CAJ | 학술논문

目的：探讨血糖负荷饮食疗法在非胰岛素治疗的2型糖尿病患者中的应用效果。方法2型糖尿病124例按照随机数字表分为食物交换份组62例，血糖负荷（glycemic load，GL）饮食组62例，进行为期3个月的饮食干预，观察两组患者的空腹血糖（FPG）、餐后2 h血糖（2 h PBG）、糖化血红蛋白（HbA1c）、体质指数（BMI）以及饮食知识问卷在干预前后的变化。结果3个月饮食干预后，血糖负荷组患者的FPG、2 h PBG、HbA1c明显低于食物交换份组（P＜0．05），两组BMI比较差异无统计学意义（P＞0．05）。饮食知识问卷表明血糖负荷饮食组在饮食计算方法和合理选择食物方面明显优于食物交换份组（ P＜0．05）。结论血糖负荷饮食疗法与食物交换份法相比能更好地促进非胰岛素治疗的2型糖尿病患者的血糖控制。
목적：탐토혈당부하음식요법재비이도소치료적2형당뇨병환자중적응용효과。방법2형당뇨병124례안조수궤수자표분위식물교환빈조62례，혈당부하（glycemic load，GL）음식조62례，진행위기3개월적음식간예，관찰량조환자적공복혈당（FPG）、찬후2 h혈당（2 h PBG）、당화혈홍단백（HbA1c）、체질지수（BMI）이급음식지식문권재간예전후적변화。결과3개월음식간예후，혈당부하조환자적FPG、2 h PBG、HbA1c명현저우식물교환빈조（P＜0．05），량조BMI비교차이무통계학의의（P＞0．05）。음식지식문권표명혈당부하음식조재음식계산방법화합리선택식물방면명현우우식물교환빈조（ P＜0．05）。결론혈당부하음식요법여식물교환빈법상비능경호지촉진비이도소치료적2형당뇨병환자적혈당공제。
Objective To study the effect of dietary glycemic load in non-insulin-treated type 2 diabetes.Methods 124 cases of non-insulin-treated type 2 diabetes were randomly divided into dietary glycemic load(GL) group and food exchange serving(FEL) group,each with 62 cases.The dietary knowledge of diabetes,fasting blood glucose (FPG),2 h postprandial blood glucose (2 h PBG), glycosylated hemoglobin (HbA1c),and body mass index (BMI) were assessed after 3 months intervention.Results After 3 months in-tervention,GL group had a lower FPG,2 h PBG and HbA1c than FEL group (P<0.05).But the BMI of patients had no significant difference between two groups (P>0.05).GL group was significantly better than FEL group in the dietary knowledge of selecting and calculating diet(P<0.05).Conclusion The dietary glycemic load is more effective than the food exchange serving in controlling blood glucose for non-insulin-treated type 2 diabetes.