The effect of low-carbohydrate/high-monounsaturated fatty acids nutrition program for patients with diabetes mellitus and stroke
10.3760/cma.j.issn.1673-4904.2017.10.006
- VernacularTitle:低碳水化合物/高单不饱和脂肪酸营养方案对糖尿病合并卒中患者的血糖控制分析
- Author:
Bin YAN
1
;
Qiang NIU
;
Yongfei LIU
;
Guifeng ZHAO
;
Weimin KANG
;
Feng CHEN
Author Information
1. 火箭军总医院重症医学科
- Keywords:
Diabetes mellitus,type 2;
Stroke;
Low-carbohydrate/high-monounsaturated fatty acids
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(10):887-890
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of low-carbohydrate/high-monounsaturated fatty acids (LC/HMD) nutrition program for patients with diabetes mellitus and stroke. Methods Thirty-seven patients with diabetes mellitus and stroke after percutaneous endoscopic gastrostomy (PEG) were enrolled in this study, and these patients were treated with liquid food nutritional support. All patients were given high-carbohydrate (HCD) nutritional support at the first and second day and then changed to LC/HMD nutrition program. The blood glucose fluctuations were monitored by continuous glucose monitoring(CGM) system. Meanwhile the daily dose of insulin injections, glycosylated hemoglobin (HbA1c) and biochemical indicators were detected. for just admission and just give LC after/HMD nutrition program and three months later on HbA1c and blood biochemical indexes were detected. Results 3 months after LC/HMD nutrition program treatment, the levels of mean amplitude of plasma glucose excursions (MAGE), ratio of hyperglycemia to time, ratio of glycopenia to time, HbA1c, daily dose of insulin injections were significantly improved compared with those at the 2nd of LC/HMD nutrition program treatment and with HCD nutritional support (P < 0.05). Three months after LC/HMD nutrition program treatment, the levels of blood biochemistry index had no significant change (P > 0.05). Three months after LC/HMD nutrition program treatment, the blood glucose fluctuations significantly reduced in all patients. Conclusions For patients with diabetes mellitus and stroke and receiving liquid food treament, LC/HMD nutrition program can significantly improve glycemic index, reduce dependence on insulin, and lower blood sugar fluctuations.
