Naumova R, Watts L, Gregory L, Sleĭvin B
Vutr Boles. 1990;29(3):99-104.
The dietary regimen of 70 patients with insulin dependent diabetes mellitus is discussed. 24 of these patients are with microalbuminuria (initial nephropathy). The age of manifestation of diabetes and the mean age of these patients are lower and the retinopathy is more frequent than in the patients without microalbuminuria. Only 18% of the diabetic patients studied keep a diet according to contemporary conceptions. In the group with initial nephropathy a higher consumption of fat (130.9 +/- 42.5 g) and proteins (109.6 +/- 28.8 g) is registered than in the other patients. There are no significant differences in the consumption of carbohydrates and fiber products. The possible role of longterm high consumption of fats and proteins by patients with diabetes mellitus in the pathogenesis of diabetic nephropathy is discussed.
本文讨论了70例胰岛素依赖型糖尿病患者的饮食方案。其中24例患者患有微量白蛋白尿（早期肾病）。与无微量白蛋白尿的患者相比，这些患者糖尿病的发病年龄和平均年龄更低，视网膜病变更为常见。在接受研究的糖尿病患者中，只有18%的患者按照现代观念控制饮食。与其他患者相比，早期肾病组的脂肪（130.9±42.5克）和蛋白质（109.6±28.8克）摄入量更高。碳水化合物和纤维产品的摄入量没有显著差异。文中讨论了糖尿病患者长期大量摄入脂肪和蛋白质在糖尿病肾病发病机制中的可能作用。
