Effect of family doctor mode intervention on bone metabolism in the patients with impaired glucose tolerance
Objective:To explore the effect of intervention of family doctor mode on bone metabolism in patients with impaired glucose tolerance.Methods:One hundred and twenty patients with impaired glucose tolerance who had health examination and met the admission and discharge standards at Yichuan Community Health Service Center of Shanghai from January to December 2022 were taken as the research objects,and 60 patients who were intervened with family doctor mode were set as an observation group,and 60 patients who only had telephone follow-up as a control group.The changes of glucose metabolism and bone metabolism related indexes of the two groups of patients were observed before and after 6 months of intervention.Results:Before intervention,fasting blood glucose,glycosylated hemoglobin,self-efficacy scores,osteocalcin,25 hydroxyvitamin D,parathyroid hormone,serum type 1 collagen N-terminal peptide(PINP)and serum type 1 collagen cross-linked C-terminal peptide(PICP)in the observation group had no significant differences in levels compared to the control group(P>0.05);after 6 months of intervention,fasting blood glucose,osteocalcin,self-efficacy scores,25 hydroxyvitamin D,parathyroid hormone,PINP and PICP in the observation group were significantly better than those before treatment and in the control group,and the differences were statistically significant(P<0.05).Conclusion:The intervention of family medical mode can improve the levels of glucose metabolism and bone metabolism in the patients with impaired glucose tolerance,which is worth popularizing in clinical practice.
impaired glucose tolerancefamily doctor modebone metabolism
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