【摘要】 目的:探讨医学营养治疗联合定量运动干预对肥胖2型糖尿病患者胰岛素抵抗的影响。方法:选择2012年6月-2013年8月罗湖区人民医院门诊已确诊的成人肥胖2型糖尿病患者59例,随机分为观察组和对照组,观察组(30例)采用基于血糖负荷概念的医学营养治疗和定量运动干预,对照组(29例)采用常规糖尿病饮食指导和运动干预,实施6个月,比较治疗前后两组患者体重、体重指数、血糖、血脂、胰岛素抵抗指数等指标的变化。结果:观察组体重、体重指数、血糖、血脂、胰岛素抵抗指数的控制优于对照组,差异有统计学意义(P<0.05)。结论:通过基于血糖负荷概念的医学营养治疗和定量运动干预,可使肥胖2型糖尿病患者的胰岛素抵抗得到明显改善,效果优于常规饮食和运动治疗。更多还原

【Abstract】 Objective To explore the infl uences of nutrition therapy and quantitative exercise intervention on insulin resistance in obesity patients with type 2 diabetes mellitus. Methods Totally 59 cases of adult obesity patients with type 2 diabetes mellitus were selected and randomly divided into the trial group and the control group. All the patients received 6-month therapy. The trial group(30 cases) were received nutrition therapy based on glycemic load and quantitative exercise intervention. The control group(29 cases) were received conventional diet education and exercise intervention. The tow groups were compared after treatment through body mass and body mass index,blood glucose,blood fat,insulin resistance index. Results There were signifi cant differences in Body mass,body mass index,blood glucose,blood fat,insulin resistance index(P < 0.05)between the two groups. ConclusionThe excellent improvement of insulin resistance in obesity patients with type 2 diabetes mellitus can be achieved by nutrition therapy based on glycemic load and quantitative exercise intervention.更多还原