根据意大利治疗2型糖尿病的新指南(和更新)提出的营养建议

Il Diabete Pub Date : 2023-05-18 DOI:10.30682/ildia2301d
M. Monami
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引用次数: 0

摘要

背景/目的:这篇社论旨在为2型糖尿病患者的医学营养治疗(MNT)提供参考,这是意大利新的2型糖尿病治疗指南及其2023年更新的建议。方法和结果:本文修订了最近出版的意大利2型糖尿病(门诊患者)治疗指南及其更新,无论是初级保健还是专科转诊。该指南是由意大利糖尿病学会(SID)和糖尿病医学会(AMD)提名的一个小组根据国家指南系统手册(http://www.snlg-iss.it)中描述的方法制定的。现有的关于营养治疗的文献显示:1)MNT与非结构化营养建议,2)地中海饮食与其他饮食方法,以及使用低血糖指数与高血糖指数营养素在降低HbA1c和体重方面的疗效更大。结论:本文阐述了意大利指南(及其2023年更新)对2型糖尿病医学营养治疗的建议。综合而言,专家小组建议采用有组织的药物治疗、均衡饮食(地中海式)和使用低血糖指数而不是高血糖指数的营养素,因为这能改善血糖控制和体重。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Le raccomandazioni nutrizionali alla luce delle nuove linee guida italiane (e degli aggiornamenti) per il trattamento del diabete di tipo 2
Background/aim: this editorial is aimed at providing a reference for the medical nutritional therapy (MNT) in patients with type 2 diabetes, as recommended by the new Italian guidelines for the treatment of type 2 diabetes and its 2023-Update. Methods and results: the present paper re¬vised the recently published Italian guidelines for the treatment of type 2 diabetes (outpatients) and its update, either in primary care or specialist referral. The guideline has been developed following the methods described in the Manual of the National Guideline System (http://www.snlg-iss.it) by a panel nominated by the Società Italiana di Diabetologia (SID) and Associazione Medici Diabetologi (AMD). Available literature on nutritional therapy showed a greater efficacy of: 1) MNT vs. unstructured nutritional advices, 2) Mediterranean diet vs. other dietary approaches, and the use of low- vs. high-glycemic index nutrients in reducing HbA1c and body weight. Conclusions: the present paper illustrates the recommendations of the Italian guidelines (and its 2023-update) for the treatment of type 2 diabetes on medical nutritional therapy. In synthesis, the panel suggests a structured medical therapy, balanced diet (Mediterranean), and the use of low-, rather than high-glycemic index nutrients due to the improvement of glycemic control and body weight.
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