Kumar Nitya Kalyani, Merrill Jennifer D, Carlson Scott, German Jashalynn, Yancy William S
Division of Endocrinology, Diabetes, & Metabolism, Duke University, Durham, NC, USA.
Division of Endocrinology, Diabetes, & Metabolism, Ohio State University, Columbus, OH, USA.
Diabetes Metab Syndr Obes. 2022 Feb 18;15:477-498. doi: 10.2147/DMSO.S292742. eCollection 2022.
Evidence suggests that low carbohydrate (<130 g/day of carbohydrate) (LCD) and very low carbohydrate, ketogenic diets (typically <50 g/day of carbohydrate) (VLCKD) can be effective tools for managing diabetes given their beneficial effects on weight loss and glycemic control. VLCKD also result in favorable lipid profile changes. However, these beneficial effects can be limited by poor dietary adherence. Cultural, religious, and economic barriers pose unique challenges to achieving nutritional compliance with LCD and VLCKD. We review the various methods for assessing adherence in clinical studies and obstacles posed, as well as potential solutions to these challenges.
有证据表明，低碳水化合物饮食（每日碳水化合物摄入量<130克）（LCD）和极低碳水化合物生酮饮食（通常每日碳水化合物摄入量<50克）（VLCKD）因其对体重减轻和血糖控制的有益作用，可成为管理糖尿病的有效手段。VLCKD还会使血脂状况发生有利变化。然而，这些有益效果可能会因饮食依从性差而受到限制。文化、宗教和经济障碍对实现LCD和VLCKD的营养依从性构成了独特挑战。我们回顾了临床研究中评估依从性的各种方法、所面临的障碍以及应对这些挑战的潜在解决方案。
