膳食纤维代餐联合低血糖指数医用食品饮食管理在2型糖尿病患者中的应用

Application of meal replacement with dietary fiber combined with diet management of medical food with low glycemic index in patients with type 2 diabetes

目的探讨膳食纤维代餐联合低血糖指数医用食品饮食管理在2型糖尿病中的应用。方法选取我院2018年4月至2019年4月收治的2型糖尿病患者90例为研究对象,随机将其等分为观察组与对照组,对照组给予常规糖尿病饮食指导,观察组在此基础上给予膳食纤维代餐主导联合低血糖指数食品。比较两组患者各项营养物质摄入量、肠道菌群以及干预后血脂及血糖水平。结果观察组能量、脂肪、碳水化合物摄入量均低于对照组,蛋白质摄入量高于对照组(P<0.05);两组球形梭菌类、柔嫩梭菌类、拟杆菌属、双歧杆菌属比较差异无统计学意义(P>0.05);观察组各项血糖及血脂水平指标均低于对照组(P<0.05)。结论以膳食纤维代餐主导联合低血糖指数食品饮食管理可改善2型糖尿病患者对各项能量物质的摄入及血糖和血脂水平,同时不影响肠道各菌群,值得推广应用。

Objective To explore the application of meal replacement with dietary fiber combined with diet management of medical food with low glycemic index in patients with type 2 diabetes.Methods To select 90 cases of patients with type 2 diabetes treated in our hospital from April 2018 to April 2019 as study subjects,and they were randomly divided into observation group and control group.The control group was given conventional diabetes dietary guidance.The observation group was given meal replacement with dietary fiber combined with diet management of medical food with low glycemic index based on this.The nutritional intake,intestinal flora,and blood lipid and blood glucose levels of the two groups were compared.Results The energy,fat and carbohydrate intake of the observation group were lower than those of the control group,and the protein intake was higher than that of the control group(P<0.05).There was no significant difference in spherical Clostridium,Clostridium leptum,Bacteroides,and Bifidobacterium between the two groups(P>0.05).The indexes of blood glucose and blood lipid levels in the observation group were lower than those in the control group(P<0.05).Conclusion Meal replacement with dietary fiber combined with diet management of medical food with low glycemic index could improve the intake of various energy substances and blood glucose and blood lipid levels in patients with type 2 diabetes without affecting the intestinal flora,which was worth popularizing and applying.