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综合数据平台联合饮食管理在成年糖尿病患者中的应用:一项前瞻性随机对照试验。

Application of the integrated data platform combined with dietary management for adults with diabetes: A prospective randomized controlled trial.

机构信息

Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China.

出版信息

J Diabetes Investig. 2024 Nov;15(11):1548-1555. doi: 10.1111/jdi.14296. Epub 2024 Aug 22.

DOI:10.1111/jdi.14296
PMID:39171608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11527811/
Abstract

AIMS

To investigate the efficacy of the integrated data platform of cloud hospital combined with dietary management for adults with type 2 diabetes.

MATERIALS AND METHODS

We conducted a randomized controlled clinical trial. One hundred eighty patients with type 2 diabetes were randomly allocated into a control group (Group A) and an experimental group (Group B). Routine standard diabetes care was applied to the patients in Group A. The integrated data platform with dietary management was applied to Group B. Individualized diabetes education videos were sent to the patients through the platform. The primary endpoint was the change in HbA1c and change in body weight from baseline to Week 12 during the follow-up.

RESULTS

At Week 12, HbA1c was 7.4 ± 0.7%, 6.9 ± 0.9% in Groups A and B, P < 0.01. The rate of fasting blood glucose <7 mmol/L, and glycosylated hemoglobin <7% was higher in Group B than in Group A. At Week 12, there was a significant weight loss and body mass index decrease in the overweight or obese patients of the experimental group. Those overweight or obese patients in the experimental group utilizing the appetite suppressant semaglutide achieved the most significant weight loss, with a 13.4% reduction after 12 weeks.

CONCLUSIONS

The integrated data platform combined with personalized diabetes education video delivery was verified to be a more effective management mode for diabetes. For overweight or obese adults with diabetes, the use of semaglutide in conjunction with dietary management and the integrated data platform led to greater weight loss.

摘要

目的

探讨云医院整合数据平台联合饮食管理对成人 2 型糖尿病的疗效。

材料与方法

采用随机对照临床试验,将 180 例 2 型糖尿病患者随机分为对照组(A 组)和实验组(B 组)。A 组患者给予常规标准糖尿病护理,B 组患者应用云医院整合数据平台联合饮食管理,通过平台向患者发送个体化糖尿病教育视频。主要终点是随访 12 周时 HbA1c 的变化和体重的变化。

结果

12 周时,A 组和 B 组的 HbA1c 分别为 7.4±0.7%和 6.9±0.9%,P<0.01。B 组空腹血糖<7mmol/L 和糖化血红蛋白<7%的比例高于 A 组。12 周时,实验组超重或肥胖患者体重明显减轻,体重指数下降。实验组超重或肥胖患者使用食欲抑制剂司美格鲁肽治疗 12 周后体重下降最为显著,降幅达 13.4%。

结论

云医院整合数据平台联合个体化糖尿病教育视频传输的管理模式对糖尿病的管理更为有效。对于超重或肥胖的糖尿病患者,在饮食管理和整合数据平台的基础上联合使用司美格鲁肽可显著减轻体重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5b/11527811/bea17d5182a9/JDI-15-1548-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5b/11527811/049ab17efb14/JDI-15-1548-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5b/11527811/a60d80e49aa4/JDI-15-1548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5b/11527811/bea17d5182a9/JDI-15-1548-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5b/11527811/049ab17efb14/JDI-15-1548-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5b/11527811/a60d80e49aa4/JDI-15-1548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5b/11527811/bea17d5182a9/JDI-15-1548-g003.jpg

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