Stevens J, Burgess M B, Kaiser D L, Sheppa C M
Diabetes Care. 1985 Jul-Aug;8(4):359-66. doi: 10.2337/diacare.8.4.359.
The impact of patient education on dietary fiber intake, diabetes control, and serum lipids was examined in patients with non-insulin-dependent diabetes mellitus. Customary outpatient personnel and procedures were used to teach three diet plans: the American Diabetes Association (ADA) diet, the ADA diet modified to increase high-fiber, high-carbohydrate foods (IF), and the IF diet supplemented with oat bran (IFOB). A control group was instructed on foot care to provide teaching visits. Fifty-two patients were recruited from an outpatient clinic and studied over a 6-wk period. Subjects were of low socioeconomic status and had completed a mean of 8.3 yr of education. Patients instructed to increase their intake of high-fiber foods reported a doubling of fiber intake and tolerated the diets well. Increased fiber and carbohydrate intake and decreased fat intake were associated with reductions in fasting plasma glucose levels. Increased fiber intake was also associated with reductions in total serum cholesterol and high-density lipoprotein cholesterol levels. Changes in fiber, carbohydrate, and fat intake were unrelated to changes in weight, serum insulin levels, or hemoglobin A1c levels over the study period.
在非胰岛素依赖型糖尿病患者中，研究了患者教育对膳食纤维摄入量、糖尿病控制及血脂的影响。采用常规门诊工作人员和程序讲授三种饮食计划：美国糖尿病协会（ADA）饮食、增加高纤维、高碳水化合物食物的改良ADA饮食（IF）以及补充燕麦麸的IF饮食（IFOB）。对照组接受足部护理指导以提供教学访问。从门诊招募了52名患者并进行为期6周的研究。受试者社会经济地位较低，平均接受过8.3年教育。被指导增加高纤维食物摄入量的患者报告膳食纤维摄入量翻倍且对饮食耐受良好。纤维和碳水化合物摄入量增加以及脂肪摄入量减少与空腹血糖水平降低有关。膳食纤维摄入量增加还与总血清胆固醇和高密度脂蛋白胆固醇水平降低有关。在研究期间，纤维、碳水化合物和脂肪摄入量的变化与体重、血清胰岛素水平或糖化血红蛋白水平的变化无关。
