| Prophase diabetes,also known as impaired glucose regulation,is a kind of abnormal glucose metabolism between normal blood glucose and diabetes,including impaired fasting blood glucose and abnormal glucose tolerance,which can occur alone or in combination.A recent study published in the Journal of the American Medical Association showed that a large,nationally representative survey conducted in 2013 in adults in mainland China found that the prevalence of prediabetes was 35.7%.At present,there are 148 million prediabetes in China.A large number of studies have shown that there are many risks represented by diabetic macroangiopathy and microangiopathy in pre diabetes,so early intervention is of great significance.Abdominal massage intervention in pre diabetes can prevent and delay the occurrence of diabetes.Objective:To observe the effect of Jingu viscera massage on blood glucose,glycosylated hemoglobin,quality of life,anxiety and depression of patients with pre diabetes,and to preliminarily analyze its efficacy and safety.Methods:60 cases of pre diabetic patients in the income group were randomly divided into two groups.The control group was given health lifestyle intervention and guidance,while the treatment group was intervened by Jingu viscera massage on the basis of healthy lifestyle intervention.Abdominal adipose tissue such as sat(subcutaneous adipose tissue)and VAT(visceral adipose tissue)were measured.Height,weight and muscle mass were measured,and body mass index(BMI)was calculated.FPG(fast plasma glucose),2-h glucose,TC(total cholesterol),HDL(high-density lipoprotein;),LDL(low-density lipoprotein),Hb A1c(hemoglobin),HOMA2-IR(homoeostasis model assessment-ir)and HOMA2-β(homoeostasis model assessment-β)were investigated.Fasting insulin(fasting insulin)was detected by ELISA.The risk score of diabetes mellitus(IDRs),quality of life scale(QOL)and health-related quality of life(hrqol-15 d,health-related qol-15d)were analyzed.PHQ-9(patient health Questionnaire-9)was used to evaluate the patient’s PHQ-9.Statistical software spss21.0 was used to analyze the data of the two groups.T test was used before and after treatment,and the count data was expressed as((?)± s).Results:Before treatment,the clinical characteristics of the control group and the treatment group were basically the same,such as age,height,waist circumference,weight,FPG,2-h glucose and VO2 peak.The FPG of patients with pre diabetes was significantly improved by Jingu viscera massage.At the same time,before treatment,the diabetes related clinical characteristics of the control group and the treatment group were basically the same,such as TC,HDL,LDL,VAT,sat,Hb A1 c,HOMA2-IR and HOMA2-β.Through Jingu viscera massage,Hb A1 c,HOMA2-IR and HOMA2-β in patients with pre diabetes were significantly improved,with statistical significance.At the same time,it was found that Jingu viscera massage increased fat oxidation and decreased carbohydrate oxidation in patients with pre diabetes.We found that IDRs,QOL scale and fasting insulin were basically the same in the control group and the treatment group before treatment.Through Jingu viscera massage,QOL scale of patients with pre diabetes was significantly improved.At the same time,we also found that Jingu viscera massage improved the hrqol-15 d score of patients with prediabetes,especially the mobility,breathing and use activities.We found that before treatment,the number of depression patients and anxiety patients in the control and treatment groups were basically the same.Jingu viscera massage can reduce the number of patients with depression and anxiety in patients with pre diabetes.Conclusion:Therefore,this study suggests that Jingu viscera massage therapy has the effect of reducing blood glucose level of patients with type diabetes mellitus,and has obvious effect on improving the mood of patients,and has a certain effect on diabetes. |
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