1型糖尿病膳食治疗的研究进展  

Research Progress in Dietary Treatment of Type 1 Diabetes Mellitus

作　　者：赵倩[1] 彭慧芳 尚丽景 张文宁 马瑜瑾 ZHAO Qian;PENG Huifang;SHANG Lijing;ZHANG Wenning;MA Yujin(Department of Metabolism and Endocrinology,Endocrine and Metabolic Disease Center,the First Affiliated Hospital and College of Clinical Medicine of Henan University of Science and Technology/Medical Key Laboratory of Hereditary Rare Diseases of Henan/Luoyang Sub-center of National Clinical Research Center for Metabolic Diseases,Luoyang 471003,China)

机构地区：[1]河南科技大学临床医学院河南科技大学第一附属医院内分泌代谢中心内分泌代谢科河南省遗传罕见病医学重点实验室国家代谢性疾病临床医学研究中心洛阳分中心,河南洛阳471003

出　　处：《医学综述》2021年第22期4519-4524,共6页Medical Recapitulate

基　　金：河南省省直医疗机构医疗服务能力提升工程建设项目(豫卫医〔2017〕66号);河南省医学科技攻关计划(联合共建项目)(2018020280)。

摘　　要：近年来,1型糖尿病(T1DM)的患病率呈逐年递增趋势,发病越早,慢性并发症导致的死亡风险越大。T1DM饮食干预疗法包括素食膳食、地中海膳食、低碳水化合物膳食、低血糖指数和低血糖负荷膳食,对控制T1DM患者血糖、改善糖化血红蛋白以及延缓糖尿病相关并发症具有显著效果。膳食模式的选择多种多样,低血糖指数和低血糖负荷膳食对于T1DM患者的血糖控制更具有指导意义,但目前最适合T1DM患者的膳食模式仍存在争议。未来可进一步研究低血糖指数和低血糖负荷膳食在T1DM饮食干预中的作用。In recent years,the prevalence of type 1 diabetes mellitus(T1DM)has been increasing year by year.The earlier the onset of T1DM,the greater the death risk caused by the chronic complications is.T1DM dietary intervention includes vegetarian diet,the Mediterranean diet,low carbohydrate diet,low glycemic index and low glycemic load diet,which has significant effects on controlling blood glucose,improving glycated hemoglobin and delaying diabetes-related complications in the T1DM patients.There are a variety of dietary patterns,while low glycemic index and low glycemic load diets have more guiding significance for blood glucose control in the T1DM patients,the most suitable dietary pattern is still controversial.The role of low glycemic index and low glycemic load diet in dietary intervention of T1DM can be further studied in the future.

关 键 词：1型糖尿病 膳食模式 血糖 并发症 

分 类 号：R587.1[医药卫生—内分泌]