Cumhuriyet University, Sivas, Turkey.
Am J Mens Health. 2011 Jul;5(4):351-7. doi: 10.1177/1557988310394340. Epub 2011 Mar 15.
This study investigated the effects of a diabetes intensive education program (DIEP) on glycosylated hemoglobin (HbA(1)c), body mass index (BMI), and arterial blood pressure (BP). An 8-week randomized-controlled trial was conducted in Cumhuriyet University Hospital. Diabetes patients were randomized to control group (CG; n = 25) and intervention group (IG; n = 25) who received DIEP, including the factors affecting metabolic control and implementation of diabetes guidelines. Primary outcomes included HbA(1)c, BP, and BMI. After the 8 weeks, there was a significant decrease in HbA(1)c mean values for the intervention group. Also, BP significantly decreased from 143/87 to 130/80 mmHg in the IG as compared with an increase from 137/82 to 137/86 mmHg in the CG. In addition, the results demonstrated that DIEP improved the number of patients at goal for BP (130/80 mmHg). Baseline BMI did not change significantly in either group during the course of the study. These findings show that the DIEP may be effective in decreasing HbA(1)c levels and improving adherence to BP control.
本研究旨在探讨糖尿病强化教育计划(DIEP)对糖化血红蛋白(HbA1c)、体重指数(BMI)和动脉血压(BP)的影响。在Cumhuriyet 大学医院进行了为期 8 周的随机对照试验。将糖尿病患者随机分为对照组(CG;n=25)和干预组(IG;n=25),IG 组接受 DIEP,包括影响代谢控制和实施糖尿病指南的因素。主要结局包括 HbA1c、BP 和 BMI。8 周后,干预组的 HbA1c 均值显著下降。此外,与 CG 组的收缩压从 137/82mmHg 增加到 137/86mmHg 相比,IG 组的收缩压从 143/87mmHg 显著下降到 130/80mmHg。此外,结果表明 DIEP 改善了达到 BP(130/80mmHg)目标的患者数量。在研究过程中,两组的 BMI 基线均无显著变化。这些发现表明,DIEP 可能有效降低 HbA1c 水平并提高对 BP 控制的依从性。