低碳水化合物饮食干预在2型糖尿病患者血糖管理中的应用

目的探讨低碳水化合物饮食(LCD)干预在2型糖尿病(T2DM)患者血糖管理中的应用效果。方法选择140例T2DM患者随机分成观察组和对照组各70例,对照组采用常规饮食干预,观察组采用LCD干预。结果干预前,观察组的空腹、早餐2 h后血糖分别为(9.19±2.77)mmol/L、(12.75±4.70)mmol/L,对照组则分别为(9.31±3.93)mmol/L、(13.39±4.52)mmol/L,干预后,观察组的空腹、早餐2 h后血糖分别为(6.42±1.44)mmol/L、(7.42±1.79)mmol/L,对照组则分别为(7.42±1.79)mmol/L、(10.34±2.87)mmol/L,2组患者组内干预前后比较及干预后组间比较,差异均具有统计学意义(P0.05)。观察组胰岛素减量率、胰岛素增量率、低血糖率分别为17.14%、17.14%、10.00%,对照组则分别为2.86%、42.86%、37.14%,差异均具有统计学意义(P0.05)。结论在T2DM患者血糖管理中实施LCD干预,可有效改善血糖水平,减少胰岛素用量,降低低血糖发生风险。

Application of low carbohydrate diet intervention in the management of blood glucose in patients with type 2 diabetes

Objective To analyze effect of low carbohydrate diet intervention in the management of blood glucose in patients with type 2 diabetes (T2DM).Methods A total of 140 patients with T2DM in our hospital were randomly divided into observation group and control group,with 70 cases per group,given LCD intervention and routine diet intervention.Results Before intervention,fasting and 2 h blood glucose after breakfast in the observation group were (9.19 ± 2.77) mmol/L,(12.75 ± 4.70) rmmoL/L,respectively,and control group were (9.31 ± 3.93) mmol/L,(13.39 ± 4.52) mmoL/L.After intervention,the observation group and control group of above indicators were (6.42± 1.44) mmol/L,(7.42 ± 1.79) mmol/L and(7.42 ± 1.79) mmol/L,(10.34 ± 2.87) mmol/L,respectively.There were significant differences in same group before and after intervention,and between groups after intervention (P ＜ 0.05).The insulin reduction rate,the insulin increment rate and the hypoglycemia rate in the observation group were 17.14％,17.14％ and 10％,respectively,and were 2.86％,42.86％ and 37.14％,respectively,in the control group,and the differences were statistically significant (P ＜ 0.05).Conclusion LCD intervention can effectively improve the blood glucose level,reduce the dosage of insulin,and reduce the risk of hypoglycemia in patients with T2DM.