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目的 调查老年 2型糖尿病体脂状态及其与慢性并发症的关系 ,为健康管理提供科学依据。方法 对诊治的 1 0 8例老年 2型糖尿病患者 ,其中正常体重组 (BMI≥ 2 2 .9kg/ m2 ) 34例 ,超重 /肥胖组 (BMI≥ 2 3kg/ m2 ) 74例 ,进行总体脂、局部体脂、血糖、血压及糖化血红蛋白检测 ,筛查糖尿病慢性并发症。结果 超重 /肥胖组较正常体重组在年龄、病程、BMI、FAT% ,FBS、Hb Alc及糖尿病慢性并发症发生率均显著增加 (P<0 .0 5)。结论 老年 2型糖尿病患者 ,对糖尿病的危害性认识不足 ,肥胖现象随年龄增加呈上升趋势 ,使糖尿病的多个慢性并发症未得到满意的控制 ,加强对这一群体的健康管理 ,有计划地实施干预策略 ,是防治的重要措施
Objective To investigate the relationship between body fat status and chronic complications of type 2 diabetes mellitus in old people and to provide a scientific basis for health management. Methods Totally 108 elderly patients with type 2 diabetes mellitus (T2DM) were enrolled in this study. Among them, 34 were normal weight group (BMI≥2.29kg / m2) and 74 were overweight / obesity group (BMI≥23kg / m2) Local body fat, blood sugar, blood pressure and glycosylated hemoglobin testing, screening for chronic complications of diabetes. Results Compared with normal body weight group, the incidence of chronic complications of BMI, FAT%, FBS, Hb Alc and diabetes mellitus were significantly increased in overweight / obesity group (P <0.05). Conclusions Elderly patients with type 2 diabetes do not know enough about the dangers of diabetes and obesity increases with age. Many chronic complications of diabetes are not controlled satisfactorily, and the health management of this group is strengthened. The implementation of intervention strategy is an important measure for prevention and treatment