Control of Blood Glucose in Type 2 Diabetes by Modification of Conventional Diet Composition

Md. Taslim Hossain, M. Rahman, M. M. Hossain
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Abstract

In this study, 100 clinically diagnosed types 2 diabetic patients were selected for investigation. The objective of this study was to control of blood glucose level in type 2 diabetic patient by the modification of conventional diet composition. The patients were studied using a randomized 5 week crossover design with the conventional and modified conventional diet (test diet) respectively. The mean body weight, BMI, waist circumference and waist to hip ratio were 60.1 ± 2.21 kg, 24.1 ± 2.71 kg/meter², 36.2 ± 0.762 inch and 0.904 ± 0.029 respectively with the conventional diet, that decreased to 59.5 ± 2.20 kg (P<0.01), 23.9 ± 2.73 kg/ meter² (P<0.05), 33.7 ± 0.512 inch (P<0.05) and 0.897 ± 0.026 (P<0.05) respectively after intervention of the test diet. The mean systolic and diastolic blood pressure were 124 ± 11.4 and 82 ± 6.9 mmHg respectively and after 5 weeks of intervention of test diet both the blood pressure decreased significantly (P<0.05) to 112 ± 8.6 and 69± 6.9 mmHg respectively. The mean fasting and postprandial blood sugar were 10.4 ± 0.38 and 12 ± 0.53 mmol/l with the conventional diet whereas it decreased significantly (P <0.001) to 8.1 ± 0.75 and 9.8 ± 0.40 mmol/l respectively. Before starting the test diet, the mean HbA1C was 6.4 ± 0.13 % but 5 week of post feeding the HbA1C decreased to 5.8 ± 0.19 % ( P<0.001). The mean ALT value was 47.5 ± 8.95 u/l and decreased significantly (P < 0.05) to 24.5 ± 4.19 u/l. During conventional diet, the mean AST and ALP level were 55.8 ± 25.18 and 93 ± 6.06 u/l respectively, after intervention it decreased to 42.8 ± 27.43 and 75 ± 10.85 u/l but not significantly (P = 0.759, P= 0.337).
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改变常规饮食结构对2型糖尿病血糖的控制
本研究选取100例临床诊断为2型糖尿病患者进行调查。本研究的目的是通过改变常规饮食组成来控制2型糖尿病患者的血糖水平。采用5周随机交叉设计,分别采用常规饮食和改良常规饮食(试验饮食)。对照组平均体重、BMI、腰围和腰臀比分别为60.1±2.21 kg、24.1±2.71 kg/ m2、36.2±0.762 inch和0.904±0.029 kg,干预后分别为59.5±2.20 kg (P<0.01)、23.9±2.73 kg/ m2 (P<0.05)、33.7±0.512 inch (P<0.05)和0.897±0.026 (P<0.05)。平均收缩压和舒张压分别为124±11.4和82±6.9 mmHg,试验饮食干预5周后血压均显著降低(P<0.05),分别为112±8.6和69±6.9 mmHg。平均空腹血糖和餐后血糖分别为10.4±0.38和12±0.53 mmol/l,与常规日粮相比显著降低(P <0.001),分别为8.1±0.75和9.8±0.40 mmol/l。试验饲粮开始前,平均HbA1C为6.4±0.13%,饲喂后5周,平均HbA1C降至5.8±0.19% (P<0.001)。ALT均值为47.5±8.95 u/l,降至24.5±4.19 u/l (P < 0.05)。常规日粮期间AST和ALP的平均值分别为55.8±25.18和93±6.06 u/l,干预后AST和ALP的平均值分别为42.8±27.43和75±10.85 u/l,干预后AST和ALP的平均值分别为42.8±27.43和75±10.85 u/l (P = 0.759, P= 0.337)。
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