饮食控制对2型糖尿病患者糖脂代谢的影响研究

Impact of decreased energy intakes on the glucolipid metabolic factors in type 2 diabetic patients

目的探讨饮食控制对2型糖尿病治疗效果的影响。方法选取2型糖尿病患者75例,分为干预组和对照组。干预组采用包括控制总热卡和脂肪摄入的饮食疗法的生活方式干预,对照组进行常规门诊治疗,干预6个月后,比较两组的总热卡及脂肪热卡摄入、糖脂代谢指标,对脂肪热卡摄入干预前后的差值和血脂指标进行相关分析。结果 6个月后,干预组总热卡及脂肪摄入、空腹血糖、糖基化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白等指标均较对照组显著降低;干预组总热卡摄入差值、脂肪摄入差值和甘油三酯显著性相关(P=0.026、P=0.024)。结论包括控制总热卡和脂肪摄入的饮食疗法在内的生活方式干预技术可以显著改善2型糖尿病患者的糖脂代谢。

Aim To explore the impact of decreased energy intakes on the metabolic factors in type 2 diabetic patients.Method Seventy-five patients with type 2 diabetes were divided into interventional group（IG） and control group（CG）.The lifestyle interventional technique including diet prescription of decreased total caloric intakes and fat intakes was used in IG only.The indexes of total caloric intakes,fat intakes,glucolipid metabolic indexes were observed before and after 6 months in both groups.Results After 6 months,total caloric intakes and fat intakes were significantly lower in IG than that in CG.The indexes such as fast blood glucose,HbA1c,TC,TG,LDL decreased significantly in IG compared with CG.Total caloric intakes and fat intakes were significantly correlated with TG in IG.Conclusion The lifestyle interventional technique including diet prescription of decreased total caloric intakes and fat intakes can improve the glucolipid metabolism in type 2 diabetic patients.