2型糖尿病的营养治疗与肠内营养支持

Medical Nutrition Therapy(MNT)and Enteral Nutrition (EN)for Type2Diabetes Mellitus

营养治疗是2型糖尿病综合治疗的基本组成部分。美国糖尿病学会2000年提出新的营养治疗的目标及基于现有的临床经验和普遍认识而总结的热量及营养素推荐量标准。对于难以经口摄取自然膳食的糖尿病患者,应首选肠内营养。密切监测血糖、糖化血红蛋白、血脂、血压、体重及肾功能的代谢指标以及生活方式等,是保证治疗成功的关键。

Medical nutrition therapy(MNT)is an essential component of combined care and management for type2diabetes mellitus (DM).New goal of MNT from American Diabetes Association(ADA)and the dietary reference recommendations based on current clinical experiences and consensus were presented in2000.For the DM patients who could hardly take normal diet,enteral nutrition(EN)should be the first choice.Monitoring metabolic parameters,including blood glucose levels,glycated hemoglobin,lipids,blood pressure,body weight,and renal function,as well as quality of life,is crucial to ensure successful outcomes.