Freeman W L
Indian Health Service, Portland Area Diabetes Program, Bellingham, Washington.
Prim Care. 1988 Jun;15(2):327-52.
This article reviews current research about the pathogenesis of obese NIDDM relevant to its dietary management. It summarizes the findings about four dietary interventions: fasting; very low-calorie diets; hypocaloric balanced-deficit diets; and variation of constituents within a diet. The review recommends a specific primary care strategy: induce an extended remission of NIDDM in the obese patient in the short-term; and treat the cause of NIDDM and the behaviors that promote obesity in the long-term with group competition programs.
本文综述了与肥胖型非胰岛素依赖型糖尿病饮食管理相关的发病机制的当前研究。它总结了关于四种饮食干预措施的研究结果：禁食；极低热量饮食；低热量平衡亏空饮食；以及饮食中成分的变化。该综述推荐了一种特定的初级保健策略：在短期内使肥胖患者的非胰岛素依赖型糖尿病获得长期缓解；并通过团体竞赛项目长期治疗非胰岛素依赖型糖尿病的病因以及促进肥胖的行为。
