美国糖尿病学会2007 营养治疗指南12.pptVIP

The guidelines of medical nutrition therapy (MNT) 2007 — The American Diabetes Association (ADA) 四川省人民医院内科 杨毅 Clinical Context Appropriate nutrition is one of the cornerstones of management for both type 1 and type 2 diabetes Previous research has found that MNT can reduce glycated hemoglobin levels by approximately 1% among patients with type 1 diabetes and by 1% to 2% among patients with type 2 diabetes. Clinical Context overweight and obesity are closely associated with development of diabetes, the position statement highlights this area of MNT Clinical Context The ADA last published recommendations regarding MNT in 2002. slightly modified in 2004. The update recommendations in December 28, 2007 with an emphasis on recent research findings. specific recommendations(1) Individuals with prediabetes or diabetes should receive individualized MNT, preferably administered by a registered dietitian knowledgeable about the components of diabetes MNT (B) specific recommendations(1) Nutrition counseling should be tailored to the personal needs of the individual and his or her willingness and ability to make changes (E). specific recommendations(2) a body mass index of 35 kg/m2 or more, bariatric surgery can markedly improve glycemia. (B) specific recommendations(3) A key strategy for achieving glycemic control is to monitor carbohydrate by counting, exchanges, or experienced-based estimation .(A) Intake of low-glycemic index foods that are rich in fiber and other vital nutrients should be encouraged. (E) 食物交换份表 等值谷薯类交换表 食品 重量(g) 食品 重量(g) 大米、小米、糯米 25 绿豆、红豆、干豌豆 25 高粱米、玉米碴 25 干粉条、干莲子 25 面粉、玉米面 25 油条、油饼、苏达饼 25 混合面 25 烧饼、烙饼、馒头 35 燕麦片、莜麦面 25 咸面包、窝窝头 35 各种挂面、龙须面 25 生面条、魔芋生面条 35 马铃薯 100 鲜玉米 200 等值蔬菜类交换表 食品 重量（克） 食品 重量（克） 大白菜、圆白菜、菠菜 500 白萝卜、青椒、茭白、冬笋 400 韭菜、茴香 500 倭瓜、南瓜、花菜 350 芹菜、苤蓝、莴笋、油菜苔 500 鲜豇豆、扁豆、洋葱、蒜苗 250 西葫芦、西红柿、冬瓜、苦瓜 500 胡萝卜 200 黄瓜、茄子、丝瓜 500 山药、孛荠、藕 150 芥蓝菜、飘菜 500 茨菇、百合、芋头 100 蕹菜、笕菜 500 毛豆、鲜豌豆 70 绿豆芽、鲜蘑菇 500 等值水果类交换表 食品 重量（g） 食品 重量（g） 柿、香蕉、鲜荔枝 15