关键词: blood glucose self-monitoring diabetes mellitus diet therapy health care type 2

Mesh : Humans Diabetes Mellitus, Type 2 / diet therapy blood therapy Male Female Blood Glucose / metabolism analysis Middle Aged Cross-Over Studies Meals Aged Diet, Diabetic Energy Intake Glycemic Control / methods Nutritional Status

来  源:   DOI:10.3390/nu16081190   PDF(Pubmed)

Abstract:
This study aimed to determine whether patients with type 2 diabetes can benefit from a meal plan designed based on diabetes management guidelines to improve blood glucose levels. Participants were divided into intervention and control groups. The intervention group consumed a diabetic diet for 2 weeks, while the control group consumed their normal diet. After 2 weeks, the groups switched their dietary regimens. The participants\' demographic and clinical characteristics were evaluated, including factors such as blood pressure, blood lipid levels, weight and waist circumference, blood glucose levels (self-monitored and continuously monitored), nutritional status, and blood-based markers of nutrient intake. The dietary intervention group improved waist circumference, body fat percentage, low-density lipoprotein cholesterol, triglyceride levels, and glucose. The energy composition ratio of carbohydrates and proteins changed favorably, and sugar intake decreased. In addition, the proportion of continuous glucose monitoring readings within the range of 180-250 mg/dL was relatively lower in the intervention group than that of the control group. Meals designed based on diabetes management guidelines can improve clinical factors, including stable blood glucose levels in daily life, significantly decrease the carbohydrate energy ratio, and increase the protein energy ratio. This study can help determine the role of dietary interventions in diabetes management and outcomes.
摘要:
这项研究旨在确定2型糖尿病患者是否可以从基于糖尿病管理指南设计的膳食计划中受益,以改善血糖水平。将参与者分为干预组和对照组。干预组服用糖尿病饮食2周,而对照组消耗正常饮食。2周后,这些小组改变了他们的饮食方案.评估参与者的人口统计学和临床特征,包括血压等因素,血脂水平,体重和腰围,血糖水平(自我监测和连续监测),营养状况,和基于血液的营养素摄入量标记。饮食干预组改善腰围,身体脂肪百分比,低密度脂蛋白胆固醇,甘油三酯水平,和葡萄糖。碳水化合物和蛋白质的能量组成比例发生了良好的变化,糖摄入量减少。此外,干预组的连续血糖监测读数在180~250mg/dL范围内的比例相对低于对照组.根据糖尿病管理指南设计的膳食可以改善临床因素,包括日常生活中稳定的血糖水平,显着降低碳水化合物的能量比,并增加蛋白质能量比。这项研究可以帮助确定饮食干预在糖尿病管理和结果中的作用。
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