Aitken G
Dietetic Department, Royal Edinburgh Hospital.
Br J Nurs. 1997;6(18):1035-8, 1040. doi: 10.12968/bjon.1997.6.18.1035.
Dietary recommendations for the management of diabetes have changed over the past 10 years. There is now a reduced emphasis on the importance of carbohydrate in the diabetic diet. The first move away from carbohydrate restriction came in 1982 when the British Diabetic Association published its 'Dietary recommendations for diabetics for the 1980s'. This document suggested that the diet for people with diabetes should be based on a high intake of complex carbohydrate and fibre, with a restriction of fat intake. This article discusses the impact of these recommendations on different nutrients, and demonstrates, through the use of a case study, how these can be put into practice.
在过去十年中，糖尿病管理的饮食建议发生了变化。现在，人们对糖尿病饮食中碳水化合物的重要性的重视程度有所降低。首次不再强调限制碳水化合物的做法出现在1982年，当时英国糖尿病协会发布了《20世纪80年代糖尿病患者饮食建议》。该文件建议，糖尿病患者的饮食应以高摄入复合碳水化合物和纤维为基础，并限制脂肪摄入。本文讨论了这些建议对不同营养素的影响，并通过一个案例研究展示了如何将这些建议付诸实践。
