Silva Flávia Moraes, Steemburgo Thais, Azevedo Mirela J de, Mello Vanessa D de
Serviço de Endocrinologia, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.
Arq Bras Endocrinol Metabol. 2009 Jul;53(5):560-71. doi: 10.1590/s0004-27302009000500009.
The tight glycemic control can prevent and/or delay the development of chronic complications of diabetes mellitus (DM). Dietary carbohydrates are the main determinant of postprandial blood glucose and glycemic index (GI) and glycemic load are used to predict blood glucose response to foods. The aim of this paper was to critically review the role of low GI diets in type 2 diabetes mellitus (T2DM) prevention and metabolic control. The risk for development of T2DM with high GI diets ranged from 1.21 to 1.59.The reduction from 12-32 units in the GI of diets decreased 0.39-0.50% in HbA1c values. However, the effects of these diets on lipid profile and body weight in patients with T2DM remain controversial. In conclusion, the current evidence indicates that the inclusion of GI in the dietary planning for patients with T2DM contributes to the improvement of glycemic control.
严格的血糖控制可以预防和/或延缓糖尿病(DM)慢性并发症的发生。膳食碳水化合物是餐后血糖的主要决定因素,血糖指数(GI)和血糖负荷用于预测食物的血糖反应。本文的目的是批判性地综述低GI饮食在2型糖尿病(T2DM)预防和代谢控制中的作用。高GI饮食患T2DM的风险范围为1.21至1.59。饮食GI从12 - 32单位的降低使糖化血红蛋白(HbA1c)值降低0.39 - 0.50%。然而,这些饮食对T2DM患者血脂和体重的影响仍存在争议。总之,目前的证据表明,在T2DM患者的饮食计划中纳入GI有助于改善血糖控制。