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2126806 2010 年 11 月 30 日 16:31 Reading (loading. ..) Comments (0) Category: Personal Diary
Diabetes Daqing test
background information
Professor Li Guangwei, a renowned endocrinologist, China-Japan Friendship Hospital, Chief Physician, doctoral tutor, key research areas of prevention and treatment of diabetes and insulin resistance, diabetes prevention and treatment of outstanding achievements over the years, now serve as vice chairman of Chinese Society for Endocrinology.
Wang Jinhua, General Hospital of Daqing Oil Field, MD, director, General Hospital of Daqing Oil Field Research Center of Cardiovascular Disease Prevention, mainly in cardiovascular and cerebrovascular disease, diabetes, impaired glucose tolerance epidemic research and prevention work, published over 20 papers, provincial and municipal scientific research achievement awards 9.
Q: Why is this the beginning of the 80s and we are all closely related to the test? The test is what kind of test?
A: This test is actually like to know, Know-diabetes can not,
belstaff jackets outlet, we know that some people inside the crowd is likely to get diabetes, we call high-risk groups, Daqing experimental study is to observe, in this high-risk groups inside, how can not let him get diabetes.
Q: What kind of means by which high-risk groups to find it?
A: We now have a more standard test method, called glucose tolerance test. We give all people drink one or two and a half glucose, to give him a two-hour glucose test, if the two-hour glucose 140 mg if the rain, we would think he is perfectly normal, if more than 200 milligrams, and we think he diabetes, if it is between 140 199 and we give him called impaired glucose tolerance, which is the so-called high-risk groups.
Q: Ins and Outs of the trial spent 200 million yuan, 80 which is a big number, why the state will invest so much manpower, material and financial resources to do this test it?
A: Because diabetes is a terrible disease, it makes a patient suffers with their money. If the person with diabetes for 5 years for 10 years, a lot of people had myocardial infarction, cerebral infarction, but also a blind, so not only the patient is suffering, and spend a lot of medical expenses, while also implicated his family to serve him. Therefore, such a situation, medical treatment is not generally considered alone, that is, prevention is important. Therefore, we think of a way, in a high-risk groups, it is necessary to prevent his diabetes, so health issues can be resolved.
Q: Since these high-risk groups to find out why chose the Daqing this place?
A: Because at that time relatively fast development of Daqing, one relative has been rich, we may compare this place easy to find high-risk groups. When we imagine the crowd at 110,000, nearly 600 cases to find out high-risk groups, the groups are not the same in Daqing and the country of his relatively stable population, migration is relatively small, this is what we do very important test requirements a condition; the second has a good local health care network, and the enthusiasm of doctors willing to work in diabetes, which is very, very important; there was our president Hu Yinghua is a charismatic president,
belstaff online, He has the ability of local organizations in the test, when the then-Japan Friendship Hospital, diabetes experts and some U.S. experts to a discussion, we choose the place of Daqing, a unique condition, it is likely to be successful, because this test in a foreign country not doing very little, we want to prevent diabetes in Chinese people can have a significant contribution to the world.
Q: The diet of people living in Daqing there any reason to support you in this test?
A: The food was actually Daqing residents to high-calorie,
belstaff coat, high fat diet is changing, and at each of our units have farming, to the workers kinds of vegetables, breeding chickens, pigs, points to the employees of fish, meat, eggs, a great change.
Q: This test may not want to know how to diabetes, if you want to get this answer, we must rely on what steps to find the answer?
A: First of all we have to be found in the general population at high risk of diabetes. According to research some of the lessons of the world at that time to find a sufficient population, split into several groups, is a group as control group, the other to do the intervention group, having observed a few years later, we will find that in the control group inside, we passed lifestyle intervention can effectively reduce diabetes.
2574 at the age of Daqing is more than 280,000 people, we then selected the 11 million workers and their families, they had a screening, there are more than 3,000 of those people people high blood sugar, each of these people have done an oral glucose tolerance test. We screened out through this test of 576 patients with impaired glucose tolerance.
Q: Why should the intervention group and control group separately so completely in it?
A: control group, so, some publicity through TV Guide, can be a number of diabetes and impaired glucose tolerance in the prevention and treatment, but doctors are not encouraged to strengthen his control diet, life-changing way; the intervention group of doctors to their intervention, encouragement.
Q: specific guidance on the intervention group of people together, in the diet, sports, specifically how to do it?
