Feinglos M N, Hastedt P, Surwit R S
Diabetes Care. 1987 Jan-Feb;10(1):72-5. doi: 10.2337/diacare.10.1.72.
We investigated the effect of treatment with biofeedback-associated progressive muscle relaxation on 10 patients with poorly controlled type I diabetes mellitus compared with 10 equivalent untreated patients. In contrast to previous studies of patients with type II diabetes, no improvement occurred in glucose tolerance after 1 wk of intensive in-hospital relaxation training or in glycohemoglobin and total daily insulin dose after 6 wk of practicing relaxation techniques at home. This and other studies suggest that this type and amount relaxation therapy may not be as useful for enhancing blood glucose control in patients with type I diabetes as in those with type II diabetes. However, subpopulations of type I diabetic patients who have demonstrated stress-induced hyperglycemia should be further investigated.
我们对10例I型糖尿病控制不佳的患者进行了生物反馈辅助渐进性肌肉放松治疗，并与10例未接受治疗的对照患者进行了比较。与先前对II型糖尿病患者的研究不同，在进行1周的强化住院放松训练后，葡萄糖耐量没有改善，在在家练习放松技巧6周后，糖化血红蛋白和每日胰岛素总剂量也没有改善。本研究及其他研究表明，这种类型和剂量的放松疗法对改善I型糖尿病患者的血糖控制可能不如对II型糖尿病患者有用。然而，对于那些已证实存在应激性高血糖的I型糖尿病患者亚群，应进一步进行研究。
