在患有1型糖尿病的年轻人中,典型餐后食后葡萄糖的变化
Susana R Patton1, Simon Bergford2, Jennifer L Sherr3
1Nemours Children's Health, Jacksonville, FL 32207, USA.
Nutrients
|January 11, 2024
概括
含碳水化合物较高的食增加了1型糖尿病 (T1D) 的年轻人葡萄糖的变化. 包括更多的脂肪和蛋白质可以帮助稳定吃饭后的血糖水平.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 代谢研究研究 代谢研究
- 糖尿病管理 糖尿病管理
背景情况:
- 饭后葡萄糖的变化是管理1型糖尿病 (T1D) 的关键挑战.
- 了解宏观营养素对年轻人血糖控制的影响,对于有效的糖尿病自我管理至关重要.
研究的目的:
- 研究1型糖尿病的年轻人中饮食中宏观营养素摄入量和食后葡萄糖变异性之间的关系.
- 评估自由生活用餐的不同宏观营养成分如何影响进食后的葡萄糖波动.
主要方法:
- 利用远程食物摄影方法确定208名患有T1D的年轻人的食中的宏观营养素含量.
- 收集有关身体活动,持续血糖监测和胰岛素使用的数据.
- 使用标准偏差 (SD) 和葡萄糖变化系数 (CV) 测量血糖变化,食后最多3小时.
主要成果:
- 较高的碳水化合物摄入量与食后血糖变异性 (SD和CV) 的增加有关.
- 脂肪摄入量增加与食后变性 (SD和CV) 的降低相关.
- 较高的蛋白质摄入量与碳水化合物含量独立的变化性降低 (仅SD) 有关.
结论:
- 饮食中的宏观营养素含量多样化,特别是在建议的碳水化合物摄入量之外加入足够的脂肪和蛋白质,可以帮助减少患有T1D的年轻人的食后血糖变化.
- 当旨在优化饮食成分以控制葡萄糖时,应考虑当前关于碳水化合物摄入的饮食指南.
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