International Journal of Nursing Research

Objective To analyze the application effects of metabolic nursing intervention and weight control in patients with type 2 diabetes mellitus complicated by obesity. Methods The study was conducted from November 2024 to November 2025, involving 90 patients with type 2 diabetes mellitus complicated by obesity. After grouping, the control group and observation group received routine nursing and targeted metabolic nursing intervention, respectively. The intervention period lasted 12 weeks, with equal patient numbers in each group. The weight-related indicators, blood glucose, lipid metabolism indicators, insulin resistance indicators, and the incidence of adverse events during the intervention period were compared between the two groups before and after the intervention. Results After nursing intervention, the observation group showed lower body mass index (BMI), waist circumference, fasting blood glucose, 2-hour postprandial blood glucose, and insulin resistance indicators, as well as higher high-density lipoprotein cholesterol (HDL-C) levels (P<0.05). The incidence of adverse events and total cholesterol, triglyceride levels were also lower in the observation group (P<0.05). Conclusion Implementing metabolic nursing intervention in patients with type 2 diabetes mellitus complicated by obesity can effectively control body weight, improve blood glucose and lipid metabolism disorders, reduce insulin resistance, and is highly safe.

Type 2 diabetes mellitus; Obese patients; Metabolic nursing intervention; Weight management