中国全科医学2011，Vol.14Issue(1)：52-53,56,3.
低碳水化合物饮食和低脂肪饮食对2型糖尿病患者体质量及血糖的影响
Effects of A Low-Carbohydrate Diet and A Low-Fat Diet on Weight and Glycemic Control in Type 2 Diabetics Mellitus
曹爱华 1孙丽珍 1崔静稳 1张宪静1
作者信息
- 1. 053000,河北省衡水市第四人民医院心内科
- 折叠
摘要
Abstract
Objective To compare the effects of a 1 - year intervention with a low - carbohydrate and a low - fat diet on weight and glycemic control in patients with type 2 diabetes mellitus. Methods The randomized controlled clinical trial was taken to assign 90 0verweight patients with type 2 diabetes mellitus to the low - carbohydrate diet ( A ) group and low - fat diet ( B ) group, with 45 patients in each. The patients in the group A were given a low - carbohydrate diet and biguanides; while those in the group B were given a low - fat diet and biguanides. The body weight, glycosylated hemoglobin ( HbA1c ), blood pressure and lipids were detected before treatment and 3 , 6. and 12 months after the treatment. Results Before and after the treatment there were statistical differences in body weight and high density lipoprotein Cholesterol ( HDL - C ) between the two groups ( P ＜ 0. 01 ); but no statistically significant difference was found in hlood pressure, serum total cholesterol ( TC ) , low density lipoprotein Cholesterol ( LDL - C ), serum triglyceride( TG ) and HbAlc ( P ＞ 0. 05 ). The evident decreases of body weight and HbAlc of the patients in the two groups were mainly found at the first three months of treatment. The average decreases of body weight in group A and B were 1. 8 kg/month and 1. 0 kg/month respectively ; and the decreases of HbA1c: were both 0. 6％ . Nevertheless, the decreases of weight in one year in both group were 3. 4 kg. Conclusion For overweight patients with type 2 diabetes , a low - carhohydrate diet a low - fat diet for one year have similar effects on HBAlc , and no significant effect on blood pressure. However the low - carbohydrate diet produces a greater decrease than the low - fat diet; and the latter can obviously increase LDL - C level.关键词
糖尿病,2型/膳食,限制脂肪/膳食,低碳水化合物/体质量/血糖分类
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曹爱华,孙丽珍,崔静稳,张宪静..低碳水化合物饮食和低脂肪饮食对2型糖尿病患者体质量及血糖的影响[J].中国全科医学,2011,14(1):52-53,56,3.
