Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-10-13 Cooperative journals: 《中国全科医学》
TAN Ying
CAO Min
CHEN Meiling
ZHAO Zedi
ZHENG Peng
FENG Huiyao
ZHANG Yue
DONG Xiaomei
CHEN Xiongfei
WU Xueji
Abstract： Background China accounts for 28% of the world's diabetic patients, but patient adherence to treatment is not high, which is related to the low level of specialization in lifestyle behavioral therapy. Training and education of dietitians and exercise prescribers have only started in China in recent years, and even fewer people have mastered the theory and implementation of behavioral interventions, and the number of practicing professionals is quite limited.Objective To construct a community intervention model for type 2 diabetes patients using smart sports bracelets and evaluate the long-term management effect. MethodsEach administrative district in Guangzhou selected one primary health care institution to recruit diabetes as study subjects. Intervention group and control group were matched by age and sex. Exercise was prescribed in accordance with the exercise guidelines for diabetes.The bracelet intervention group used sports bracelet for continuous follow-up management, while the control group used conventional management mode. Both groups were followed up one year later. Results After 1 year, compared to baseline, HbA1c compliance rate increased by 12.74% (P=0.02) in bracelet intervention group. Both self-management and diet management behavior scores were significantly increased in intervention group, and waist circumference was significantly reduced (all P<0.05). Fasting blood glucose, triglyceride and low density lipoprotein cholesterol in control group were improved (all P<0.05). After 1 year, the HbA1c compliance rate was significantly higher in the intervention group than in the control group (P=0.03).After adjusting for age, sex and family history of diabetes, duration of disease, triacylglycerol and apolipoprotein B were found to be influential factors for elevated HbA1c (all P < 0.05).After adjusting for age, sex and family history of diabetes, duration of disease, triacylglycerol and apolipoprotein B were found to be influential factors for elevated HbA1c(all P<0.05).ConclusionUsing a smart sports bracelet helps people with diabetes maintain self-management behaviors over time and keep their blood sugar at target.Dyslipidemia is an important factor affecting blood glucose control and should be paid attention to. On the basis of lifestyle modification, pharmacological interventions should be initiated as early as possible to regulate lipid metabolism disorders.
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