Medical Nutrition Strategies in Glycemic Management in Patients with Type 2 Diabetes

doi:10.12114/j.issn.1007-9572.2021.00.033

Abstract

Abstract:

Medical nutrition therapy（MNT） has become another important way to improve glycemic control and treat diabetes besides drugs. We reviewed and gave a summary of six nutritional strategies for glycemic control in patients with type 2 diabetes：choosing appropriate carbohydrate and eating the appropriate amount，eating specific types of dietary proteins，increasing the intake of polyunsaturated fatty acid，eating the Mediterranean diet，eating on time and strengthening postprandial exercise. These strategies may increase the options for healthcare professionals to choose for type 2 diabetics to achieve the optimal target glycemic level. Besides，our detailed analysis of the controversial aspects in the mechanisms of action of these strategies may provide a direction for further studies on nutritional therapies for type 2 diabetics.

Key words: Diabetes, type 2；Medical nutrition therapy；Dietary mode；Glycemic management

摘要： 医学营养治疗是除了药物之外又一控制血糖、治疗糖尿病的重要手段。目前控制2型糖尿病患者血糖水平的6种营养策略包括选择适量和合适的碳水化合物、食用特定的蛋白质、增加多不饱和脂肪酸摄入、采用地中海饮食模式、按时用餐及加强餐后运动。这一系列的营养策略为医疗保健专业人员提供选择，以帮助2型糖尿病患者达到血糖控制的最佳水平。本综述对这些策略进行介绍，并对其机制及研究中矛盾的地方进行分析和讨论，为2型糖尿病营养治疗的进一步研究提供方向。

关键词: 糖尿病, 2型；医学营养治疗；膳食模式；血糖管理

LI Haixia,LI Xiangpei,ZHAO Xiaodi, et al. Medical Nutrition Strategies in Glycemic Management in Patients with Type 2 Diabetes　[J]. Chinese General Practice, 2021, 24(13): 1702-1706. DOI: 10.12114/j.issn.1007-9572.2021.00.033.
李海霞,李向培,赵宵帝等. 2型糖尿病患者血糖管理中的医学营养策略[J]. 中国全科医学, 2021, 24(13): 1702-1706. DOI: 10.12114/j.issn.1007-9572.2021.00.033.

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