| 2型糖尿病患者经营养指导早餐后指尖血糖变化及运动治疗建议 |
| 投稿时间：2016-02-22 修订日期：2016-03-17 点此下载全文 |
| 引用本文：马小陶,石劢.2型糖尿病患者经营养指导早餐后指尖血糖变化及运动治疗建议[J].医学研究杂志,2016,45(10):53-56 |
| DOI：
10.11969/j.issn.1673-548X.2016.10.013 |
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| 基金项目:教育部新世纪优秀人才支持计划基金资助项目（NCET-13-0694） |
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| 中文摘要:目的 探讨经饮食指导的2型糖尿病患者早餐结束后0~3h指尖血糖水平变化情况及餐后运动对其中1例患者血糖水平影响实例，为糖尿病患者营养治疗基础上的个体化运动治疗提供依据及建议。方法 招募受试者分别纳入糖尿病组与非糖尿病对照组，经营养师指导后，比较两组受试者早餐各类营养素摄入水平及早餐结束后0~3h每间隔10min的指尖血糖水平、血糖峰值及达峰时间，记录其中1例患者餐后安静状态及运动状态下早餐结束后0~3h内指尖血糖的变化数据。结果 实验期间早餐摄入总能量及蛋白质、脂肪、碳水化合物供能比在两组间差异无统计学意义（P>0.05）。糖尿病组受试者早餐结束后0~3h指尖血糖值在各时间点均较对照组显著升高，平均餐后血糖峰值及达峰时间明显升高和延迟（P<0.05），患者餐后血糖变化在血糖曲线形状及达峰时间等方面存在较大个体差异。90min的餐后快走运动降低了1例实例中糖尿病患者餐后各时间点血糖水平，降糖效果于运动开始后5min开始出现并至少持续至运动结束后1h，运动后患者餐后血糖峰值及达峰时间分别下降及提前。结论 运动治疗尤其适于病情控制较稳定且无明显运动禁忌证的糖尿病患者病程管理，应配合营养治疗同时进行，依据适量、经常性及个体化原则，建议于自身餐后血糖尚未达到峰值时即开始运动。 |
| 中文关键词:2型糖尿病 运动治疗 营养治疗 餐后血糖 |
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| Changes of Finger Tip Postprandial Glucose Levels after Breakfast and Recommendations of Exercise Treatment for the Patients with Type 2 Diabetes Accepted Nutritional Guidance |
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| Abstract:Objective To study the changes of 0-3h finger tip postprandial glucose levels after breakfast in the patients with Type 2 diabetes accepted nutritional guidance, and to report the effects of the exercise after breakfast on the postprandial glucose of one of the patients, which could provide the individualized evidence and recommendation for the exercise treatment of the diabetic patients accepted the nutritional therapy. Methods The subjects were enrolled in diabetes group and control group. We compared with the nutient intakes, the changes of 0-3h finger tip postprandial glucose levels by per 10min after breakfast, glucose peak and peak-time between the two groups after accepted the dietary guidance. The changes of 0-3h finger tip postprandial glucose levels in 1 case of a diabetic patient during the quiet state and exercise state were recorded. Results Between the two groups, the total energy and energy ratio of protein, fat and carbohydrate had no significant difference (P>0.05) during the experiment. Compared with the control group, after breakfast, the 0-3h finger tip postprandial glucose levels were significantly higher in the diabetes group. Similar significant increase of average postprandial glucose peak and delay of peak-time was shown in the diabetes group, respectively (P<0.05). There were large differences in the shape of blood glucose curve and the peak-time among the patients with diabetes. In one diabetes case, the 90-minute exercise as walk fast after meal had an effect of the postprandial glucose reductions, which was shown from 5min after the beginning of the walking to 1h, at least, after the end of the walking. While in the exercise state, reduction of postprandial glucose peak and the early of peak-time was shown in this case. Conclusion Exercise therapy is applied to the disease management of the stable patients without exercise contraindications, especially. Exercise therapy could be combined with nutritional therapy and according to the principle of appropriate, sustained and individual. It is suggested that the exercise after meal could be started before the individual peak-time of the postprandial glucose. |
| keywords:Type 2 diabetes Exercise treatment Nutrition therapy Postprandial glucose |
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