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糖尿病患者可采用的五种基于证据的生活方式习惯。

Five Evidence-Based Lifestyle Habits People With Diabetes Can Use.

作者信息

Chacko Elsamma, Signore Christine

机构信息

Department of Internal Medicine, Connecticut Valley Hospital, Middletown, CT.

Department of Endocrinology, Middlesex Hospital, Middletown, CT.

出版信息

Clin Diabetes. 2020 Jul;38(3):273-284. doi: 10.2337/cd19-0078.

Abstract

Several evidence-based lifestyle habits focusing on the composition, timing, and sequence of meals and on pre- and postmeal exercise can improve diabetes management. Consuming low-carbohydrate, balanced meals and eating most carbohydrates early in the day are helpful habits. Eating the protein and vegetable components of a meal first and consuming the carbohydrates 30 minutes later can moderate glucose levels. Postmeal glucose surges can be blunted without precipitating hypoglycemia with moderate exercise 30-60 minutes before the anticipated peak. Short-duration, high-intensity exercise could also be effective. Premeal exercise can improve insulin sensitivity but can also cause post-exertion glucose elevations. Moreover, high-intensity premeal exercise may precipitate delayed hypoglycemia in some people. Glycemia benefits can be enhanced by eating a light, balanced breakfast after premeal exercise.

摘要

几种基于证据的生活方式习惯,包括关注饮食的组成、时间和顺序以及餐前和餐后运动,可改善糖尿病管理。食用低碳水化合物、均衡饮食并在一天中较早时间摄入大部分碳水化合物是有益的习惯。先食用一餐中的蛋白质和蔬菜部分,30分钟后再摄入碳水化合物,可调节血糖水平。在预期血糖峰值前30 - 60分钟进行适度运动,可减轻餐后血糖飙升,且不会引发低血糖。短时间、高强度运动也可能有效。餐前运动可提高胰岛素敏感性,但也可能导致运动后血糖升高。此外,高强度餐前运动在某些人身上可能会引发延迟性低血糖。通过在餐前运动后食用清淡、均衡的早餐,可增强血糖益处。

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