首页|基于动态血糖监测系统评价"踮起"运动对2型糖尿病患者血糖管控的临床疗效

基于动态血糖监测系统评价"踮起"运动对2型糖尿病患者血糖管控的临床疗效

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目的 本研究旨在通过动态血糖监测系统(CGMS)评价"踮起"运动对2型糖尿病患者血糖、血脂管理的临床疗效,为糖尿病患者提供一种简单、有效的辅助降糖手段。方法 纳入南京市浦口人民医院内分泌科2022年1月-2023年12月收治的240例2型糖尿病患者作为研究对象,通过随机分组的方式将患者分为试验组和对照组。试验组患者在常规治疗的基础上增加每日"踮起"运动,而对照组则维持常规治疗。两组患者均佩戴CGMS连续监测血糖变化,以评估"踮起"运动干预前后的血糖、血脂水平差异。结果 "踮起"运动12周后,试验组BMI、TG、TC、LDL-C、糖化血红蛋白较干预前显著下降(P<0。05)。CGMS结果显示,干预后试验组的平均血糖水平(MAG)、葡萄糖目标范围内时间(TIR)及平均血糖波动幅度(MAGE)等指标均优于干预前,差异有统计学意义(P<0。05);与对照组相比,试验组BMI、TG、TC、LDL-C、糖化血红蛋白、MAG、MAGE均显著下降(P<0。05),而TIR显著升高(P<0。05)。结论 "踮起"运动作为一种简单、易行、方便的有氧运动方式,具有明显辅助降低2型糖尿病患者血糖和血脂的作用效果。该运动能够促进下肢血液循环,增加机体对葡萄糖的利用率,从而有助于控制血糖水平,结合CGMS结果,提示"踮起"运动是2型糖尿病患者日常管理中值得推荐的一种辅助疗法。
Evaluating the clinical efficacy of"Tiptoe"exercise on blood glucose control in patients with type 2 diabetes mellitus based on continuous glucose monitoring system
Objective This study aims to evaluate the clinical efficacy of"Tiptoe"exercise on blood glucose and blood lipid management in patients with type 2 diabetes through a continuous blood glucose monitoring system(CGMS),in order to provide a simple and effective auxiliary means of hypoglycemia for diabetic patients.Methods This study included 240 patients with type 2 diabetes admitted to the Department of Endocrinology of Nanjing Pukou People's Hospital from January 2022 to December 2023 as research subjects,and the patients were randomly divided into an experimental group and a control group.Patients in the experimental group added daily"Tiptoe"exercise on the basis of conventional treatment,while the control group maintained conventional treatment.Both groups of patients wore CGMS to continuously monitor blood glucose changes to evaluate the differences in blood glucose and blood lipid levels before and after exercise intervention.Results After 12 weeks of"Tiptoe"exercise,BMI,TG,TC,LDL-C and glycated hemoglobin of the experimental group decreased significantly compared with the pre-intervention period(P<0.05).The results of CGMS showed that the average blood glucose level(MAG),the time in the target range of glucose(TIR)and the average fluctuation amplitude of glucose(MAGE)in the experimental group were all better than those before the intervention,the difference was statistically significant(P<0.05);compared with the control group,BMI,TG,TC,LDL-C,glycosylated hemoglobin,MAG,MAGE in the experimental group were significantly decreased(P<0.05),while TIR was significantly increased(P<0.05).Conclusion As a simple and easy-to-perform aerobic exercise,"Tiptoe"exercise has the obvious effect of assisting in lowering blood glucose and blood lipids in patients with type 2 diabetes mellitus.This exercise can promote blood circulation in the lower limbs and increase the utilization of glucose,which can help to control the blood glucose level.Combined with the results of CGMS,it suggests that"Tiptoe"exercise is a recommended adjunctive therapy in the daily management of patients with type 2 diabetes mellitus.

Continuous Glucose Monitoring System(CGMS)Type 2 Diabetes"Tiptoe"ExerciseBlood Glucose Control

王静、佘玉清、曹雪、马琳娜、张梦婷、张雯雯、吴姝、李然

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南京市浦口人民医院,江苏 南京 211899

动态血糖监测 2型糖尿病 踮起运动 血糖管控

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(1)