The Analysis On Curative Effects Of Nutritional Therapy In118Cases Of Newly Diagnosed Type2Diabetes

Objective:To study the influence of nutritional therapy to the treatment success rate indiabetics.Methods:118cases of primary type2diabetes treated by drugs in Dalian City Hospital oftraditional Chinese Medicine were picked and randomly divided into nutrition groupand control group, each with59cases in. There was no significant difference in thegeneral information, biochemical indicator and dietary structure between the two groupsbefore the start of the study (P>0.05). The two groups were comparable. Then thediabetes in nutrition group were given nutritionists special diet, while the diabetes incontrol group were still chose diet by themselves. The observation period was sixmonths. Six month later, the body mass index(BMI), fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPBG), glycated hemoglobin(HbAlc),triglyceride(TG), total cholesterol(TC), blood pressure (contractive blood pressure anddiastolic blood pressure), alanine aminotransferase(ALT), aspartate aminotransferase(AST) and blood uric acid(UA) were measured and compared, and the control level andthe treatment success rate of them were analyzed to evaluate the clinical effect of thenutritional therapy.Results:There was no significant change in BMI and UA after six months therapycompared to that before therapy in both two groups(P>0.05), while the other index,including FBG,2hPBG, HbAlc, TC, TG, blood pressure, ALT and AST were allnotable decreased (P<0.05). The improvements of FBG,2HPBG, HbAlc, TC, TG andblood pressure were more significant in nutrition group than that in controlgroup(P<0.05). The nutrition group was better in the control of blood glucose(P<0.05), for the numbers of patients whose FBG,2hPBG and HbAlc achieved the ideal controllevel in nutrition group were25cases(42.37%)、23cases(38.98%) and19cases (32.20%)respectively more than those in control group,14(23.73%)、9(15.25%) and8(13.56%)respectively. The nutrition group was also better in the control of blood lipid(P<0.05),for the numbers of patients whose TC and TG achieved the ideal control level innutrition group were33(55.93%) and19(32.20%) respectively more than those incontrol group,14(23.73%) and4(6.78%) respectively. In blood pressure control, therewas no difference between nutrition group and control group(P>0.05). The treatmentsuccess rates of blood glucose and blood lipid in nutrition group were38.98%and54.24%respectively, much higher than22.03%and33.90%respectively in the controlgroup(P<0.05).The treatment success rates of blood pressure in the two groups were83.05%and77.97%respectively, they were nearly same to each other(P>0.05). Thewhole success rates were15.42%and10.17%respectively in nutrition group andcontrol group, and the former was much higher(P<0.05).Conclusions:Nutritional therapy can descend the FBG,2hPBG, HbAlc, TC, TG and bloodpressure, improve the control level of blood glucose and blood lipid, and improve thetreatment success rate of therapy in diabetes. Nutritional therapy has importantfunctions and meanings to the clinical treatment for diabetes.