【作者】 赵列宾； 宁光； 陈家伦；

【Author】 Zhao Lie Bin, Ning Guang, Chen Jia Lun et al.197 Ruijin er lu Shanghai 200025

【机构】 上海第二医科大学附属瑞金医院糖尿病中心；

【摘要】 目的 研究纤维食物对糖尿病第一餐及第二餐作用.方法 本文观察了2型糖尿病患者在进食不同含量水溶性纤维食物后两餐前后血糖、胰岛素、游离脂肪酸和尿儿茶酚胺的变化.一组23例患者于第1、2日晨分别进食总热量相仿的普通早餐和富含水浴性纤维的什锦粥.结果 后者早餐后1h及2h血糖明显低于普通餐后的相应血糖值.另一组7例患者于第1、2日晨分别进食总热量及三大营养素含量相仿的普通早餐和什锦粥,两天的普通午餐完全相同.后者早餐后第1、2h,午餐前及餐后1,2h血糖、胰岛素和曲线下面积,早餐后1、2h血清游离脂肪酸及早餐后至午餐前尿儿茶酚胺皆显著低于普通早餐后的相应值.全部患者对富含水溶性纤维的什锦粥反应较好,无不适反应.结论 认为含适量水溶性膳食纤维食物对改善2型糖尿病患者糖.脂代谢有利.更多还原

【Abstract】 The effects of food rich in soluble fiber on first and second meal have been evaluated in an acute experiment in patients with type 2 diabetes. A group of 23 patients took an ordinary breakfast (steamed bread)in the morning of the first day with a total calorie equivalent to that of an assorted congee rich in soluble fiber taken in the second morning. The plasma glucose 1 and 2 hrs after the breakfast was significantly lower on the second day. In another group of 7 patients, the total calorie and amounts of macronutritons of the ordinary breakfast taken in the first day were equivalent to the fiber rich congee breakfast of the second day. These two days’ ordinary lunch were the same. The area under curve of plasma glucose and insulin and the plasma glucose and insulin taken at 1 and 2 hours after the breakfast rich in fiber, pre - lunch and 1,2 hrs after ordinary lunch were significantly lower compared with the respective values after the ordinary breakfast. The plasma free fatty acid 1,2 hrs after the breakfast rich in fiber and the urine catecholamine were also evaluated, these values were decreased as the case of plasma glucose and insulin. The food rich in soluble fiber was well acceptable by the diabetic patients. So we conclude that the effect of food rich in soluble fiber may result in improving carbohydrate and fat metabolism on patients with type 2 diabetes.更多还原