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低热量植物性燕麦干预治疗2型糖尿病控制不佳的综述

Hypocaloric, plant-based oatmeal interventions in the treatment of poorly-controlled type 2 diabetes: A review.

作者信息

Storz Maximilian Andreas, Küster Onno

机构信息

Department of Internal Medicine and Gastroenterology, Die Filderklinik, Filderstadt-Bonlanden, Germany.

出版信息

Nutr Health. 2019 Dec;25(4):281-290. doi: 10.1177/0260106019874683. Epub 2019 Sep 10.

Abstract

BACKGROUND

Lifestyle interventions, including dietary modifications, play a key role in the treatment of type 2 diabetes. By the second half of the last century, dietary oatmeal interventions had frequently been used in patients with diabetes; however, with the widespread introduction of insulin, this practice gradually fell into disuse. Within the last decades, the original oatmeal intervention, first described in 1903, has been modified towards a hypocaloric, low-fat, and plant-based intervention.

AIM

The aim of this review was to investigate the current role of these adapted short-term dietary oatmeal interventions in the treatment of patients suffering from poorly-controlled type 2 diabetes. A special focus was put on opportunities for and barriers to its clinical implementation and its potential mechanisms of action.

METHODS

The electronic databases of PubMed and Google Scholar were searched using the keywords "oat," "oats," "oatmeal," and "diabetes."

RESULTS

While there are a limited number of clinical studies including hypocaloric short-term dietary oatmeal interventions, there is evidence that these interventions may lead to a significant decrease in mean blood glucose levels and a significant reduction of insulin dosage in patients suffering from poorly-controlled type 2 diabetes.

CONCLUSION

Modified short-term dietary oatmeal interventions are an effective and economical tool in the treatment of patients suffering from poorly-controlled type 2 diabetes.

摘要

背景

包括饮食调整在内的生活方式干预在2型糖尿病的治疗中起着关键作用。到上世纪下半叶,饮食燕麦干预已常用于糖尿病患者;然而,随着胰岛素的广泛应用,这种做法逐渐不再使用。在过去几十年里,最初于1903年描述的燕麦干预已朝着低热量、低脂和以植物为基础的干预方式进行了改进。

目的

本综述的目的是研究这些经过调整的短期饮食燕麦干预在治疗2型糖尿病控制不佳患者中的当前作用。特别关注其临床实施的机会和障碍以及潜在的作用机制。

方法

使用关键词“燕麦”“燕麦片”“燕麦粥”和“糖尿病”检索PubMed和谷歌学术的电子数据库。

结果

虽然包括低热量短期饮食燕麦干预的临床研究数量有限,但有证据表明,这些干预可能会使2型糖尿病控制不佳的患者平均血糖水平显著降低,胰岛素剂量显著减少。

结论

改良的短期饮食燕麦干预是治疗2型糖尿病控制不佳患者的一种有效且经济的工具。

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