Study on Nutritional Intervention of 158 Type 2 Diabetes Mellitus Patients in Community

【Objective】To investigate the effect of nutritional intervention of the middle-aged and old type 2 diabetes mellitus(DM2) patients in community on controlling the occurrence and development of diabetes complications and improving the quality of life.【Methods】One hundred and fifty eight ambulatory and definite DM2 patients in a community were divided into the intervention group and the control group by matched-pairs design.The patients in the intervention group were administrated medicine plus diet guide,health education and nutritional intervention,etc.The patients in the control group were only given medicine.Nutrition status and biochemical values in two groups were compared.【Results】Energy distribution of three meals in two groups was irrational and unbalanced before intervention.After intervention,the lack and unbalance of nutrition were improved.Compared with the control group,blood pressure,fasting blood sugar,2h postprandial blood sugar,glycosylated hemoglobin,serum cholesterol,triglyceride,C-peptide and urine microalbum were significantly lower in the intervention group.【Conclusion】The diet constitution of the DM2 patients is not reasonable.Therefore nutritional intervention is obviously effective for prevention and treatment of DM2,and this intervention mode can be popularized in community.