糖尿病前期每天碳水化合物摄入量与糖尿病发生关系的研究

Study on the Relationship between Daily Carbohydrate Intake and Diabetes Occurrence in the Early Stage of Diabetes

目的:探讨糖尿病前期每天碳水化合物摄入量与糖尿病发生的关系,为制定预防、预测干预糖尿病发生发展机制和治疗提供科学性依据。方法:回顾性选取2013年7月-2014年9月本院收治的132例血糖异常患者作为研究对象,根据每天碳水化合物摄入量不同随机分为三组,每组44例。三组患者每天摄入不同的碳水化合物量,比较三组体质指数(BMI)变化、糖尿病发生率及碳水化合物摄入量与OGTT血糖值的相关性。结果:研究前,三组体质指数比较差异无统计学意义(P>0.05),研究后三组BMI均较研究前升高,三组比较差异有统计学意义(P<0.05)。糖尿病的发生率以第三组居高,第二组次之,第一组最低,比较差异有统计学意义(P<0.05)。平均每天总能量摄入量及平均每天总碳水化合物摄入量与OGTT在0时血糖值均呈现显著正相关(r=0.108、0.100,P=0.000),而平均每天总碳水化合物供能百分比与OGTT在0时血糖值无显著相关性(r=0.004,P=0.083);平均每天总碳水化合物供能百分比与OGTT在2 h时血糖值呈现显著性负相关(r=-0.058,P=0.011),而平均每天总能量摄入量及平均每天总碳水化合物摄入量均与OGTT在2 h时血糖值无显著相关性(r=-0.009、-0.029,P=0.104、0.091)。结论:糖尿病前期每天碳水化合物摄入量与糖尿病的发生发展具有一定的关系,当患者出现血糖异常时,应合理规划饮食习惯,严格控制每天碳水化合物的摄入量,从而降低糖尿病出现的风险,广大医学卫生工作者应当予以重视。

Objective： To discuss the relationship between daily carbohydrate intake and diabetes occurrence in the early stage of diabetes, aim to provide scientific basis for the prevention and prediction of the development mechanism and treatment of diabetes.Method： A total of 132 cases of abnormal blood glucose in our hospital from July 2013 to September 2014 were retrospectively selected as the research objects, they were divided into three groups according to the daily carbohydrate intake, each group had 44 cases.Three groups were given different daily intake of carbohydrates, the changes of body mass index, incidence of diabetes mellitus and the correlation between carbohydrate intake and the value of OGTI＇ in the three groups were compared.Result： Before study, there were no significant differences between three groups in body mass index （ P〉0.05 ）, after study, the body mass index of the three groups were all higher than before study, the differences were statistically significant between three groups （ P〈0.05 ） .The incidence of diabetes in third group was highest, the second group was better and the first group was the lowest, the differences were statistically significant （ P〈0.05 ） .The average daily total energy intake and the average daily total carbohydrate intake were significantly correlated with OGTT at 2 h （ r=0.108, 0.100, P=0.000 ） .The average daily total carbohydrate energy percentage and OGTT in 0 h glucose value was no significant correlation （ r=0.004, P=0.083 ） .The average daily total carbohydrate energy percentage was significantly negatively correlated with the value of OGTT at 2 h （r=-0.058, P=0.011 ）, while the average daily total energy intake and the average daily total carbohydrate intake were not significantly correlated with OGTT at 2 h （r=-0.029, -0.009, P=0.104, 0.091 ） .Conclusion： There is a certain relationship between the daily carbohydrate intake and the occurrence and development of diabetes in the early stage of diabetes, when patients with abnormal blood glucose, should be reasonable planning of eating habits, strict control daily carbohydrate intake, so as to reduce the risk of diabetes, majority of medical and health workers should paid attention.