Effect of aerobic and resistance exercise intervention combined with personalised ambulatory glucose monitoring guidance on the control of blood glucose levels in patients with type 2 diabetes mellitus
XU Xiaoli
CAO Haihong
XU Qian
TANG Yamei
MA Zhimin
HAN Xingfa
ZHANG Yuanyuan
Abstract：Objective To observe the effects of aerobic and resistance exercise interventions combined with personalized ambulatory glucose monitoring instructions on the control of blood glucose levels in patients with type 2 diabetes mellitus(T2DM).Methods This study was prospectively designed,124 cases of T2DM patients admitted from January 2023 to December 2024 were selected and divided into 62 cases in the conventional group and 62 cases in the personalized group using the envelope method.Both groups were given aerobic and resistance exercise interventions,routine dynamic glucose monitoring in the conventional group and personalized dynamic glucose monitoring guidance in the personalized group.The differences in glucose and lipid metabolism between the two groups were compared before and after the intervention,and the changes in self-management behavior scores,medical coping questionnaire(MCMQ)scores,and diabetes specific quality of survival scale(DSQL)scores were assessed before and after the intervention in both groups.Results After intervention,the levels of high-density lipoprotein cholesterol(HDL-C)in the personalized group was higher than that in the conventional group,and the levels of triglycerides(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),blood glucose(FBG),and 2-hour postprandial blood glucose(2 h PBG)were lower than those the conventional group.The differences were statistically significant(t=-2.169,2.066,2.537,2.52,5.634,8.808,P<0.05).The scores of all aspects of self-behavior in the two groups of patients were higher than those before intervention,and the personalized group was higher than the conventional group.The differences were statistically significant(t=-4.51,-5.506,-3.089,-9.296,-9.975,P<0.5).The face score of MCMQ in the personalized group was higher than that in the conventional group,and the avoidance score and compliance score were lower than those in the conventional group(t=-4.964,3.197,5.656,P<0.05).The scores of DSQL in the two groups of patients were lower,and those in the personalized group were lower than those in the conventional group(t=5.526,5.042,4.976,5.669,P<0.05).Conclusion Aerobic and resistance exercise interventions combined with personalized ambulatory glucose monitoring guidance and exercise alone in T2DM are both beneficial to glycemic control,improve lipid metabolism,improve self-management ability,correct poor psychological status,and improve quality of life,but aerobic and resistance exercise interventions combined with personalized ambulatory glucose monitoring guidance are more preferable.
Keywords：aerobic exerciseresistance exercisepersonalised ambulatory glucose monitoringtype 2 diabetesblood glucoselipid metabolism
Publication Date：2025-10-31
Online Publishing Date：2025-11-17(First online date of this platform, not the publication date of the document)
Pages：5( 832-836 )