Yannakoulia Mary
Department of Nutrition and Dietetics, Harokopio University, El. Venizelou 70, 17671 Athens, Greece.
Rev Diabet Stud. 2006 Spring;3(1):11-6. doi: 10.1900/RDS.2006.3.11. Epub 2006 May 10.
Nutrition intervention is an integral part of type 2 diabetes care. Dietary management entails a series of eating behavior changes regarding meal planning, food selection, food preparation, dining out, portion control, as well as appropriate responses to eating challenges. Diabetic patients encounter several difficulties in complying with the dietary regime. They exhibit restrictive eating behaviors, they express feelings of dietary deprivation, and rigid dietary control is perceived as the only way to a proper diet and weight management. However, pressure to conform to nutritional recommendations may render diabetics more prone to dietary under-reporting. Binge eating, restraint and body dissatisfaction frequently occur among these patients. Health professionals, therefore, need to take into account these difficulties in their collaboration with the patients in order to improve the effectiveness of nutrition intervention.
营养干预是2型糖尿病护理的一个组成部分。饮食管理需要在膳食计划、食物选择、食物制备、外出就餐、分量控制以及对饮食挑战的适当应对等方面进行一系列饮食行为改变。糖尿病患者在遵守饮食方案方面会遇到一些困难。他们表现出限制性饮食行为，表达饮食匮乏感，并且严格的饮食控制被视为实现合理饮食和体重管理的唯一途径。然而，遵循营养建议的压力可能使糖尿病患者更倾向于少报饮食情况。这些患者经常出现暴饮暴食、饮食节制和身体不满的情况。因此，医护人员在与患者合作时需要考虑到这些困难，以提高营养干预的效果。
