中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
4期
445-447
,共3页
钟文菲%陈开宁%黎艺%方团育%张华川
鐘文菲%陳開寧%黎藝%方糰育%張華川
종문비%진개저%려예%방단육%장화천
血糖指数%运动%糖尿病2型%治疗
血糖指數%運動%糖尿病2型%治療
혈당지수%운동%당뇨병2형%치료
Glycemic index%Exercise%Type 2 diabetes%Treatment
目的 探讨低血糖指数膳食、运动对初诊2型糖尿病患者糖、脂代谢的影响.方法 比较17例初诊2型糖尿病患者(空腹血糖≤10 mmoL/L)经低血糖指数膳食、运动而未用任何降糖调脂药物干预前后的血糖、血脂等变化.结果 治疗两个月后,空腹血糖(6.19±0.60)mmol/L、餐后2 h血糖(8.59±0.90)mmol/L、TG(1.15±0.45)mmol/L、TC(4.98±0.77)mmol/L、LDL(3.20±0.71)mmol/L较治疗前(7.84±1.19)mmol/L、(13.97±3.35)mmol/L、TG(1.79±0.75)mmol/L、TC(5.46±0.27)mmol/L、LDL(3.57±0.28)mmol/L均明显下降,HDL(1.59±0.30)mmol/L较治疗前(1.42±0.26)mmol/L明显升高,差异均有统计学意义(均P＜0.05);HbA1c(6.49±0.57)%较治疗前(7.29±0.77)%亦稍降,但差异无统计学意义(P＞0.05).治疗过程未发生低血糖.结论 低血糖指数膳食联合运动干预能良好改善初诊2型糖尿病的糖脂代谢.
目的 探討低血糖指數膳食、運動對初診2型糖尿病患者糖、脂代謝的影響.方法 比較17例初診2型糖尿病患者(空腹血糖≤10 mmoL/L)經低血糖指數膳食、運動而未用任何降糖調脂藥物榦預前後的血糖、血脂等變化.結果 治療兩箇月後,空腹血糖(6.19±0.60)mmol/L、餐後2 h血糖(8.59±0.90)mmol/L、TG(1.15±0.45)mmol/L、TC(4.98±0.77)mmol/L、LDL(3.20±0.71)mmol/L較治療前(7.84±1.19)mmol/L、(13.97±3.35)mmol/L、TG(1.79±0.75)mmol/L、TC(5.46±0.27)mmol/L、LDL(3.57±0.28)mmol/L均明顯下降,HDL(1.59±0.30)mmol/L較治療前(1.42±0.26)mmol/L明顯升高,差異均有統計學意義(均P＜0.05);HbA1c(6.49±0.57)%較治療前(7.29±0.77)%亦稍降,但差異無統計學意義(P＞0.05).治療過程未髮生低血糖.結論 低血糖指數膳食聯閤運動榦預能良好改善初診2型糖尿病的糖脂代謝.
목적 탐토저혈당지수선식、운동대초진2형당뇨병환자당、지대사적영향.방법 비교17례초진2형당뇨병환자(공복혈당≤10 mmoL/L)경저혈당지수선식、운동이미용임하강당조지약물간예전후적혈당、혈지등변화.결과 치료량개월후,공복혈당(6.19±0.60)mmol/L、찬후2 h혈당(8.59±0.90)mmol/L、TG(1.15±0.45)mmol/L、TC(4.98±0.77)mmol/L、LDL(3.20±0.71)mmol/L교치료전(7.84±1.19)mmol/L、(13.97±3.35)mmol/L、TG(1.79±0.75)mmol/L、TC(5.46±0.27)mmol/L、LDL(3.57±0.28)mmol/L균명현하강,HDL(1.59±0.30)mmol/L교치료전(1.42±0.26)mmol/L명현승고,차이균유통계학의의(균P＜0.05);HbA1c(6.49±0.57)%교치료전(7.29±0.77)%역초강,단차이무통계학의의(P＞0.05).치료과정미발생저혈당.결론 저혈당지수선식연합운동간예능량호개선초진2형당뇨병적당지대사.
Objective To evaluate the effect of low glycemic index(LGI)diet and exercise on plasma glucose and lipid profiles in newly diagnosed type 2 diabetic patients. Methods Seventeen newly diagnosed type 2 diabetic patients with FPG ≤ 10mml/L treated by LGI diet and exercise only for two months.Fasting plasma glucose (FPG),2 hours postprandial glucose(2hPG),glycosylated hemoglobin A1 C(GHbA1C),and lipid profiles were measured.The results of FPG,2hPG,GHbA1C,and lipid profiles were compared. Results Two months after treatment,the level of fasting glucose(6.19 ± 0.60)mmol/L,postprandial 2h plasma glucose(8.59 ± 0.90)mmol/L,TG(1.15 ± 0.45)mmol/L,TC(4.98 ± 0.77)mmol/L,LDL(3.20 ± 0.71)mmol/L were significantly lower than (7.84 ± 1.19)mmol/L,(13.97 ± 3.35)mmol/L,TG(1.79 ± 0.75)mmol/L,TC(5.46 ± 0.27)mmol/L,LDL (3.57 ± 0.28)mmol/L,HDL(1.59 ± 0.30)mmol/L was significantly higher than(1.42 ± 0.26)mmol/L,the differences were statistically significant(all P＜0.05);HbA1c(6.49 ± 0.57)% was slightly lower than(7.29 ±0.77)%,but the difference was not significant(P＞0.05);No hypoglycemia was observed during the treatment. Conclusion The exellent glycemic control and improvement of lipid profile could be achieved by low glycemic index diet and exercise only.Furthermore,no hypoglycemia occurred during the treatment.
