2型糖尿病患者在确诊后3个月内减少食物和脂肪摄入的生活方式行为会导致12个月后HbA1c水平下降。

IF 1.3 Q4 ENDOCRINOLOGY & METABOLISM
Diabetology International Pub Date : 2023-08-10 eCollection Date: 2023-10-01 DOI:10.1007/s13340-023-00650-0
Yuri Tokunaga-Nakawatase, Maki Aomori, Setsuko Watabe
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引用次数: 0

摘要

重要的是提供“糖尿病自我管理教育和支持”,这是一个在诊断后立即促进糖尿病自我护理所需知识、技能和能力的持续过程。在这项为期12个月(12个月)的纵向观察性研究中,首次诊断为2型糖尿病(T2DM)后3个月内的门诊患者在基线(BL)和12个月内使用“糖尿病预防生活方式干预支持软件”中使用的自填问卷和病历调查进行了调查。为了探讨与诊断后12个月HbA1c水平变化程度相关的因素,以性别、年龄、BL时的HbA1c含量、诊断后前12个月的药物以及与饮食和运动治疗相关的生活方式行为为自变量进行了分层多元回归分析。89名参与者的HbA1c水平为8.4% ± 界区2.2%和6.7% ± 在12 M时为1.0%。“ND06我在咖啡或茶中添加牛奶(反向项目)”(β = -0.110,p = 0.015),“RD15我吃蔬菜配菜和/或醋或泡菜”(β = 0.151,p = 0.003),“ND02我吃到饱为止(反向项)”(β = -0.115,p = 0.024),以及“RD14我在汤中选择乌冬面或荞麦面而不是中国面条”(β = -0.113,p = 0.007)与诊断后12个月HbA1c水平的变化程度有关。总的来说,支持T2DM患者在诊断后早期改善与诊断后12个月HbA1c水平变化程度相关的生活方式行为可能是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lifestyle behaviors that reduce food and fat intake in patients with type 2 diabetes within 3 months of diagnosis lead to a reduction in the HbA1c level after 12 months.

It is important to provide "Diabetes Self-Management Education and Support," the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care, immediately after diagnosis. In this 12-month (12 M) longitudinal observational study, outpatients within 3 months of their first diagnosis of type 2 diabetes mellitus (T2DM) were surveyed at baseline (BL) and 12 M using a self-administered questionnaire used in the "Lifestyle Intervention Support Software for Diabetes Prevention" and medical record survey. To explore factors associated with the change extent in HbA1c level during the 12 M post-diagnosis, hierarchical multiple regression analysis was performed with sex, age, HbA1c level at BL, medication in the first 12 M post-diagnosis, and lifestyle behaviors related to diet and exercise therapy as independent variables. The HbA1c level of the 89 participants was 8.4% ± 2.2% at BL and 6.7% ± 1.0% at 12 M. "ND06 I add milk to coffee or tea (reverse item)" (β = -0.110, p = 0.015), "RD15 I eat vegetable dishes such as a vegetable side dish and/or a vinegar or pickle dish" (β = 0.151, p = 0.003), "ND02 I eat until I feel full (reverse item)" (β = -0.115, p = 0.024), and "RD14 I select udon or soba instead of Chinese noodles in soups" (β = -0.113, p = 0.007) were associated with the change extent in the HbA1c level during the 12 M post-diagnosis. Overall, it may be useful to support patients with T2DM early post-diagnosis to improve lifestyle behaviors associated with the extent of change in HbA1c level during the 12 M post-diagnosis.

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来源期刊
Diabetology International
Diabetology International ENDOCRINOLOGY & METABOLISM-
CiteScore
3.90
自引率
4.50%
发文量
42
期刊介绍: Diabetology International, the official journal of the Japan Diabetes Society, publishes original research articles about experimental research and clinical studies in diabetes and related areas. The journal also presents editorials, reviews, commentaries, reports of expert committees, and case reports on any aspect of diabetes. Diabetology International welcomes submissions from researchers, clinicians, and health professionals throughout the world who are interested in research, treatment, and care of patients with diabetes. All manuscripts are peer-reviewed to assure that high-quality information in the field of diabetes is made available to readers. Manuscripts are reviewed with due respect for the author''s confidentiality. At the same time, reviewers also have rights to confidentiality, which are respected by the editors. The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.
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