Roles of health management in the treatment of type 2 diabetes combined with osteoporosis in elderly patients

Objective To discuss the roles of health management in the treatment of type 2 diabetes combined with osteoporosis in elderly patients. Methods 100 elderly patients diagnosed with type 2 diabetes combined with osteoporosis were selected, and randomly divided into treatment group(without health management)and observation group(treatment plus health management)to proceed a randomized controlled study for 12 months.At the beginning and end of the study, calculated were the parameters as follows: the body mass index, osteocalcin(BGP), N-terminal collagen of type I procollagen peptide(PINP), type I collagen decomposition of C-terminal peptide(CTX), 1, 25-dihydroxyvitamin D3[1, 25-(OH)2D3], fasting blood-glucose, hemoglobin A1c(HbA1c), blood calcium levels, the positions of the lumbar spine(L1-L4)which was measured by dual energy X-ray absorptiometry, and bone mineral density(BMD)of left femoral neck and hip.Then, the incidence rates of fracture of the two groups were calculated. Results After 12 months of treatments, fasting blood-glucose, HbA1c and CTX in both groups were decreased, while BMD, osteocalcin and PINP were increased.Their differences between pre-and port-treatments showed statistical significance(each P 0.05). Their decrements of fasting blood-glucose and HbA1c were higher in observation group〔(1.98±0.59)mmol/L and(1.75±0.47)%〕than in treatment group〔(1.09±0.76)mmol/L and(1.06±0.52)%, t=6.54, P 0.05). Conclusions In the process of treatment for type 2 diabetes combined with osteoporosis in elderly patients, health management enhances the compliance of the patients, and significantly improves the therapeutic effect of drugs.At the same time, it is a powerful guarantee of effectiveness and persistence of the treatment. Key words: Diabetes mellitus, type 2; Osteoporosis; Health education; Bone density