增加脆性1型糖尿病患者的饮食量对血糖波动的影响  

Effect of increasing food intake on blood glucose fluctuations in patients with fragile type 1 diabetes

作　　者：王德平 孙毓晗 金慧鹏 朱海夫 李思瓯 连续 WANG Deping;SUN Yuhan;JIN Huipeng;ZHU Haifu;LI Si'ou;LIAN Xu(Department of Endocrinology and Metabolism,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang 157100,China;Department of Otorhinolaryngology Head and Neck Surgery,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang157100,China;Department of Ophthalmology,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang157100,China)

机构地区：[1]牡丹江医学院附属红旗医院内分泌代谢科,黑龙江牡丹江157100 [2]牡丹江医学院附属红旗医院耳鼻咽喉头颈外科,黑龙江牡丹江157100 [3]牡丹江医学院附属红旗医院眼科,黑龙江牡丹江157100

出　　处：《中国现代医生》2020年第18期47-50,共4页China Modern Doctor

基　　金：黑龙江省牡丹江市科学技术计划项目(Z2017s0074)。

摘　　要：目的通过增加年轻消瘦的脆性1型糖尿病患者的饮食量观察其对血糖波动的影响。方法对30例年龄<30岁、BMI<18.5 kg/m^2脆性1型糖尿病患者先后进行糖尿病饮食及饱餐饮食治疗,采用CGMS监测血糖,观察增加饮食前后患者的血糖波动及控制情况。结果与糖尿病饮食相比较,饱餐饮食2周后,SDBG、MAGE、LAGE、MBG及MODD、PT10.0和PT3.9均下降(P<0.05),血糖达标率大幅改善(P<0.05),BMI有所增加(P<0.05)。继续饱餐治疗至3个月,与饱餐治疗2周时相比,BMI继续增加(P<0.05),但血糖的波动情况未见改善(P>0.05),血糖达标率维持之前的水平(P>0.05)。结论通过增加年轻消瘦的脆性1型糖尿病患者的饮食量可有效控制血糖,改善血糖的波动。Objective To observe its effect on blood glucose fluctuations by increasing the diet of young,wasting,fragile type 1 diabetic patients.Methods Thirty fragile type 1 diabetes patients with age<30 years old and BMI<18.5 kg/m2 were successively treated with diabetes and full diet.CGMS was used to monitor blood glucose,and blood glucose fluctuations and control were observed before and after increasing diet.Results Compared with those of the diabetic diet,SDBG,MAGE,LAGE,MBG and MODD,PT10.0 and PT3.9 all decreased after full diet for 2 weeks(P<0.05),and the blood glucose compliance rate improved significantly(P<0.05).There was an increase in BMI(P<0.05).After continued full treatment for 3 months,BMI continued to increase compared with that of the full diet for 2 weeks(P<0.05),but blood glucose fluctuations did not improve(P>0.05).And the blood glucose compliance rate was maintained before the level(P>0.05).Conclusion By increasing the diet of young patients with fragile type 1 diabetes,blood sugar can be effectively controlled and blood glucose fluctuations can be improved.

关 键 词：1型糖尿病 脆性糖尿病 血糖波动 糖尿病饮食 饱餐饮食 

分 类 号：R587.1[医药卫生—内分泌]