计算机辅助2型糖尿病饮食治疗的临床研究

目的 :评估“糖尿病饮食顾问 PC- DR Vision 1.0”软件在糖尿病饮食治疗中的临床应用价值。方法 :选择15 0例 2型糖尿病患者 ,采用计算机辅助饮食治疗 (88例 )和主食固定法饮食治疗 (6 2例 ) ,观察 8周饮食治疗后的效果。结果 :治疗后计算机辅助饮食治疗组与主食固定法饮食治疗组比较 FBG(6 .31± 1.0 0 vs 7.4 9± 1.34) mmol/L]、2 h PBG(7.6 0± 1.6 8vs9.84± 2 .4 1) mmol/ L]、GHb(8.0 3± 1.0 9vs8.77± 1.74 ) mmol/ L]、TC(5 .0 7±1.0 1vs5 .5 4± 1.0 2 ) mmol/ L]、TG(1.2 8vs1.5 2 ) mmol/ L]、LDL- C(3.0 6± 0 .80 vs3.4 3± 0 .91) mmol/ L]、BMI(2 3.12± 5 .0 5 vs2 4 .4 6± 2 .77) % ],两者差异有显著性 (P<0 .0 5 ) ;计算机辅助饮食治疗组的 FBG、2 h PBG、GHb、TG、BMI、UAE显著低于饮食治疗前 (P<0 .0 5 ) ,而且 FBG、2 h PBG随疗程进展呈持续下降 (P<0 .0 5 ) ;8周后减 /停药人数多于主食固定法饮食治疗组 (P=0 .0 0 7)。结论 :使用“糖尿病饮食顾问 PC- DR Vision1.0”进行饮食治疗比主食固定法能更好地改善代谢状况 ;使部分 2型糖尿病患者不同程度减少降糖药物剂量。

Computer-assisted nutrition therapy for patients with type 2 diabetes

Objective: To evaluate the effecacy of the "Diabetes Diet Advisor (PC-DR vision 1.0)" for type 2 diabetes.Methods: One hundred and fifty type 2 diabetic patients were divided in the 2 groups. The study group included 88 type 2 diabetic patients managed by "Diabetes Diet Advisor (PC-DR vision 1.0)"; the control group included 62 cases with a fixed carbohydrate content. All patients were followed up for 8 weeks.Results: After 8 weeks dietary therapy, the fasting blood glucose (FBG), cholesterol (TC), triglycerides (TG), HDL-cholesterol (HDL-C) and body mass index (BMI) in study group were all significantly less than those in the control group (P<0.05). In the study group,the significant decrease were achieved in all indicates;and FBG and 2hPBG decreased persistently.Twenty-five patients (28.41%) in study group and 6 patients (9.68%) in control group reduced their dosage of hypoglycemic agents or stopped drug therapy (P=0.007).Conclusion: The software "Diabetes Diet Advisor (PC-DR vision 1.0)" is a useful tool of dietary management for patients with type 2 diabetes.