| Objective 1 To observe the effects of aerobic exercise and aerobic-resistance combined exercise prescription on body mass index,waist-hip ratio,blood pressure,blood sugar,insulin resistance index and blood lipid in elderly patients with type 2 diabetes mellitus,and to analyze its mechanism.2 To compare the efficacy and safety of finger blood glucose monitoring and continuous glucose monitoring in elderly patients with type 2 diabetes mellitus.Methods In this study,the elderly patients with type 2 diabetes mellitus admitted to Metabolism Hospital of Tianjin Medical University from January to September 2018 were selected according to inclusion exclusion criteria.According to the random number table method,the elderly patients with type 2 diabetes mellitus were divided into aerobic exercise group and aerobic-resistance combined exercise group.Data were collected,anthropological indicators were measured and clinical biochemical indicators were collected by specialist diabetic nurses trained in a unified way.The aerobic exercise group chose walking exercise,and the aerobic-resistance combined exercise group chose walking and elastic band combined exercise.The exercise prescription was formulated for both groups,and the exercise lasted for 12 weeks.The blood glucose monitoring methods in both groups were finger blood glucose monitoring and continuous glucose monitoring.Body mass index,waist-hip ratio,blood pressure,finger blood glucose index,dynamic blood glucose index,insulin resistance index and blood lipid index were collected and compared before and after exercise.Finally,the detection of asymptomatic hypoglycemia during exercise by finger blood glucose monitoring and continuous glucose monitoring in the two groups were counted and compared. In this study,IBM SPSS 24.0software was used to express the measurement data with mean(±standard deviation),the utilization rate or constituent ratio of the counting data,t-test or rank-sum test were used for quantitative data group comparison,and chi-square test or rank-sum test were used for qualitative data group comparison.Result 1 Compared with the pre-exercise group,the body mass index,waist-hip ratio,fasting finger blood,postprandial finger blood glucose,glycosylated hemoglobin,insulin resistance index,total cholesterol,triglyceride,low density lipoprotein in aerobic exercise group and aerobic-resistance combined exercise group decreased in varying degrees and high density lipoprotein increased in varying degrees after 12 weeks of exercise.Compared with the aerobic exercise group after 12 weeks,the body mass index,waist-hip ratio,fasting finger blood,postprandial finger blood glucose,glycosylated hemoglobin,insulin resistance index,total cholesterol,triglyceride and low density lipoprotein in the aerobic-resistance combined exercise group decreased more significantly,and the high density lipoprotein increased more significantly(P<0.05). 2 After 12 weeks of exercise,both aerobic exercise and aerobic-resistance combined exercise can improve the blood sugar compliance rate,but the aerobic-resistance combined exercise group has more significant improvement than aerobic exercise group(P<0.05).3 After 12 weeks of exercise,compared with aerobic exercise group,the mean blood glucose,the mean amplitude of glycemic excursions,the largest amplitude of glycemic excursion,the mean of daily differences a in aerobic exercise group decreased more significantly(P<0.05).There was no significant difference in the low blood glucose index between the two groups after exercise(P>0.05).4 The detection rate of asymptomatic hypoglycemia in elderly patients with type 2 diabetes mellitus was higher by continuous glucose monitoring than by finger blood glucose monitoring(P<0.05).Conclusion1 The aerobic-resistance combined exercise prescription developed in this study can effectively reduce the body mass index,waist-hip ratio,blood sugar,insulin resistance and blood lipid index in elderly patients with type 2 diabetes mellitus.It shows that the aerobic-resistance combined exercise prescription developed in this study can control the body mass index,waist-hip ratio,blood sugar and blood lipid levels in elderly patients with type 2 diabetes mellitus,and improve insulin resistance.2 Compared with aerobic exercise prescription,aerobic-resistance combined exercise prescription has more advantages in improving blood sugar compliance rate.3 Compared with aerobic exercise prescription,aerobic-resistance combined exercise prescription can not only reduce the average blood sugar level,but also not easily cause blood sugar fluctuation and do not increase the risk of hypoglycemia.4 Continuous glucose monitoring system can not only observe the exercise effect of elderly patients with type 2 diabetes mellitus,but also improve the detection rate of asymptomatic hypoglycemia during exercise.It can be used as a tool to evaluate the exercise effectiveness and safety of elderly patients with type 2 diabetes mellitus. |
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