Study On The Individualized Program Of Patients With Type 2 Diabetes Mellitus

Objective:Identify the contrast scheme between the different exercises in patients with type 2 diabetes about next morning blood test indicators, to find out the optimal exercise combination, to explore its effect on the improvement of the blood glucose levels, insulin sensitivity. Methods:10 diabetes patients in several communities in Nan Gang district of Harbin city volunteered for the study. Test subjects VO2 max and postprandial blood glucose change curve, and applied to sports training principles and methods for 4 exercise treatment plan: Moderate intensity continuous exercise scheme, Larger intensity continuous exercise scheme,Larger intensity intermittent exercise scheme, Larger intensity repeated movement scheme. Monitoring the blood glucose in the process of movement curve, reducing blood glucose to a range of fasting glucose as the end point, record the different schemes of athletic time effectively. Next morning take venous blood fasting plasma glucose, serum insulin and C-P, and according to the insulin sensitive index formula ISI = l/(FBG*FINS), calculate the ISI. By the method of Nonparametric Test(Nonparametric Test) statistical analysis of the influence of different motion scheme of each index. Results:There is a big individual difference in the subjects VO2 max with specific values for 34.89 ± 6.84 ml/kg/min. Postprandial blood glucose peak time is about 60min-120 min. The time of three larger intensity exercise is shorter, significant trend(P=0.058),and larger intensity continuous exercise compared with moderate intensity exercise significantly reduce(P<0.05). Three groups of equal strength scheme there was no significant difference(P>0.05). The blood index contrast situation of four kinds of exercise scheme and exercise before: Compared to blood glucose levels decreased significantly between next morning and not exercise intervention(P<0.05). No significant difference between four kinds of exercise scheme(P>0.05); Serum insulin compared with before exercise has no significant difference(P>0.05); Insulin sensitive index compared with before exercise increased slightly, but no significant difference(P>0.05); C-P there are no significant difference compared with before exercise(P>0.05). Analysis two subjects of different disease mechanism(lack of insulin resistance and secretion), the influence of different exercise scheme of the indicators in patients has large individual differences. Conclusion: Applicate subjects VO2 max develop exercise intensity, select the postprandial peak 15 min before the starting time for exercise, according to the scope of exercise intervention makes to fasting blood glucose to determine effective exercise time, combining with sports training methods and principle of making personalized exercise scheme. Exercise can reduce the next morning fasting blood glucose levels in diabetic patients, but the next morning fasting glucose control of four kinds of exercise scheme is different from person to person. The disease mechanism of diabetic crowd is complex, the exercise stimulation of the four scheme to subjects next morning serum insulin, insulin sensitive index is not obvious difference compared with that before exercise. Aerobic exercise can not only increase insulin secretion of diabetic crowd,but also improve insulin sensitivity, but the function according to different disease mechanism still need further research. Different exercise schemes in treatment effect in diabetic patients have individual differences, patients should comprehensively consider the test results of the indicators, select the exercise scheme which can improve the blood glucose control and insulin function.