To Explore The Effects Of Adjustment Of Eating Patterns On Diabetic Patients In The Real World

Objective: To observe and analyze whether the adjustment of eating patterns can have a beneficial effect on diabetic patients in China.Methods: A total of 52 patients with type 2 diabetes who registered in Wuhan Labor Street Community Health Service Center and met the screening requirements from January 2019to June 2020 were enrolled.The patients were asked to eat as many vegetables as possible at the beginning of each meal,followed by meat and eggs,and then some carbohydrate-rich food at the end.The patients should take more than 15 minutes to eat a meal.The intervention lasted for 3 months.The value of glycated hemoglobin,fasting blood glucose,blood glucose 2 hours after three meals,triglycerides,high-density lipoprotein,low-density lipoprotein,total cholesterol,body weight,body mass index,waist circumference and blood pressure were collected,and paired t test was used to analyze the changes of relevant indicators.Results:1.In the non-elderly group,the level of glycated hemoglobin before and after intervention was(7.19±0.42% vs 7.04±0.44%;p<0.05),and there was no significant difference in blood glucose before breakfast and blood glucose 2 hours after three meals(p>0.05).2.In the higher education group,the level of glycated hemoglobin before and after intervention was(7.34±0.49% vs 7.17±0.51%;p<0.05),and the decrease of blood glucose2 hours after lunch and dinner before and after intervention were(10.62±1.46mmol/L vs10.01±1.35mmol/L;p<0.05)and(10.27±1.08mmol/L vs 9.62±0.85mmol/L;p<0.05)respectively.But there was no significant difference in blood glucose before breakfast and the blood glucose after breakfast(p>0.05).3.There was no significant difference in the levels of glycated hemoglobin,blood glucose before breakfast,and blood glucose 2 hours after postprandial before and after intervention among different gender groups(p>0.05).4.There was no significant difference in triglycerides,high-density lipoprotein,low-density lipoprotein,total cholesterol,body weight,body mass index,waist circumference and blood pressure after the adjustment of eating patterns(p>0.05).Conclusion: Among the patients in this study,after 3 months of dietary pattern adjustment,the level of Hb A1 c in diabetic patients younger than 65 years old and/or with higher education level could be reduced,and the blood glucose after lunch and dinner in highly educated diabetic patients can be reduced.Although there was no significant difference in blood glucose before breakfast and the blood glucose after breakfast,serum lipid,body weight,body mass index,waist circumference,and blood pressure,most indicators showed a downward trend after intervention.