Physicians Committee for Responsible Medicine, Washington, DC (Ms Trapp, Dr Barnard, Dr Katcher)
Premier Internists, Division of the Millennium Medical Group, Southfield, Michigan (Ms Trapp)
Diabetes Educ. 2010 Jan-Feb;36(1):33-48. doi: 10.1177/0145721709357797.
The purpose of this review is to provide educators with the knowledge and tools to utilize plant-based nutrition education as an intervention for type 2 diabetes. Scientific support for the efficacy, acceptability, and nutritional adequacy of a plant-based diet for people with type 2 diabetes is presented, and practical considerations such as medication adjustment and risk of hypoglycemia are reviewed.
Plant-based meal planning is an acceptable and effective strategy that educators can use to improve diabetes management and reduce risk of complications. Studies show that dietary changes that are effective for reducing cardiac risk may also be helpful for management of type 2 diabetes. A low-fat, plant-based diet reduces body weight and improves glycemic control, and has been shown to be remarkably well accepted by patients.
本综述旨在为教育工作者提供知识和工具，以将植物性营养教育作为 2 型糖尿病干预措施。本文介绍了植物性饮食对 2 型糖尿病患者的疗效、可接受性和营养充足性的科学依据，并回顾了药物调整和低血糖风险等实际问题。
植物性膳食计划是一种可以接受且有效的策略，教育工作者可以使用它来改善糖尿病管理，降低并发症风险。研究表明，有效降低心脏风险的饮食改变可能对 2 型糖尿病的管理也有帮助。低脂、植物性饮食可减轻体重，改善血糖控制，并且患者非常接受这种饮食。
