جستجوی مقالات مرتبط با کلیدواژه « 2hppbs » در نشریات گروه « پزشکی »

The present study was conducted with the aim of comparing lifestyle education based on the Bezenf model and the World Health Organization model on FBS, 2HPPBS, HbA1c in patients with type II diabetes.

The research method was a semi-experimental and multi-group expanded type with pre-test-post-test designs and a control group with a follow-up period. The statistical population of this research included all patients with type II diabetes referred to the endocrinology department of Imam-Khomeini Hospital in 1400. In this research, from a list of 100 people with diabetes, 60 diabetic patients who met the entry criteria were identified. Then 45 people were randomly selected and replaced by random replacement in two experimental groups and one control group. Each experimental group received group psychological interventions separately, and at the end, both groups were subjected to a post-test. The obtained data were analyzed using mixed analysis with repeated measurements.

The results indicate the effect of lifestyle education based on the Bezenf model and the World Health Organization model on FBS (P=0/001), 2HPPBS (P=0/001) and HbA1c (P=0/006) and the stability of this effect was in the follow-up phase. Also, compared to lifestyle education based on the World Health Organization model, lifestyle education based on the Bezenf model was a more effective method to reduce HbA1c in type 2 diabetes patients but the difference in the effect of the two groups on FBS and 2HPPBS was not significant.

The results indicated the effectiveness of both educational models and the superiority of the BAZENF educational model. Therefore, Lifestyle education based on the Bezenf model and the World Health Organization model can be used by therapists as adjunctive treatments in interventions for people with type 2 diabetes.

Diabetes mellitus as a most common metabolic disorder of human has a progressive prevalence that in this disease hyperglycemia from different causes produces several chronic complications in multiple organs by different mechanism. Normoglycemia is the way of prevention of complication that can induce by treatment with oral hypoglycemic agent (O.H.A) or insulin. In type II diabetes the patient treated with O.H.A the failure of treatment is important problem that maybe primary or secondary. Resolving of this problem is changing the treatment to insulin therapy. Before this changing we can add some accessory drug to O.H.A regimen for better controlling of blood sugar. One of these drugs is Chlroquine. In this study we decided to evaluate the effect of Chlroquine on level of blood sugar of DM II.Methods and Materials: During one year 55 patient in 2 groups as case (25 patients) and control (29 patients) treated with Chlroquine and placebo for 3 months. At first point and end of first, second and third month of study we measured the fasting blood sugar (FBS) & two hours post prandial blood sugar (2hppBS) and evaluate the change of FBS and 2hppBS in each group and between of two groups. The mean age of the case and control group are 53/53±6//44 & 53/58± 7/83 and mean BMI of two groups are 26/25±3/6 & 24/95±3/25. Mean duration of disease of two groups are 7±4/68 & 6/44±5/3. Those two groups of patients for these parameters and also for basic FBS & 2hppBS are statistically equal. At the end of three months of study FBS & 2hppBS in each group significantly decreased (P<0/001). But this different between two groups are not significant (P=0/661 for FBS & P=0/782 for 2hppBS). But in the end of the first and second months FBS in case group is significantly lower from control group (P=0/006 for first month & P=0/05 for second one). Although in other studies that done Chlroquine has reported effective in decreasing of blood sugar of patient with DM type II, but in this study has not approved. Reasons of this difference maybe because of different of duration of study or use of hydroxychlroquine instead of Chlroquine or dont being of control group in pervious study.