基于血糖负荷概念的食物交换份法配合适度运动对II型糖尿病治疗效果的影响

The Therapeutic Effect of a Novel Food Exchange Serving Based on Glycemic Load (GL) Matched up the Moderate Exercise on Type II Diabetes of Troops

摘要: 目的：探讨以血糖负荷为基础的食物交换份法配合适度运动对II型糖尿病患者治疗效果的影响。方法：从门诊中符合糖尿病诊断标准的II型糖尿病患者80例随机分成对照组和干预组各40例。对照组仅药物治疗3个月，干预组先进行药物和基于血糖负荷的食物交换份法干预3个月，再在此基础上配合适度运动干预3个月。结果：干预组药物、饮食干预3个月与对照组仅药物治疗3个月比较HbAlc、FPG、2 h PBG、TC、TG值降低，差异有统计学意义(P < 0.05)。干预组继续药物、饮食配合运动干预后3个月与仅药物饮食干预前3个月比较HbAlc、FPG、2 h PBG、TC、TG值降低，差异有统计学意义(P < 0.05)。结论：以血糖负荷为基础的食物交换份法配合适度运动的干预模式对II型糖尿病有一定的治疗效果。

Abstract: Objective: To explore the effect of a novel food exchange serving based on glycemic load (GL) and the moderate exercise on type II diabetes. Methods: Eighty patients, according to diagnostic crietia for Type II diabetes from outpatient service, were randomly divided into the control group and the intervention group (each 40 patients). The control group were cured by drug for 3 months. The intervention group were interfered by drug and the novel food exchange serving based on glycemic load (GL) for 3 months in advance, and then matched up moderate exercise for 3 months again. Results: The intervention group cured interfered by drug and diet for 3 months were compared with the control group only cured by drug for 3 months, the values of HbAlc, FPG, 2 h PBG, TC and TG were decreased, and the difference was statistically significant (P < 0.05). The intervention group continuing to drug, diet with exercise intervention for 3 months again were compared with the intervention group of the drug and diet intervention 3 months ago, the values of HbAlc, FPG, 2 h PBG, TC and TG were reduced, and the difference was statistically significant (P < 0.05). Conclusion: The intervention mode of the food exchange method based on glycemic load (GL) matched up the moderate exercise has certain therapeutic effect on type II diabetes.