Objective To analyze the correlation between health management of type 2 diabetes mellitus (T2DM) and body mass index (BMI). Methods 285 hospitalized adult patients in the Department of Endocrine (Center Hospital of Songjiang District in Shanghai) from January to December 2010 were enrolled in the study. Body measurement, biochemistry laboratory analysis were performed on the 285 patients, which were divided into two groups: group NDM (those with newly diagnosed T2DM, n=lll) and group ODM (those with old diagnosed T2DM, n=174). Then the patients were further divided into four groups based on BMI, group Nl (n=53, BMK24), group N2 (n=58, BMI ≥ 24), group 01 (n=85, BMI<24), and group O2 (n=89, BMI ≥ 24). Results The incidence of malnutrition and obesity were higher in group ODM than group NDM, 8.0% and 4.5% vs 15.5% and 9.0%. BMI showed a positive correlation with blood pressure, serum triglyceride (TG), fasting insulin (FINS), homeostatic model assessment of insulin resistance (HOMA-IR), Islet B-cells, and also showed a negative correlation with high-density lipoprotein cholesterol (HDL-C) and insulin sensitivity. Conclusion Weight is an important parameter for evaluating the long-term health management of T2DM.%目的 分析体重指数与2型糖尿病患者自我健康管理的关系.方法 以2010年1～12月我院内分泌科住院的285例患者为研究对象,入院后第2天进行人体测量、生化的实验室检查,分为初诊糖尿病组NDM组(n=111)和非初诊糖尿病组ODM组(n=174).根据体重指数,分为初诊糖尿病组N1组(n=53)、N2组(n=58),非初诊糖尿病组O1组(n=85)和O2组(n=89).结果 非初诊糖尿病组营养不足(8.0％)和肥胖(15.5％)的发生率高于初诊组[4.5％和9.0％].超重和肥胖与2型糖尿病的三酰甘油、血压、胰岛素抵抗指数和β细胞包功能呈正相关,与血红蛋白、胰岛素敏感性和高密度胆固醇负相关.结论 体重是衡量糖尿病患者长期自我健康管理的重要指标.
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