A: Actually the so-called intervention is that we doctors can not give him a good idea; second patient you can not accept this idea; If you can accept the long-term adherence can. These three points are very important. We were divided into three groups for the intervention group. The first group is the control diet alone; the second group by the increase in activity; third group should also note that there are some diet, exercise should also note that for food, we work according to his labor intensity, and his provisions of body fat, thin, how many calories a day, eat, eat much fuel requirements for the exercise group to exercise his day long, what type of exercise, but the combination of diet and exercise for the group, we can not dictate How much he can do much to do, in order to urge the patient to accept, to change his habits, we have to constantly follow-up, we started a follow-up three months later for half a year, keep the jargon,
belstaff jacket, so that he establishment of such a good quality of life, this process has been from 86 to 92 years, the entire great emphasis on the active medical intervention, doctors to help patients to create a good living habits, the last to get a good result.
Q: In fact, for a breakthrough in diabetes prevention is lifestyle change?
A: Because the whole, although this is a very high-risk groups. About 5% each year 10% of people will become diabetic, but these people are,
belstaff outlet, then we can not take medicine because medicines are expensive, also have side effects. We accordance with China's national conditions, the Chinese people's relatively easy to persuade them to listen to, but if we are sincerely told him, how do you change a good way of life to be good for you, many people will accept it. Therefore, we chose to lifestyle intervention, more importantly, diabetes is genetic and lifestyle to decide. We can not change the genes, but lifestyle change had, and the overall approach for foreign experts also believe that diabetes is a lifestyle disease. As long as lifestyle changes, then, is to eat less and more dynamic way of life, which is very good quality of life, we change this way of life, we will remove the root cause of diabetes, so that should be able to prevent diabetes.
Q: This looks like a bit of a test now launching a campaign, we can accept this way of life, why that would be organized so big happens, put so much happen?
A: Because we do Daqing diabetes test before, there are several countries abroad to do this test. Because the design is not particularly strict, many people quit halfway, so I finally did arrive at a correct conclusion, in fact, this is the truth, but the truth and we passed, and our test is more successful in Daqing, Our crowd is very good, our doctors are very good, 92% of the test person has been insisting with us in the end, and finally we get a good conclusion. That this test is the first one in the international success of the test. Should be said that the world acknowledges that he is the primary prevention of diabetes, a landmark study, and this study is that we Chinese people do. After the Americans spent 180 million U.S. dollars has made a study of a larger, and Finland also made a similar one with the Chinese study, two studies have proved that the Chinese Daqing research experience in the world is applicable.
Q: When doing this test, we mentioned that the core group of exercise and diet intervention measures,
belstaff leather, then stands to reason that we should understand this principle, exercise is good for health, but why do not understand exercise and diabetes relationship?
A: The truth is one thing to understand, how to do it is another matter. Some foreign experts say, change a person accustomed to decades of a very, very difficult life, said he did not hear you, hear no understanding, no understanding of the Executive, the Executive has executed a few days is very, very difficult including smoking cessation, including control of diet that way, so that his own inner strength alone can not do this I am afraid it is the responsibility of doctors, and we doctors should strengthen him and give him a healthy idea, to forced him to do something, as long as his health is good, he would accept, that active intervention by the doctor, let him change this lifestyle.
Q: Sun Li's body, what you see at high risk for diabetes, for a healthy understanding of it?
A: I think that Sun Li is a very obedient one, she just finds that life is good for her, she can stick with it, which is very valuable, and Not everyone can do. I think in here have to say that people who suffered hunger and, for this had a strong desire for food and clothing, this is the nature of life, but if the day has come for this food and clothing to the fast, the actual He was not prepared on, or the kind of old concepts, we Chinese Food is the old idea that, once an affluent life and a better life first, he felt life how to applause, that is, any food What, eat as much, even those fried foods, and we will reward him for his parents had 100 children, the result of diabetes caused several generations of this world tragedy, this means that our concept is not correct .
Q: After experiment have been more clear answer?
A: I think there are two answers are very necessary to remind everyone, that is really the first proof of the reserve army of diabetes is a very dangerous people, dangerous to what extent this population does, I can tell you is that what we have as a result of recent studies, we found 576 cases of people from 1982 to 2006, 120 people have already left us dead, that this is a very dangerous group of people. The second point is my way of life is indeed an effective intervention. There is an answer to say, we still have not received a final conclusion, lifestyle intervention is very likely would have an impact on their life. This has not yet come to final results.
Q: For this test you will have any further consideration?
A: This test is very large in the world caused the concern, the World Health Organization also very much like to help the Chinese people to go on this trial, recently he has funded some of our money, let us Daqing trial to former participants who re-looking back, it should be said that research continues to Daqing, Daqing results of the study is that not only participated in the trial of the people who attended, including Liu Xiuqin these people, but also affected his family, he friends, help them to establish a correct and a healthy lifestyle, in addition to have such a large study in China, Daqing study also affect foreigners, I went to meetings abroad, the Indian doctor linked to Daqing results of the study to the walls of their home, and said we have over China's borders, in this sense, our study of Daqing in China is not just for the benefit of others, but for the benefit of the world.
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