Abstract:
ObjectiveTo evaluate the therapeutic effect of family doctor community intervention combined with Bifidobacterium triple viable capsule for type 2 diabetes mellitus.
MethodsA total of 100 patients with type 2 diabetes mellitus(T2DM)from Quyang Road Street Community were selected and randomly divided into study group and control group.On the basis of implementing a comprehensive intervention program for family doctors such as intensive education management, lifestyle optimization, regular monitoring of blood sugar and hypoglycemic drugs, the patients (n=50)in the study group were treated with Bifidobacterium triple live capsules, and the patients (n=50)in the control group were given placebo.The course of treatment was 3 months.Before and after community intervention, the changes of fasting blood glucose and glycosylated hemoglobin were compared in the two groups before treatment, 3 months after treatment and 3 months after suspension of the drug.
ResultsAfter comprehensive intervention by family doctors, FBG (6.95±1.54) mmol/L and HbA1c (6.92%±0.90%) levels of patients in the two groups obviously declined as compared with before (P < 0.01).The levels of FBG (6.59±1.62) mmol/L and HbA1c (6.75%±0.95%) further declined after the adjustment of patients′ intestinal flora (P < 0.05), and the treatment efficiency was significantly better than that of the control group (P < 0.05), FBG (7.12±1.45) mmol/L and HbA1c (6.94%±1.06%) levels rebounded after withdrawal (P < 0.05).Meanwhile, in the control group, there was no statistical difference in FBG and HbA1c before and after treatment, and after withdrawal (P>0.05).
ConclusionThe family doctor community intervention model proves to be effective in the management and treatment of community T2DM patients, and combination with Bifidobacterium triple viable capsule has significant curative effect on patients with T2DM.
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