Chantelau E, Sonnenberg G E, Stanitzek-Schmidt I, Best F, Altenähr H, Berger M
Diabetes Care. 1982 Nov-Dec;5(6):612-6. doi: 10.2337/diacare.5.6.612.
In 10 type I diabetic outpatients treated by continuous subcutaneous insulin infusion (CSII), dietary habits and metabolic control were investigated. Under conditions of a conventional diabetes diet (including 5-6 meals per day and a strictly planned meal intake) as well as under a "less restricted diabetes diet" (e.g., free choice of number, timing, and amount of carbohydrate intake) near normoglycemia could be achieved. Mean daily blood glucose levels did not change significantly when the patients' nutrition was alternated between both diets. During the "less restricted diabetes diet," the patients opted for a rather high fat intake (51 +/- 5% fat, 34 +/- 5% carbohydrate, and 15 +/- 2% protein). Despite this unintended dietary behavior, serum lipids and body weight remained normal after an observation period of 4-6 mo. It is concluded that during permanent near normoglycemia achieved by CSII a partial liberalization of the diabetes diet does not introduce any short-term or long-term metabolic risk factors for cardiovascular diseases.
对10名接受持续皮下胰岛素输注（CSII）治疗的I型糖尿病门诊患者的饮食习惯和代谢控制情况进行了调查。在传统糖尿病饮食（包括每日5 - 6餐且严格规划每餐摄入量）以及“限制较少的糖尿病饮食”（例如自由选择碳水化合物摄入的次数、时间和量）条件下，均可实现接近正常血糖水平。当患者在两种饮食之间交替时，平均每日血糖水平无显著变化。在“限制较少的糖尿病饮食”期间，患者选择了较高的脂肪摄入量（脂肪占51±5%，碳水化合物占34±5%，蛋白质占15±2%）。尽管存在这种意外的饮食行为，但经过4 - 6个月的观察期后，血脂和体重仍保持正常。得出的结论是，在通过CSII实现长期接近正常血糖水平的过程中，糖尿病饮食的部分放宽不会引入任何心血管疾病的短期或长期代谢风险因素。
