Kulkarni Karmeen
Diabetes Center, St. Mark's Hospital, Salt Lake City, Utah, USA.
Endocr Pract. 2006 Jan-Feb;12 Suppl 1:121-3. doi: 10.4158/EP.12.S1.121.
To emphasize the importance of medical nutrition therapy in the overall management of diabetes.
Published reports of the effectiveness of nutrition intervention in glycemic control are reviewed, and useful strategies for implementation of lifestyle changes in patients with diabetes are discussed.
In randomized controlled trials of nutrition therapy in patients with diabetes, reduction in hemoglobin A1c levels has been demonstrated. The focus of medical nutrition intervention in patients with diabetes should be strategies that will address the metabolic abnormalities of glucose, lipids, and blood pressure associated with this disease. Early referral for lifestyle changes and advice will yield the most benefit in prevention of development of type 2 diabetes or minimization of progression of the disease if the diagnosis has already been made. Patients should be educated about the progressive nature of type 2 diabetes and the importance of glycemic control, with appropriate food choices and physical activity in conjunction with their antidiabetes medication.
The health-care team can provide practical and useful information to patients with diabetes that will improve management of their disease and enhance their well-being.
强调医学营养治疗在糖尿病整体管理中的重要性。
回顾已发表的营养干预对血糖控制有效性的报告，并讨论糖尿病患者实施生活方式改变的有用策略。
在糖尿病患者营养治疗的随机对照试验中，已证明糖化血红蛋白水平有所降低。糖尿病患者医学营养干预的重点应是解决与该疾病相关的葡萄糖、脂质和血压代谢异常的策略。如果已确诊，早期转诊以改变生活方式并提供建议，将在预防2型糖尿病发展或使疾病进展最小化方面产生最大益处。应教育患者了解2型糖尿病的渐进性本质以及血糖控制的重要性，结合适当的食物选择、体育活动以及抗糖尿病药物。
医疗团队可为糖尿病患者提供实用且有用的信息，这将改善他们对疾病的管理并增进其健康。
