摘要
目的探讨血糖负荷饮食疗法在非胰岛素治疗的2型糖尿病患者中的应用效果。方法 2型糖尿病124例按照随机数字表分为食物交换份组62例,血糖负荷(glycemic load,GL)饮食组62例,进行为期3个月的饮食干预,观察两组患者的空腹血糖(FPG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)、体质指数(BMI)以及饮食知识问卷在干预前后的变化。结果 3个月饮食干预后,血糖负荷组患者的FPG、2 h PBG、HbA1c明显低于食物交换份组(P<0.05),两组BMI比较差异无统计学意义(P>0.05)。饮食知识问卷表明血糖负荷饮食组在饮食计算方法和合理选择食物方面明显优于食物交换份组(P<0.05)。结论血糖负荷饮食疗法与食物交换份法相比能更好地促进非胰岛素治疗的2型糖尿病患者的血糖控制。
Objective To study the effect of dietary glycemic load in non-insulin-treated type 2 diabetes.Methods 124 cases of non-insulin-treated type 2 diabetes were randomly divided into dietary glycemic load（ GL） group and food exchange serving（ FEL）group,each with 62 cases. The dietary knowledge of diabetes,fasting blood glucose（ FPG）,2 h postprandial blood glucose（ 2 h PBG）,glycosylated hemoglobin（ HbA1c）,and body mass index（ BMI） were assessed after 3 months intervention. Results After 3 months intervention,GL group had a lower FPG,2 h PBG and HbA1 c than FEL group（ P〈0. 05）. But the BMI of patients had no significant difference between two groups（ P〉0. 05）. GL group was significantly better than FEL group in the dietary knowledge of selecting and calculating diet（ P〈0. 05）. Conclusion The dietary glycemic load is more effective than the food exchange serving in controlling blood glucose for non-insulin-treated type 2 diabetes.
出处
《东南国防医药》
2014年第5期469-472,共4页
Military Medical Journal of Southeast China
关键词
2型糖尿病
食物交换份
血糖负荷
type 2 diabetes
food exchange serving
glycemic load
