晨起空腹运动对2型糖尿病患者血糖的影响  

Effect of fasting exercise on blood glucose in patients with type 2 diabetes

作　　者：王宁[1] 孙玉梅[2] 刘志英[3] 

机构地区：[1]解放军总医院南楼保健科,北京100853 [2]北京大学医学部内科教研室 [3]解放军总医院南楼临床部护理部

出　　处：《中华保健医学杂志》2011年第6期477-479,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨晨起空腹运动对2型糖尿病患者血糖的影响。方法 20例2型糖尿病患者,晨起空腹运动(散步)30min,1周3次,分别检测运动前后的即刻指血血糖,取平均值,应用自身对照法进行分析比较。结果与女性比较,男性的年龄、血糖控制水平无差异。空腹运动后血糖(6.20±0.58)mmol/L明显高于运动前(5.90±0.69)mmol/L(P<0.01);平均升高(0.30±0.49)mmol/L,较运动前血糖升高5.67%(-8.85%～24.8%)。女性运动后血糖升高水平高于男性[(0.53±0.42)mmol/Lvs(0.20±0.49)mmol/L](P=0.17)。运动前血糖较低的患者运动后血糖升高的比例较高。单因素回归分析显示,运动后血糖变化与运动前血糖存在直线回归关系(r=0.5588,P=0.01)。共进行60次晨起空腹运动,无低血糖发生。结论晨起低强度空腹运动可导致血糖升高,与空腹运动前血糖有关,但不增加低血糖的风险。Objective To study the effect of fasting exercise on blood glucose in patients with type 2 diabetes.Methods Twenty cases of type 2 diabetes were investigated.Supervised fasting exercise,30 minutes＇ walk per time and three times per week was carried out in the patients with diabetes and capillary blood glucose was determined before and after exercise.Comparison was conducted between average blood glucose levels before and after exercise.Results No difference in age and glycemic glucose was detected between male and female subjects.Blood glucose after fasting exercise（6.20±0.58 mmol/L）was significantly higher than that before exercise（5.90±0.69 mmol/L,P0.01）.Value of increased blood glucose was 0.30±0.57 mmol/L and percentage was 5.67%（-8.85%～24.8%）,which were higher in female than in male（0.54±0.53 mmol/L vs 0.20±0.57 mmol/L,P=0.17）.The proportion of increased blood glucose after exercise increased in patients with lower blood glucose before exercise.Value of changed blood glucose（ΔBG）was positively correlated with FPG on linear regression analysis（ΔBG=2.61-0.39×FPG,r=0.5588,P=0.01）.No patients had hypoglycemia after fasting exercise.Conclusions Blood glucose increased after fasting exercise in patients with type 2 diabetes.Risk of hypoglycemia was not increased after fasting exercise.

关 键 词：空腹运动 2型糖尿病 低血糖 

分 类 号：R587.1[医药卫生—内分泌]