摘要探讨等能量的粥与米饭对2型糖尿病患者餐后血糖及胰岛素分泌应答水平的影响,帮助糖尿病患者科学合理地选择食物.2型糖尿病患者41例,分成米饭组、白粥组和杂粮粥组,3组食物的能量基本相等.结果显示3组糖尿病患者的空腹血糖、胰岛素均无显著差异(P＞0.05).杂粮粥组的餐后lh血糖明显低于米饭组和白粥组[(11.17±2.30对12.88±1.29和13.29±1.97)mmol/L,P＜0.05],餐后2h血糖明显低于米饭组[(8.88±2.66对10.87±1.63)mmol/L,P＜0.05].米饭组和白粥组的餐后1h、2h血糖升幅接近,两者相比无显著差异(P＞0.05).餐后1h胰岛素水平,杂粮粥组明显低于白粥组[(46.02±26.32对88.56±68.75)μU/ml,P＜0.05],而白粥组与米饭组相比略高(P＞0.05).米饭、白粥、杂粮粥组患者的餐后2h胰岛素水平接近[(57.10±33.56,62.26±24.42,54.16±41.35) μU/ml,P＞0.05).在等能量的情况下,杂粮粥能调节血糖稳态、降低餐后血糖、减少餐后胰岛素分泌,是糖尿病人理想的主食选择.此外,等能量的白粥搭配馒头与米饭相比,餐后血糖和胰岛素水平无显著差异.

abstractsTo study the effects of conjee and cooked rice on postprandial glucose and plasma insulin levels in type 2 diatetes,and to help diabetic patients select reasonably food.41 diabetes were divided into cooked rice group ( group A),conjee with steamed bread group ( group B),and oatmeal group ( group C ).At 1 h after meal,the values of postprandial plasma glucose (PPG) was significantly lower in group C than those in group A and group B [ ( 11.17± 2.30 vs 12.88 ± 1.29,13.29 ± 1.97 ) mmol/L,P ＜ 0.05 ].At 2 h after meal,the value of PPG was significantly lower in group C than in group A [ ( 8.88 ± 2.66 vs 10.87 ± 1.63 ) mmol/L,P ＜0.05 ].At 1 h and 2 h after meal,there was no significant difference between the value of PPG in goup A and group B ( P＞0.05 ).At 1 h after meal,the value of plasma insulin was significantly lower in group C than those in group B [ (46.02 ± 26.32 vs 88.56 ± 68.75 )μU/ml,P ＜0.05 ],and there was a littler higher in group B than group A ( P＞0.05 ).At 2 h after meal,there was no statistical difference of plasma insulin among group A,B,C [ ( 57.10 ± 33.56,62.26 ± 24.42,54.16 ± 41.35 )μU/ml,P＞0.05 ) ].Isocaloric oat food is potentially beneficial in sustaining blood glucose status and decreasing insulin secretion.It is the ideal choice for type 2 diabetes.Meanwhile,there were no statistical differences in PPG and insulin levels between the individuals taking conjee with steam bread and cooked rice.