| Objective A study to investigate the application of a carbohydrate-low absorption dietary care model in improving quality of life in elderly patients with type 2 diabetes.Methods First,67 elderly patients with type 2 diabetes were selected from the endocrine clinic of a tertiary care hospital in Wuxi and divided into the experimental and control groups using a random number table.The experimental group designed a set of carbon water low-absorption diet nursing program for patients.This dietary regimen try not to force the patient’s carbohydrate intake,based on the characteristics of white kidney beans to block carbohydrate decomposition and absorption,the protocol recommends that patients increase the intake of white kidney beans in the daily diet to achieve the effect of low carbohydrate absorption.The control group received routine diabetic diet care.Glucose and lipid metabolism levels were monitored at 0 month,2 months and 4 months in both groups.Secondly,through the observation and analysis of the results of the first part of the study,it is found that elderly patients with type 2 diabetes generally have gastrointestinal dysfunction,resulting in increased psychological burden and reduced quality of life.The researchers therefore optimized the above dietary care regimen and recommended that patients add the proportion of soluble dietary fiber to the dietary recipe to improve gastrointestinal function in patients.Sixty elderly patients with type 2 diabetes were selected from the endocrine clinic of a tertiary care hospital in Wuxi and randomly divided into the intervention group at a ratio of1:1 using a random number table.The intervention group received carbohydrate low-absorption dietary guidance,combined with the patient’s labor intensity,age,weight and other factors,to develop a nutritional intervention program for patients to ensure that patients consume adequate soluble dietary fiber daily.The conventional group received usual dietary instructions for diabetic patients.The level of glucose metabolism was monitored in the two groups at 0 and 2 months,respectively,and the quality of life of the patients was assessed using the General Hospital Anxiety and Depression Scale(HAD),Gastrointestinal Quality of Life Scale(GIQLI),Diabetes Patient-Specific Quality of Life Scale(DSQL),24-hour dietary record form,and dietary compliance survey.Results The results of the first part of the study showed that the basic conditions and biochemical indicators of the control and experimental groups were basically the same at 0months,and none of them were statistically significantly different(P > 0.05).The glycosylated hemoglobin levels of the patients were lower than those of the control group at 2and 4 months and tended to decrease compared to 0 months.Postprandial glucose levels at 1 h,2 h and 3 h were significantly lower at 2 and 4 months after the intervention than before the intervention(P < 0.05).There was no significant difference in lipid metabolism results between the two groups(P > 0.05).The results of the second part of the experiment showed that the baseline profile and biochemical parameters of the control and study groups were essentially the same at baseline,with no statistically significant differences between them(P > 0.05).Patients in the intervention group had lower glycosylated haemoglobin levels compared to the conventional group(Z =-2.021,P < 0.05).Diabetic patients in the intervention group had improved quality of life levels due to improved gastrointestinal symptoms(Z =-2.606,P < 0.05),and the Patient Survival Specificity Scale demonstrated a significant improvement in patients’ quality of life in four dimensions: physical,psychological,social functioning and therapeutic(Z =-5.447,P < 0.05;Z =-6.530,P < 0.05;Z =-6.106,P <0.05;Z =-2.141,P < 0.05),in addition to better dietary adherence in the intervention group(Z =-6.223,P < 0.05).Conclusions1.The carbohydrate-low absorption dietary care model has a significant effect on glucose metabolism in older patients with type 2 diabetes and improves adherence to treatment.2.In this study,a carbohydrate-low-absorption dietary care intervention programme was implemented in elderly patients with type 2 diabetes,which optimised the first part of the dietary recipes and encouraged patients to increase their intake of soluble dietary fibre.The results showed that the carbohydrate-low absorption diet care programme improved the treatment outcome of elderly type 2 diabetic patients on the one hand;on the other hand,it improved the patients’ gastrointestinal function and further reduced their psychological burden due to gastrointestinal symptoms.The ultimate goal was to improve the patients’ quality of life and improve their dietary compliance. |
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