Effect of Lifestyle Modification on Glycemic Control of Type 2 Diabetic Patients at Suez Canal University Hospitals

F. Megahed, S. Hassan, Hassan Ali Abdelwahid, H. Farg
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Abstract

Type 2 Diabetes mellitus, as one of the major universal public health disorders wide spread, requires patients’ lifestyle modulation which would be conducive in dominating blood glucose. The aim of the study was to evaluate the effect of lifestyle modification on glycemic control of type 2 diabetic patients at Suez Canal University Hospitals at Ismailia city. A quasi-experimental design made up of a control group and a study group with pre- and post-test administration was applied. This study was carried out at the Family Medicine Outpatient Clinic and the Diabetic Outpatient Clinic of Suez Canal University Hospitals at Ismailia city in Egypt. 92 type 2 diabetic patients were included in this study. The Diabetes Knowledge Questionnaire; Health promoting lifestyle profile II Scale; and Physical assessment sheet were used for data collection in the two groups. After implementing of the program, those patients who received lifestyle modification intervention achieved better total score of knowledge & knowledge related practice about DM, health promoting lifestyle domains values and glycated hemoglobin, compared with the control group. Factors related to lower glycated hemoglobin in the present study were lower fasting blood sugar level and increasing physical activity. Overall, lifestyle modification program has a positive influence on blood glucose control of patients with type 2 diabetes mellitus. Therefore, it is recommended to that lifestyle modification interventions should be integral part of the curative management of type 2 diabetic patients, and further study in other places to investigate the effect of lifestyle modification on glycemic control of those patients.
生活方式改变对苏伊士运河大学医院2型糖尿病患者血糖控制的影响
2型糖尿病作为一种广泛传播的主要公共卫生疾病,需要对患者的生活方式进行调节,从而有利于控制血糖。本研究的目的是评估生活方式改变对伊斯梅利亚市苏伊士运河大学医院2型糖尿病患者血糖控制的影响。采用准实验设计,由对照组和研究组组成,分别给予试验前和试验后给药。本研究在埃及伊斯梅利亚市苏伊士运河大学医院家庭医学门诊和糖尿病门诊进行,共纳入92例2型糖尿病患者。糖尿病知识问卷;促进健康生活方式概况II量表;两组均采用体格评估表进行数据收集。方案实施后,接受生活方式改变干预的患者在糖尿病知识及相关知识实践、健康促进生活方式域价值、糖化血红蛋白方面的总分均优于对照组。本研究中与较低糖化血红蛋白相关的因素是较低的空腹血糖水平和增加的体力活动。总之,生活方式改变方案对2型糖尿病患者血糖控制有积极影响。因此,建议将生活方式改变干预作为2型糖尿病患者治疗管理的组成部分,并在其他地方进一步研究改变生活方式对2型糖尿病患者血糖控制的影响。
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