The total number of diabetes patients in China is second in the world,India was the first one,the third is the United States,only from this point of view,our country has become the diabetes big country,research on the prevention of diabetes has become the urgent topic.In all,in patients with diabetes are more than 90% of the patients with type 2 diabetes mellitus,type 2 diabetes is by a variety of factors such as dietary sugar are high in fat,such as genetic combination,it is a kind of metabolic disease,including carbohydrate,lipid,protein and other metabolic abnormalities.Principle of the onset of type 2 diabetes is not yet clarified,but insulin resistance of the onset of the most important physiological principles.The practice has proved that through the study of many cardio and impedance movement has good effect on insulin resistance.Taijiquan is a traditional Chinese martial arts,is very typical of aerobic exercise,the slow rhythm,very suitable for older people to practice,and more than half of patients with type 2 diabetes in a is older in the elderly,and tai chi exercise can relieve insulin resistance,so tai chi is a kind of very suitable for patients with type 2 diabetes to practice sports.Research purpose: to observe the provide shelf taijiquan exercise on type 2 diabetes,the effect of various indicators to study including frame taijiquan effect of adjuvant therapy in type 2 diabetes,make reference to exercise prescription for type 2 diabetes.Methods: the research object of this paper is to choose pay city in Shanxi Province county hospital diabetes education management center(hereinafter referred to as center)of 60 patients with type 2 diabetes.Exercise risk assessment according to the inclusion criteria,60 patients,in the exercise out of 20 patients with unqualified after the risk assessment,the remaining eligible 40 cases of type 2 diabetes research object is divided into four groups at random,high shelves exercise group(group H),in the exercise group(M),low shelf rack movement group(group L),the control group(group C),10 cases in each group.The research object of four groups in gender,age,disease course,and other basic situation there is no obvious difference,comparable.Risk assessment and the movement contraindications to standard:(1)poor blood sugar control,which is greater than 14 tendency for L.(2)serious diabetic nephropathy: microalbuminuria is greater than 200 mg/min.(3)there is a clear ketosis or ketoacidosis,blood ketone body > 4 tendency/L.(3)serious fundus lesions: active or incremental retinopathy.(4)serious diabetic foot.Recently(5)of the thrombus.(6)associated with arrhythmia and cardiac insufficiency,and after exercising conditions have increased.(7)incorporating various acute infectionIn patients of all adopt the diet control and drug control,and no insulin injections.Voluntary participation,and sign the informed consent.The three sets of motion groups separately corresponding shelf full of taijiquan movement performed in the time of 12 weeks,the frequency of the movement for five times a week,in training,through the heart rate table,records the heart rate in the motion between 100-110.Then the experiment.In the actual movement process,on the basis of individual case,and combined with the level of RPE table for the whole process of gestures do adjustment,and because the motion increases with time,the improvement of physical quality,adjust the action of an experiment object pose every four weeks.Detection indicators:(1)for all patients with type 2 diabetes in a formal experiment the day before and after 12 weeks of tai chi exercise the next morning in the hospital,asked 2diabetes set in a quiet state,on an empty stomach before and the day before hospital set a low salt diet as far as possible,and 12 hours before the blood don’t eat anything.In blood require rest for 15 minutes before extraction was quiet in the early morning on an empty stomach condition in the middle of venous blood 6 ml,put the blood of 4 ml in a pointed bottom scale glass plus heparin anticoagulation,the remaining 2 ml venous blood into the common glass tube,using 3500 speed separation,the separation time is 15 minutes,put separate serum in cold storage refrigeration,is used for mensurating the indicators.After the completion of a blood in patients with type 2 diabetes and the subjects take unified measurement of height,weight,blood pressure and other basic physical examination.The experimental conclusion:(1)the research object of taijiquan exercise on type 2 diabetes fasting glucose effects are obvious,different exercise intensity influence degree is different,the lower shelf taijiquan fasting blood glucose in patients with type 2 diabetes effect is more apparent.So moderate taijiquan exercise can better reduce the blood sugar of diabetic patients.(2)taijiquan exercise can improve insulin sensitivity,reduce the body’s resistance to insulin.Compared with the control group exercise group diabetes research object has a different degree of increase of insulin resistance.Low shelf sports group of the most significant to improve insulin sensitivity,reduce insulin resistance effect is most obvious,.(3)taijiquan exercise can effectively the research object of type 2 diabetes HbAlc concentrations,different shelves of taijiquan exercise influence degree,including low shelves to diabetes HbAlc fell even more significant.(4)taijiquan exercise can make patients with type 2 diabetes,LDL-c levels drop,HDL-c increases,TG and TC levels decline.Including low shelves taijiquan exercise on patientswith LDL and HDL-C-C influence more prominent,exercise intensity of TG and TC effects and did not differ between groups. |