-
-
表 1 口服葡萄糖耐量试验及胰岛素检查结果(术后10个月)
口服葡萄糖耐量试验(min) 血糖(mmol/L) 胰岛素(mU/L) 0 4.5 13.4 30 12.1 >300 60 10.8 >300 120 2.3 32.9 180 3.6 16.8 表 2 经典膳食与添加膳食纤维后患者血糖水平(mmol/L)
营养干预 空腹 早餐后2 h 午餐前 午餐后2 h 晚餐前 晚餐后2 h 睡前 凌晨3:00 经典膳食 4.7~5.3 3.7~5.0 3.1~4.4 4.3~4.8 4.6~5.2 4.8~6.7 3.8~6.7 4.4~4.5 添加膳食纤维 4.4~4.7 3.8~4.3 4.4~4.6 4.7~5.0 4.4~4.8 4.7~5.9 4.1~4.9 4.1~4.4 -
[1] Ceppa EP, Ceppa DP, Omotosho PA, et al. Algorithm to diagnose etiology of hypoglycemia after Roux-en-Y gastric bypass for morbid obesity:case series and review of the literature[J]. Surg Obes Relat Dis, 2012, 8:641-647. doi: 10.1016/j.soard.2011.08.008 [2] Tack J, Arts J, Caenepeel P, et al. Pathophysiology, diagnosis and management of postoperative dumping syndrome[J]. Nat Rev Gastroenterol Hepatol, 2009, 6:583-590. doi: 10.1038/nrgastro.2009.148 [3] Stefater MA, Kohli R, Inge TH. Advances in the surgical treatment of morbid obesity[J]. Mol Aspects Med, 2013, 34:84-94. doi: 10.1016/j.mam.2012.10.006 [4] Ritz P, Hanaire H. Post-bypass hypoglycaemia:a review of current findings[J]. Diabetes Metab, 2011, 37:274-281. doi: 10.1016/j.diabet.2011.04.003 [5] Hammer HF. Medical complications of bariatric surgery:focus on malabsorption and dumping syndrome[J]. Dig Dis, 2012, 30:182-186. doi: 10.1159/000336681 [6] 刘兴振, 邹大进.胃肠减肥术围手术期管理要点[J].中国实用内科, 2012, 32:754-756. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsynkzz201210008 [7] Harju E, Heikkila J, Larmi TK. Effect of guar gum on gastric emptying after gastric resection[J]. JPEN J Parenter Enteral Nutr, 1984, 8:18-20. doi: 10.1177/014860718400800118 [8] Aleixandre A, Miguel M. Dietary fiber in the prevention and treatment of metabolic syndrome:a review[J]. Crit Rev Food Sci Nutr, 2008, 48:905-912. doi: 10.1080/10408390701761886
点击查看大图
表(2)
计量
- 文章访问数: 134
- HTML全文浏览量: 32
- PDF下载量: 1
- 被引次数: 0