| Research backgroundThe prevalence of type 2 diabetes is increasing year by year. If the glycemic is not controlled for a long time, there will be a variety of complications, which can cause high morbidity and mortality. As we know, lifestyle intervention can effectively control blood sugar level. Through a reasonable diet and exercise program, we can fully control the hyperglycemia, hyperlipemia and obesity. Most traditional exercise programs of type 2 diabetes are based on the aerobic exercise, which improves heart and lung function by large muscle movement and contribu-tes to the rehabilitation of type 2 diabetic patients. In fact, the resistant exercise has better effects on the rehabilitation of type 2 diabetic patients.Resistance exercise is an anaerobic exercise which exerts resistance on a certain muscle group during the movement.The main purpose of resistance exercise is to train the muscles of the human body, effectively prevent the decrease of muscle strength and muscle mass, and thereby increase the insulin receptor number and sensitivity.Resistance exercise can reduce visceral fat and subcutaneous fat, and improve blood glucose and blood lipid levels.Resistance exercise is a better treatment for metabolic disorders and reduce the treatment of metabolic index method. The American College of sports medicine and the American Diabetes Association present a joint-statement that resistance training intervention can make patients with type 2 diabetes have a significant improvement in muscle strength, blood glucose control, insulin sensitivity and vascular endothelial function.ObjectiveTo evaluate the effect of resistance exercise on blood glucose, blood lipid, glycosylated hemoglobin and islet function in patients with type 2 diabetes mellitus, and to provide scientific basis for effective control of blood glucose in patients with type 2 diabetes.MethodEvaluat the effect of resistance exercise to study the subjects before and after the experimental self controlled clinical trials.85 patients with type 2 diabetes were selected as the research subjects, who were hospitalized in the Department of Endocrinology, the First Hospital of Zibo city from May to October in2015. All patients were admitted to the hospital and the health knowledge system education was carried out by the special diabetes specialist nurses. The contents of education included diet therapy, exercise therapy, drug therapy, self care, etc., and a self-made questionnaire of diabetes knowledge was filled in and the problems about diabete knowledge could be found and corrected in a timely manner. Diabetes specialist nurses explained the benefits of exercise therapy, and guided the patients to carry out resistance exercise at least two days a week on the basis of aerobic exercise, with a dumbbell or mineral water bottles filled with water as tools, In classroom education, nurses taught patients do dumbbell exercise, the nurse assessment completion. Issued exercise prescription materials.Patients carried out muscle strength training - resistance dumbbell exercise about 10 minutes per day at least two days a week after being discharged from hopital. According to the patients' height, weight and active status, the daily diet of the patients were calculated. The patients' treatment protocols were formulated by the doctors and patients can not increase or decrease the amount of medication.Patients should take the medicine on time and medication can not be missed. Patients were interviewed with telephone by diabetes specialist nurses on the 2nd week,4th week, eighth week and twelfth week after discharge from hospital respectively, The blood was collected to analyze the blood glucose and blood lipid,islet function and HbA1C.Result85 cases of patients with type 2 diabetes, male 48 cases, female 37 cases, aged 27-65 years, mean age 52.52 + 8.39 years old, the average duration of 6.94 + 5.61 years?1.Compared with the standard rate of fasting blood glucose of second weeks, fourth weeks, eighth weeks after exercise and before exercise, the difference was statistically significant (P< 0.05). The difference was statistically significant (P< 0.05) between glycosylated hemoglobin (HbAlc), blood lipid before exercise and 12 week after exercise; There was no significant difference in body mass index (BMI) compliance rate (P> 0.05) after 12 weeks of anti resistance exercise.2. Repeated measures analysis of variance showed that there was no difference in blood glucose between second, fourth, eighth, and twelfth weeks after resistance exercise. Blood glucose levels did not change with time after resistance exercise. Blood glucose levels after anti-resistance exercise were compared with the blood sugar levels before exercise, the difference between the groups was P< 0.01, the difference was statistically significant, indicating that resistance exercise could effectively reduce the fasting blood glucose. After 12 weeks of exercise, the glycosylated hemoglobin (HbAlc), insulin resistance index (HOMA-IR), triglyceride, cholesterol and cholesterol were significantly different (P< 0.05).3. Linear regression analysis showed that the control level of fasting blood glucose was negatively correlated with the age of 12 weeks,the effect of the course of disease course on fasting blood glucose was statistically significant in the twelfth week after resistance exercise, P< 0.05; Triglyceride levels were significantly correlated with triglyceride levels after twelfth weeks of resistance exercise, and the differences were statistically significant, P< 0.05; there was a significant difference in the level of cholesterol control between the twelfth week after the anti-resistance exercise and anti-resistance exercise, and the difference was statistically significant, P< 0.05.ConclusionThe resistance exercise has the obvious effects on reducing the blood sugar, blood lipid and HbA1C of type 2 diabetes patients. It is beneficial to reduce the level of glucose and lipid metabolism in diabetic patients, so as to delay the occurrence of complications and improve the quality of life of patients with type 2 diabetes... |
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