Study On The Effect Of Type2Diabetes Health Education Intervention

Part I. The longitudinal study on the effectiveness evaluation of thelong-term type2diabetes health education interventionBackground: The prevention and education of diabetes has gradually become theimportant way to prevent the disease from occurring. Nowadays, most of the diabeteshealth education lasts a short time, for about0-6months. Few of them last for about9-12months.Objective: This study focuses on the patients involved in diabetes health educationabout5years. We try to evaluate the effectiveness of long-term diabetes health educationby compare the blood index and explore the reasonable mode of long-term diabetes healtheducation.Methods: We choose52diabetes patients who are involved in the diabetes education inShanghai ninth people’s hospital for about5years and evaluate the effect of the educationby comparing the result of physical examination and blood index.Results: The glycosylated hemoglobin, fasting plasma glucose, postprandial bloodglucose of different age groups, different course group has increased. With the increase ofage and duration of diabetes, blood glucose is much harder to control. The HDL-C and CRindex increases and the triglycerides index decreases at the same time.Conclusion: Increased age and duration extension is the cause of diabetes patients withpoor glycemic control. The effect of lipid control is mainly caused by changing the lifestyle through diabetes health education. And the basis is still the drug treatment.Diabetes education activities can improve patients’ perception of diabetes complications,but it cannot dramatically improve the symptoms of the disease. Part II. The cross-sectional study on the effect of blood glucose andblood lipid control through the diabetes health educationBackground: With the development of society, population, lifestyle, diet structure andthe progress of medical diagnosis, the incidence of diabetes has obviously raised.Nowadays, the diabetes prevalence in China has been in the first place in the world. Asearly as1996, the international diabetes federation has established the education ofdiabetes as one of the five basic treatments. At present, the education of diabetesprevention has become an important way to prevent the development of disease.Objective: To discuss the effect of blood glucose and plasma lipids control of diabeticpatients who are educated.Methods: We choose57diabetes patients who are involved in the diabetes education inShanghai ninth people’s hospital. And we choose61patients with type2diabetes withoutdiabetes educated. We evaluate the effect of the education by comparing the result ofphysical examination and blood index.Results: After diabetes health education, the fasting blood glucose,2h postprandialblood glucose and glycosylated hemoglobin of education unit decreased compared withcontrol group. The difference was statistically significant. And the blood lipid of heeducation group was also better than control group. Conclusion: The diabetes health education is in favor of blood glucose, blood lipidcontrol, the quality of life and complication prevention. Diabetes education has certaineffect in the process of the treatment of diabetes. Part III. The influence of diabetes education on serum vitamin DBackground: The impact of vitamin D in the inflammatory reaction, autoimmunediseases, insulin secretion and insulin resistance has become a hot spot of diabetesresearch. Vitamin D receptor (VDR) expresses in a variety of tissue cells, including isletbeta cells. With the large amounts of research on vitamin D, it is found that vitamin D isassociated with diabetes. Vitamin D may play an important role in the prevention andcontrol of diabetes.Objective: Study the vitamin D levels in diabetes patients. Observe the change ofvitamin D levels by diabetes health education intervention.Methods: Choose52diabetes patients in diabetes education group and61diabetespatients in control. By comparing their vitamin D levels and BMI, WHR, glycosylatedhemoglobin, fasting blood glucose and blood lipid of correlation, find out the influence onvitamin D with diabetes health education.Results: Through the comparison of the diabetes education group and control group, itcan be found that in the control group vitamin D levels (39.51±11.84mmol/L) was slightlyhigher than the education group (39.14±9.48mmol/L). But there is no significant statisticaldifference. After analyzing the indicators associated with vitamin D, it is found that vitamin D levels is negatively correlated with BMI, HDL-C in the control group and hassignificant statistical difference. The rest of the project has no significant correlation.After1-year diabetes health education, it is found that the average level of vitamin Ddecreased. Vitamin D levels in each age group and course groups decreased, but there isno significant statistical difference.Conclusion: Vitamin D is associated with the development of diabetes. Vitamin Dlevels have negatively correlation with BMI, HDL-C, age and the course of the disease.Diabetes education activities can improve patients’ perception of vitamin D, but it cannotdramatically improve vitamin D levels.