| Objective:Through the implementation of standardized comprehensive diabetes prevention intervention,Compare intervention lipid levels(TC, TG, HDL-C, LDL-C),body mass index(SBP, DBP, BMI) influence around and different frequency of intervention on glycemic index(FPG, 2h PG, Hb Alc), and to analyze the intervention effect for a large area in the future to promote Shihezi community to carry out community diabetes prevention interventions integrated standardized basis.Methods:Using cluster random sampling method, Shihezi jurisdiction within twelve communities selected type2 diabetes patients who met the inclusion criteria were randomly divided into routine intervention group and intensive intervention group. Baseline survey included general(age, sex, education, occupation,economic status, contact information), family history of iabetes,smoking history, drinking history, medical history, lifestyle, dietary conditions, symptoms, treatment options, complications cases, physical examination(height, weight, waist circumference, hip circumference, SBP, DBP, BMI, WHR), and detection of metabolic parameters, including blood sugar(FPG, 2h PG, Hb Alc) and lipid levels(TC, TG,HDL-C, LDL-C). Conventional intervention group at 1 year after the baseline survey every six months follow-up, intensive intervention group were followed up every three months. Follow-up intervention mainly to understand the patient’s condition, assess treatment; and carry out health education; ask patients diet and exercise. The number of weekly monitoring of blood glucose and the result, according to the individual circumstances of the patient to adjust the treatment plan, and blood testing metabolic indicators(with baseline). Epidata3.02 software application to establish a database file and data entry, with SPSS17.0troubleshooting and data analysis.Results:1.Baseline study included 419 cases, after a year of follow-up, follow-up of 312 cases ending up rate was74.46%, of which, 172 cases of the conventional treatment group, 140 cases of intensive intervention group.Together with two sets of baseline(P>0.05).2. In patients with type 2 diabetes mellitus in community of Shihezi city before the intervention, blood glucose and blood lipid, blood pressure standards: FPG, 2h PG, Hb A1 c, compliance rates were 33.33%,25.32%, 11.54%; HDL-C, LDL-C, TG, compliance rates were 87.50%, 19.23%, 24.68%; the control rate of blood pressure was 21.47%.3. Glycemic index(FPG, 2h PG, Hb Alc), lipid levels(TC, TG, LDL-C) were significantly different(P<0.05)before and after the regular intervention; strengthen before the intervention glycemic index(FPG, 2h PG,Hb Alc), lipid levels(TC, TG, LDL-C), the body means the index(SBP, BMI) was significantly lower(P<0.05); compared the two groups, 2h PG, Hb Alc, TG, LDL-C, DBP difference was statistically significant(P <0.05) follow-up four times better than twice.4. Before and after the intervention group routine 2h PG, FPG, Hb Alc compliance rate slightly higher thanbefore, but the difference was not statistically significant(P>0.05); before and after the intervention group strengthening FPG, 2h PG, Hb Alc compliance rate difference was significant(P<0.05),in compare, Hb Alc compliance rate difference was significant(P<0.001) between the two groups.5. TC, TG, LDL-C are lower than before, and the difference before and after the intervention of conventional statistical significance(P<0.05); strengthening intervention group before and after TC, TG,LDL-C difference was statistically significant(P<0.05); the two groups comparison, TG, LDL-C were significantly different(P<0.05).6. Before and after the regular intervention, SBP, DBP, BMI was no significant difference(P>0.05); before and after the intervention to strengthen, SBP, BMI lower than before, and the difference was statistically significant(P<0.05); between the two groups, SBP statistical difference significance(P <0.05).Conclusion:Shihezi City community type 2 diabetes blood sugar, cholesterol, body mass index less controlled circumstances. After normalization comprehensive prevention interventions in patients with metabolic indicators improved than before, standardized comprehensive prevention interventions are effective.Follow-up four times better than twice of the intervention. |
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