改变饮食顺序对社区2型糖尿病患者血糖的影响

Effect of Changing Diet Order on Blood Glucose of Patients with Type 2 Diabetes Mellitus in Community

目的探讨改变进餐饮食顺序对社区2型糖尿病患者血糖的影响。方法选择居住在3 506社区2型糖尿病患者238例,改变进餐饮食顺序:先食高纤维蔬菜,再进食含有蛋白质或脂肪的菜,最后食用含碳水化合物的主食,观察饮食顺序改变前后患者血糖的变化和改变饮食顺序的依从性。结果改变饮食顺序后患者的空腹血糖,早餐、中餐与晚餐后2 h血糖,糖化血红蛋白显著低于改变前(P<0.00),中餐和晚餐前血糖与改变前无明显差异(P>0.05),患者的依从性为95.0%。结论未改变饮食总量,仅改变饮食顺序的方法有利于改善2型糖尿病患者的血糖,良好的依从性有利于患者的长期坚持。

Objective To study the effect of changing diet order on blood glucose of patients with type 2 diabetes mellitus in community. Methods Totally 238 cases of patients with type 2 diabetes from 3,506 communities were included in the study and required to change their diet order： high fiber vegetables first, followed by foods containing protein or fat food, then staple foodcontaining carbohydrates. The changes of blood glucose in patients and patients ＊ compliance of changing dietary order were observed. Results After changing the diet order, fasting glucose, breakfast, lunch and dinner 2 hours after blood glucose and HbAlc were lower （P〈0.01） but the change of blood glucose before lunch and dinner indicated no statistical differences （P〉0.05） and patients ＊ compliance was 95.0%. Conclusion Changing the order of the diet can improve blood glucose and good compliance is conducive to long-term adherence of patients