Anderson E J, Richardson M, Castle G, Cercone S, Delahanty L, Lyon R, Mueller D, Snetselaar L
Diabetes Research Center, Massachusetts General Hospital, Boston 02114.
J Am Diet Assoc. 1993 Jul;93(7):768-72. doi: 10.1016/0002-8223(93)91750-k.
As part of an intensive treatment regimen that had as its goal achieving and maintaining blood glucose levels in the normal range in individuals with insulin-dependent diabetes mellitus, dietitians in the Diabetes Control and Complications Trial implemented varying nutrition intervention strategies to counsel patients to attain normoglycemia. Dietary management encompassed recommendations on altering insulin dosages for varying food intake. Nutrition intervention was tailored to best meet a participant's life-style, motivation, ability to grasp information, diet history, and specific intensive insulin therapy. Dietitians were integral participants in the team management of individuals in the intensive treatment group. Selected nutrition interventions--Healthy Food Choices, exchange systems, carbohydrate counting, and total available glucose--and behavior management approaches were coupled with intensive insulin therapy. Case presentations illustrate each nutrition intervention in the attainment of normoglycemia.
作为一项强化治疗方案的一部分，该方案旨在使胰岛素依赖型糖尿病患者的血糖水平达到并维持在正常范围内，糖尿病控制与并发症试验中的营养师实施了不同的营养干预策略，以指导患者实现血糖正常。饮食管理包括根据不同的食物摄入量调整胰岛素剂量的建议。营养干预是根据参与者的生活方式、动机、信息理解能力、饮食史和特定的强化胰岛素治疗进行定制的。营养师是强化治疗组个体团队管理的重要参与者。选定的营养干预措施——健康食物选择、交换系统、碳水化合物计数和总可利用葡萄糖——以及行为管理方法与强化胰岛素治疗相结合。病例展示说明了每种营养干预措施在实现血糖正常方面的情况。
