Application of hospital health management mode in patients with pre-diabetes

Abstract

Objective To explore the effect of hospital health management mode in patients with prediabetes.Methods Eighty pre-diabetes patients who were randomly chosen from physical examination people in the physical examination center of our hospital from April 2011 to June 2011 were divided into the observation group and the control group.The observation group received the hospital health management mode of pre diabetes designed by ourselves,and the control group received the traditional management mode.The awareness rate of diabetes in patients with pre-diabetes,the fasting plasma glucose (FPG),2 h postprandial plasma glucose (2 h PG),systolic blood pressure (SBP),diastolic blood pressure (DBP),low-density lipoprotein (LDL),body mass index (BMI) were evaluated at the beginning of the study,six month after the study and one year after the study.The conversion rate of diabetes was compared one year after the study.Results The awareness rate of diabetes in patients with pre-diabetes,the levels of FPG,2 h PG,SBP and DBP were respectively(5.68 ± 0.43) mmol/L,(9.63 ± 0.67) mmol/L,(117.40 ± 7.40) mmHg,(72.90 ± 5.10) mmHg in the observation group,and were (6.84 ± 1.32) mmol/L,(10.75 ±0.91) mmol/L,(125.60 ± 10.20) mmHg,(77.30 ±6.91) mmHg in the control group,and the differences were statistically significant (x2 =19.156,t =5.030 6,2.285 2,3.955 4,2.615 2,respectively; P ＜ 0.05).The levels of LDL and BMI in the observation group showed a downward trend,but no differences were found in two groups (P ＞ 0.05).One year after the study,the levels of FPG,2 h PG,SBP,DBP,LDL and BMI in the observation group were respectively (5.57 ± 0.38) mmol/L,(9.51 ±0.47) mmol/L,(116.23±7.93) mmHg,(70.4±4.3) mmHg,(3.00±0.37) mmol/L and (23.4 ±2.48)kg/m2,and were lower than (6.91 ±1.15) mmol/L,(10.86±3.21) mmol/L,(128.3± 12.14) mmHg,(79.2 ±9.56) mmHg,(3.6 ±0.41) mmol/L and (27 ±5.41) kg/m2 in the control group,and the differences were statistically significant (P ＜0.05) ; the conversion rate of diabetes was 2.7％ (1/37)in the observation group,and was lower than the 15.8％ (6/38) in the control group,and the difference was statistically significant (x2 =2.405 1,P ＜ 0.05).Conclusions The hospital health management mode of pre diabetes designed by ourselves can improve the awareness rate of diabetes in patients with pre-diabetes,decrease the level of FPG,2hPG,SBP,DBP,LDL and BMI,and reduce the conversion rate of diabetes. Key words: Fasting plasma glucose; Glucose tolerance; Blood pressure; Pre-diabetes ; Hospital health management mode