饮食调整对糖尿病患者胰岛素敏感性恢复和每日胰岛素波动的影响

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM Diabetology Pub Date : 2022-11-22 DOI:10.3390/diabetology3040046
A. Magalhães, C. Barra, Ana Borges, Lélita Santos
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引用次数: 0

摘要

昼夜节律对于维持代谢稳态和胰岛素敏感性至关重要。昼夜节律机制的破坏与代谢性疾病(如糖尿病)的发展有关。生活方式的改变,如均衡饮食和体育活动,可以改善糖尿病患者的血糖控制。这种改善可能涉及的机制之一是胰岛素昼夜节律的恢复。有几种基于昼夜节律的饮食方案。其中一些与更好地调节每日胰岛素波动和改善2型糖尿病和代谢综合征有关。在当前的综述中,我们旨在探讨不同类型的饮食如何影响糖尿病患者的葡萄糖代谢和胰岛素敏感性,强调与昼夜胰岛素节律机制的相互作用和高胰岛素血症的预防。
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Diet Modifications towards Restoration of Insulin Sensitivity and Daily Insulin Fluctuations in Diabetes
The circadian rhythm is essential in order to maintain metabolic homeostasis and insulin sensitivity. Disruption of circadian mechanisms is associated with the development of metabolic diseases, such as diabetes. Lifestyle changes such as an equilibrated diet and physical activity are known to improve glycaemic control in diabetic patients. One of the mechanisms possibly involved in such an improvement is the restoration of insulin circadian rhythms. There are several available dietary schemes based on circadian rhythms. Some of them are associated with better regulation of daily insulin fluctuations and the improvement of Type 2 Diabetes and metabolic syndrome. In the current review, we aim to explore how the different types of diet can impact glucose metabolism and insulin sensitivity in patients with diabetes, highlighting the interactions with the mechanisms of circadian insulin rhythm and the prevention of hyperinsulinemia.
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