Low-carbohydrate diet combined with aerobic exercise nursing improves blood glucose and weight management in obese T2DM patients
低碳水化合物饮食联合有氧运动护理改善肥胖T2DM患者血糖及体重管理效果的研究

摘要

目的 探讨研究低碳水化合物饮食联合有氧运动护理改善肥胖T2DM患者血糖及体重管理效果。方法 选取本院2020年12月-2024年12月收治200例肥胖T2DM患者，按照奇偶数规则，平均分为对照组和观察组，对照组实施常规护理和饮食运动建议，观察组实施低碳水化合物饮食联合有氧运动护理。对比两组患者干预前后的低血糖控制（空腹血糖、餐后2小时血糖、糖化血红蛋白）、体重以及身体质量指数（BMI）。结果 联合护理后，观察组患者的空腹血糖、餐后2小时血糖、糖化血红蛋白水平平均显著低于对照组；且观察组患者的体重和BMI也明显下降，优质于对照组，差异均具有统计学意义（p<0.05）。结论 采用低碳水化合物饮食联合有氧运动护理能够有效改善肥胖T2DM患者的血糖水平，减轻体重，对疾病的管理具有重要意义，值得在临床推荐。

Abstract

Objective To investigate the effects of a low-carbohydrate diet combined with aerobic exercise nursing on blood glucose and weight management in obese type 2 diabetes mellitus (T2DM) patients.
Methods A total of 200 obese T2DM patients admitted to our hospital from December 2020 to December 2024 were selected and evenly divided into a control group and an observation group according to the odd-even rule. The control group received conventional nursing and general dietary and exercise advice, while the observation group was given a low-carbohydrate diet combined with structured aerobic exercise nursing. The two groups were compared in terms of blood glucose control (fasting blood glucose, 2-hour postprandial blood glucose, glycated hemoglobin), body weight, and body mass index (BMI) before and after the intervention.
Results After the combined intervention, the observation group showed significantly lower average levels of fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin compared to the control group. Additionally, the observation group exhibited a more pronounced reduction in body weight and BMI, with all differences being statistically significant (p<0.05).
Conclusion   The application of a low-carbohydrate diet combined with aerobic exercise nursing can effectively improve blood glucose levels and reduce body weight in obese T2DM patients, demonstrating significant clinical value in disease management and warranting broader recommendation.