Objective: Type 2 diabetes can be reversed through lifestyle intervention, but the long-term reversal rate is low. This study aims to explore how to improve patients' cognition of diabetes and cultivate a healthy lifestyle, and investigate its correlation with long-term diabetes reversal.
Methods: A total of 200 patients with early type 2 diabetes mellitus complicated with obesity were randomly selected and reversed diabetes through weight loss. They were randomly divided into a control group (Group A with 100 patients, weight loss + routine health education) and an intervention group (Group B with 100 patients + cognitive training). Group A received routine health education, while Group B received offline training + examination + artificial intelligence online diabetes knowledge education once a week for 12 weeks, with a one-year follow-up. Blood glucose, HbA1c, pancreatic function, body weight, body fat rate, muscle mass, and other related indicators were monitored in both groups. The differences in long-term reversal rates and related indicators between the two groups were analyzed.
Results: The intervention reversal rate in Group A was 46% at 12 weeks and 28% at one year; while in Group B, it was 62% at 12 weeks and 36% at one year. There were significant differences in short-term and long-term reversal rates between the two groups (P<0.05). There were differences in cognitive scores between the two groups, with a score of 60.1±2.9 in Group A and 66.0±1.8 in Group B. Cognitive scores were positively correlated with long-term diabetes reversal rates.
Conclusion: Improvement in cognitive behavior among patients with type 2 diabetes is associated with increased long-term diabetes reversal rates, increased muscle mass, and decreased body fat rates.
Y. Wang: None.
