instruction ,can make the patients'diastolic pressure lower . |
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