2 型糖尿病的缓解:不同营养方式带来的机遇

IF 0.7 Q4 ENDOCRINOLOGY & METABOLISM
Diabetes Mellitus Pub Date : 2024-05-06 DOI:10.14341/dm13050
S. Eliashevich, A. P. Misharova, O. Drapkina
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引用次数: 0

摘要

最近,关于饮食行为与 2 型糖尿病发病率之间关系的系统综述和荟萃分析大量发表。众所周知,超过 80% 的 2 型糖尿病病例与肥胖有关。因此,营养因素对 2 型糖尿病患者制定治疗目标尤为重要。如今,这种疾病已不再是一种刑罚,因为在营养矫正的帮助下,2 型糖尿病是有可能得到缓解的。研究结果表明,体重的显著下降是 2 型糖尿病缓解的预兆。然而,2 型糖尿病患者的最佳饮食建议问题仍然悬而未决。各种饮食模式(地中海饮食、古法饮食、DASH 系统等)都有助于改善血糖,但没有足够的数据表明 2 型糖尿病的症状会减轻。很有可能,只有大幅减少每日热量摄入,才有可能达到缓解的目的。近来特别流行的生酮饮食也能改善血糖控制。同时,根据一项荟萃分析的结果,来自全谷物和谷物纤维的碳水化合物也不应被忽视,因为这类产品有助于降低患糖尿病的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Remission of type 2 diabetes: opportunities of different nutrition styles
Last time there are a lot of date, published systematic reviews and meta-analyses about relationship between eating behavior and incidence type 2 diabetes. It is known that more than 80% of cases of type 2 diabetes are associated with obesity. In this regard, the nutritional factor is of particular importance in the formation of treatment goals for patients with type 2 diabetes. Today, the disease is no longer a sentence, because achieving remission of type 2 diabetes is possible with the help of nutritional correction. The results of studies shown that a significant decrease in body weight is a predictor of remission of type 2 diabetes. However, the question of the best dietary recommendations for patients with type 2 diabetes remains open. Various dietary patterns (Mediterranean, paleo diet, DASH system, etc.) contribute to the improvement of glycemia, however, there is not enough data indicating a regression of symptoms of type 2 diabetes. In all likelihood, achieving remission is possible only with a significant reduction in daily caloric intake. The ketogenic diet, especially popular in recent times, also improves glycemic control. At the same time, according to the results of a meta-analysis, carbohydrates from whole grains and cereal fibers should not be neglected, because this category of products helps reduce the risk of developing diabetes.
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来源期刊
Diabetes Mellitus
Diabetes Mellitus ENDOCRINOLOGY & METABOLISM-
CiteScore
1.90
自引率
40.00%
发文量
61
审稿时长
7 weeks
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