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目的探讨经饮食指导的2型糖尿病患者早餐结束后0~3h指尖血糖水平变化情况及餐后运动对其中1例患者血糖水平影响实例,为糖尿病患者营养治疗基础上的个体化运动治疗提供依据及建议。方法招募受试者分别纳入糖尿病组与非糖尿病对照组,经营养师指导后,比较两组受试者早餐各类营养素摄入水平及早餐结束后0~3h每间隔10min的指尖血糖水平、血糖峰值及达峰时间,记录其中1例患者餐后安静状态及运动状态下早餐结束后0~3h内指尖血糖的变化数据。结果实验期间早餐摄人总能量及蛋白质、脂肪、碳水化合物供能比在两组间差异无统计学意义(P>0.05)。糖尿病组受试者早餐结束后0~3h指尖血糖值在各时间点均较对照组显著升高,平均餐后血糖峰值及达峰时间明显升高和延迟(P<0.05),患者餐后血糖变化在血糖曲线形状及达峰时间等方面存在较大个体差异。90min的餐后快走运动降低了1例实例中糖尿病患者餐后各时间点血糖水平,降糖效果于运动开始后5min开始出现并至少持续至运动结束后1h,运动后患者餐后血糖峰值及达峰时间分别下降及提前。结论运动治疗尤其适于病情控制较稳定且无明显运动禁忌证的糖尿病患者病程管理,应配合营养治疗同时进行,依据适量、经常性及个体化原则,建议于自身餐后血糖尚未达到峰值时即开始运动。
Objective To explore the changes of fingertip blood glucose level of 0-3h after diet-induced type 2 diabetes mellitus patients and the influence of postprandial exercise on one patient’s blood glucose level, and provide the basis for individualized exercise therapy based on nutritional therapy of diabetic patients And suggestions. Methods Subjects were enrolled in the diabetic group and the non-diabetic control group, respectively. After dietitian guidance, the intake of various types of nutrients for breakfast and the fingertip blood glucose level of each finger for 10 minutes after breakfast were compared between the two groups. Peak blood glucose and peak time, record one case of patients with postprandial resting state and exercise state after breakfast, fingertip blood glucose changes within 0 ~ 3h data. Results During the experiment, the total energy intake of breakfast and protein, fat, carbohydrate energy supply ratio between the two groups showed no significant difference (P> 0.05). In the diabetic group, the fingertip blood glucose levels at 0 ~ 3h after the end of breakfast were significantly higher than those in the control group at each time point. The mean postprandial blood glucose peak and peak time were significantly increased and delayed (P <0.05) Blood glucose changes in the shape of blood glucose and peak time there is a larger individual differences. Postprandial exercise at 90min reduced the blood glucose level in diabetic patients at various time points after meal, and the hypoglycemic effect began to appear at 5min after the onset of exercise and continued at least 1h after exercise. The peak postprandial blood glucose level Peak time decreased and advanced respectively. Conclusions Exercise therapy is especially suitable for the course management of diabetic patients with stable disease control and no obvious exercise contraindications. It should be combined with nutrition therapy at the same time. According to the principle of appropriate amount, regularity and individuation, it is suggested that after their postprandial blood glucose has not reached the peak Start exercising