Study On The Effect Of TCM Health Management Model On Glucose And Lipid Metabolism In Type 2 Diabetes Patients

Objective:Based on the theory of "Spleen Qi to Dispersing Essence",this study established a set of TCM characteristic health management model for type 2 diabetes patients,and conducts a 12 week randomized and controlled clinical study with the conventional guiding self-management mode,to evaluate its clinical efficacy from various aspects,and to form a revention and treatment plan which it,s scientific prevention and control,simple and effective,and in line with the living habits of Chinese people with Type 2diabetes,in order to provide objective clinical evidence for Chinese medicine health management methods,so as to further enhance the clinical service ability of traditional Chinese medicine.Methods:Type 2 diabetic patients who meet the criteria of inclusion and exclusion in this study were randomly divided into two groups: experimental group(group A)and control group(group B).Group A,under the guidance of professional team,focused on the intervention of TCM Characteristic Health Management Plan,and Group B,focused on the self-management of guided patients.Before and after the treatment,the indexes of Glucose Metabolism(FPG,HBA1C),Lipid Metabolism(TC,TG,HDL-C,LDL-C,BMI,WHR),islet function(HOMA-ir,HOMA-ir)and TCM symptom scores were taken as the therapeutic indexes,excel and SPSS software were used to analyze the data and statistics,and then to evaluate and analyze the clinical efficacy of the two groups.Results:(1)The final study was completed in 107 subjects,55 in group A and 52 in group B;(2)Baseline Analysis: There were no significant differences between the two groups in age,sex,course of disease and other demographic and clinical data.(P > 0.05);(3)clinical effect analysis: the results showed that the two groups could improve FPG(P < 0.05),Hb A1c(P < 0.01),TG(P < 0.01),HOMA-β(P < 0.05),BMI(P < 0.05),WHR(P< 0.05).The results showed that the improvement of FPG and Hb A1 c in Group A was better than that in Group B(P< 0.05),the difference of TC and TG in Group A was better than that in Group B(P < 0.01),the improvement of BMI and WHR in Group A was better than that in Group B,there was statistical significance(P< 0.05).The results showed that the effective rate of Group A was 90.90%,and that of group B was 63.46%,and that of group A was significantly higher than that of Group B.Conclusion:(1)The guiding self-health management mode and TCM characteristic health management mode can effectively improve glucose and lipid metabolism indexes such as FPG,Hb A1 c,HOMA-β,TG of type 2 diabetic patients within 12 weeks.(2)The TCM characteristic health management model based on the theory of "Spleen Qi powder essence" has a good effect on improving the glucose and lipid metabolism indexes such as FPG,Hb A1 c,TC and TG of type 2 diabetes patients,and its intervention effect is better than the guiding self-health management mode.