| Objective:By observing the effect of discriminating diet on patients with type2 diabetes and phlegm and dampness constitution,the effectiveness and safety of discriminating diet is discussed,and new ideas,methods and basis are provided for diet therapy of patients with type 2 diabetes and phlegm and dampness constitution.Methods:Patients with phlegm-dampness constitution collected in type 2diabetes were included in the study,and randomly divided into two groups,39 cases in the treatment group and 39 cases in the control group Western medicine basic treatments such as blood sugar control and disease monitoring,as well as antihypertensive drugs and lipid-lowering drugs depending on the condition.The treatment group is based on basic treatment + traditional Chinese medicine,and the control group is based on basic treatment +conventional healthy diet.The treatment period is half a year.Observation indicators before and after treatment Diabetes symptom classification quantification table,phlegm-humidity score,scores of each symptom of phlegm-humidity quality,score of each dimension of diabetes quality of life specific scale,FBG,P2 h BG,Hb A1 c,TC,TG,LDL-C HDL-C,blood uric acid,C-reactive protein.Result:1.Clinical efficacy The total effective rate of clinical efficacy in the treatment group was64.10%,and the total effective rate in the control group was 30.76%,the difference was statistically significant(P<0.05).2.Quantitative points for the classification of diabetes symptoms After treatment,the diabetic symptom scores of the two groups were reduced,and the reduction of the treatment group was greater than that of the control group,the difference was statistically significant(P<0.05).3.Phlegm score After treatment,the phlegm and dampness scores of the treatment group were reduced,but there was no significant decrease in the control group;after treatment,the phlegm and dampness scores of the treatment group and the control group decreased more than the control group,and the difference was statistically significant(P<0.05).4.Original symptoms of phlegm and dampness After treatment,the scores of "swollen abdomen,unhealthy weight,abdomen fat,heavy forehead,heavy forehead,sticky mouth,excessive phlegm,and thick tongue coating" in each symptom of phlegm and dampness in the treatment group were significantly lower than before treatment,and the difference was statistically significant Significance of study;after treatment,the score of "abdominal hypertrophy and oily forehead" in the treatment group was significantly lower than that of the control group,and the remaining symptom scores did not decrease significantly,and the score of "abdominal hypertrophy and oily forehead" in the treatment group after treatment The decrease was greater than that in the control group,and the difference was statistically significant(P<0.05).5.Diabetes Quality of Life Specific Scale score After treatment,the physiological dimension,psychological dimension,social relation dimension and treatment dimension of the treatment group were significantly reduced,but the control group was not significantly reduced,while the treatment group was more significantly reduced,the difference was statistically significant(P<0.05).6.Comparison of BMI between two groups of patients before and after treatment After treatment,the BMI of the treatment group decreased significantly compared with that before treatment(P<0.05),and the BMI of the control group had no significant change compared with that before treatment,and the BMI decrease of the treatment group after treatment was greater than that of the control group,the difference was statistically significant(P<0.05).7.Biochemical indicators7.1 Blood sugar After treatment,FBG,P2 h BG and Hb Alc all decreased.The treatment group decreased more than the control group,the difference was statistically significant(P<0.05).7.2 Blood lipids After treatment,TC,TG and LDL-C all decreased,while the treatment group had a more significant decrease,the difference was statistically significant(P<0.05).After treatment,HDL-C increased significantly in the treatment group,but there was no significant increase in the control group,the difference was statistically significant(P<0.05).7.3 Blood uric acid,CRP After treatment,CRP and UA in the treatment group were significantly reduced,but there was no significant decrease in the control group.8.Security analysis There were no obvious abnormalities in the three major routines,liver and kidney function and electrocardiogram before and afte-r treatment.There were no adverse reactions such as nausea,vomiting,skin itching,and hypoglycemia in both groups.Conclusion:Distinguishing body diet can improve the clinical symptoms,psychological state,BMI value,blood sugar,blood lipids,blood uric acid,C-reactive protein of patients with T2 DM phlegm and dampness to a certain extent,and the safety is acceptable.It is an effective diet for diabetes treatment The method is worthy of clinical recommendation. |
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