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不同活動形態、時間對第二型糖尿病患者血糖立即反應影響之探討

Impact of Different Activity Modes and Durations on Immediate Serum Glucose Response among Type 2 Diabetes Mellitus Patients

摘要


本研究目的在不同活動形態、時間對第二型糖尿病患者血糖立即變化之影響,並分析不同藥物和性別對血糖變化之影響。以立意取樣法選取21位符合條件之個案爲對象,每位個案執行三項不同活動形態(包括休息、一般看診及有氧運動),每項均監測40分鍾,以血糖測試機測試執行活動臆及活動後10分鍾、20分鍾、30分鍾、40分鍾血糖之變化。研究結果,有氧運動下血糖下降量顯著大於休息狀態和一般看診活動,在20、30、40分鍾有氧運動下,血糖下降百分比大於10分鍾。在10分鍾的有氧運動下,服用Sulfonylurea藥物的病患,血糖下降百分比高於Metformin和合併服用兩種藥物的病患。男性在有氧運動下血糖下降百分比顯著高於女性。

並列摘要


The purpose of this study was to examine the influence of different activity modes and durations on glucose response among type 2 Diabetes Mellitus patients. Twenty-one subjects who met the selection criteria were selected by purposive sampling. A subject’s serum glucose level was determined by using the mini Accutrend monitor before, and then 10 minutes, 20 minutes, 30 minutes, and 40 minutes after three kinds of activities, which included rest, hospital routines (such as registering, getting medication, waiting inline, etc.), and aerobic exercise. The results of this study demonstrated that the decrease in serum glucose was greater after performing aerobic exercise than after rest or hospital routines. Also, a greater decrease in serum glucose was found after 20, 30, and 40 minutes aerobic exercise than after 10 minutes aerobic exercise. Subjects who took sulfonylurea had a larger decrease in serum glucose after 10 minutes aerobic exercise than subjects who took metformin. A greater decrease in serum glucose was found in males than females after aerobic exercise.

參考文獻


American College of Sports Medicine(1995).Guidelines for Exercise Testing and Prescription.Baltimore:William & Wilkins.
Armstrong, J. J.(1991).A brief overview of diabetes mellitus and exercise.The Diabetes Educator.17(3)
Barnard, R. J., Jung, T., Inkeles, S. B.(1994).Diet and exercise in the treatment of NIDDM.Diabetes Care.17(12)
Bleich, H. L., Boro, E. S.(1975).Fuel homeostasis in exercise.The New England Journal of Medicine.293(21)
Braun, B., Zimmermann, M. B., Kretchmer, N.(1995).Effects of exercise intensity on insulin sensitivity in women with non-insulin-dependent diabetes mellitus.Journal of Applied Physiology.78(1)

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