{"id":21341,"date":"2023-01-11T08:50:49","date_gmt":"2023-01-10T23:50:49","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=21341"},"modified":"2023-01-11T08:50:49","modified_gmt":"2023-01-10T23:50:49","slug":"%e3%82%a2%e3%83%a1%e3%83%aa%e3%82%ab%e7%b3%96%e5%b0%bf%e7%97%85%e5%ad%a6%e4%bc%9a2023%e5%b9%b4%e7%89%88%e8%a8%ba%e7%99%82%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e3%80%80%e3%81%9d","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=21341","title":{"rendered":"\u30a2\u30e1\u30ea\u30ab\u7cd6\u5c3f\u75c5\u5b66\u4f1a2023\u5e74\u7248\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3000\u305d\u306e1"},"content":{"rendered":"

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\u300cMedical Nutrition Therapy\u300d\u3068\u3044\u3046\u9805\u76ee\u306e\u4e2d\u306b\u3001\u300cEating Patterns and Meal Planning\u300d\uff08\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u3068\u98df\u4e8b\u8a08\u753b\uff09\u3068\u3044\u3046\u9805\u76ee\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u5192\u982d\u306b\u6b21\u306e\u3088\u3046\u306b\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

Evidence suggests that there is not an ideal percentage of calories from carbohydrate, protein, and fat for people with diabetes.<\/span><\/p>\n

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The Mediterranean, low-carbohydrate, and vegetarian or plant-based eating patterns are all examples of healthful eating patterns that have shown positive results in research for individuals with type 2 diabetes, but individualized meal planning should focus on personal preferences, needs, and goals. <\/span><\/p>\n

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For individuals with type 2 diabetes not meeting glycemic targets or for whom reducing glucose-lowering drugs is a priority, reducing overall carbohydrate intake with a low- or very-low-carbohydrate eating pattern is a viable option. As research studies on low-carbohydrate eating plans generally indicate challenges with long-term sustainability, it is important to reassess and individualize meal plan guidance regularly for those interested in this approach. In response to questions regarding implementation of low-carbohydrate and very-low-carbohydrate eating patterns, the ADA has developed a guide for health care professionals that may assist in the practical implementation of these eating patterns. Most individuals with diabetes report a moderate intake of carbohydrates (44\u201346% of total calories). Efforts to modify habitual eating patterns are often unsuccessful in the long term; people generally go back to their usual macronutrient distribution. Thus, the recommended approach is to individualize meal plans with a macronutrient distribution that is more consistent with personal preference and usual intake to increase the likelihood for long-term maintenance.<\/span><\/p>\n

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\u6700\u5f8c\u306f\u3061\u3087\u3063\u3068\u8170\u7815\u3051\u3067\u3059\u304c\u3001\u3042\u3048\u3066\u7cd6\u8cea\u5236\u9650\u3060\u3051\u306b\u3064\u3044\u3066\u8a00\u53ca\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3001\u5b9f\u969b\u306b\u533b\u7642\u63d0\u4f9b\u8005\u7528\u306e\u30ac\u30a4\u30c9\u300cLow Carbohydrate and Very Low Carbohydrate Eating Patterns in Adults with Diabetes: A Guide for Health Care Providers<\/a>\u300d\u3082\u4f5c\u6210\u3057\u3066\u3044\u307e\u3059\u3002\u7cd6\u5c3f\u75c5\u306f\u7cd6\u8cea\u904e\u5270\u6442\u53d6\u3067\u8d77\u304d\u308b\u7cd6\u8cea\u904e\u5270\u75c7\u5019\u7fa4\u306a\u306e\u3067\u3001\u7cd6\u8cea\u5236\u9650\u304c\u63a8\u5968\u3055\u308c\u308b\u306e\u306f\u5f53\u7136\u3067\u3059\u3002<\/p>\n

\u3055\u3089\u306b\u3001\u6628\u5e74\u307e\u3067\u306b\u306f\u306a\u304b\u3063\u305f\u30a4\u30f3\u30bf\u30fc\u30df\u30c3\u30c6\u30f3\u30c8\u30d5\u30a1\u30b9\u30c6\u30a3\u30f3\u30b0\u306b\u3064\u3044\u3066\u3082\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

There has been an increased interest in time-restricted eating and intermittent fasting as strategies for weight management. Intermittent fasting is an umbrella term which includes three main forms of restricted eating: alternate-day fasting (energy restriction of 500\u2013600 calories on alternate days), the 5:2 diet (energy restriction of 500\u2013600 calories on consecutive or nonconsecutive days) with usual intake the other five, and time-restricted eating (daily calorie restriction based on window of time of 8\u201315 h). Each produces mild to moderate weight loss (3\u20138% loss from baseline) over short durations (8\u201312 weeks) with no significant differences in weight loss when compared with continuous calorie restriction (148\u2013151). A few studies have extended up to 52 weeks and show similar findings (152\u2013155). Time-restricted eating (shortening the eating window) is generally easier to follow compared with alternative-day fasting or the 5:2 plan, largely due to ease, no need to count calories, sustainability, and feasibility. This may have implications as people with diabetes are looking for practical eating management tools.<\/span><\/p>\n

\u4f53\u91cd\u7ba1\u7406\u306e\u6226\u7565\u3068\u3057\u3066\u3001\u6642\u9593\u5236\u9650\u306e\u3042\u308b\u98df\u4e8b\u3068\u30a4\u30f3\u30bf\u30fc\u30df\u30c3\u30c6\u30f3\u30c8\u30d5\u30a1\u30b9\u30c6\u30a3\u30f3\u30b0\uff08\u65ad\u7d9a\u7684\u306a\u65ad\u98df\uff09\u3078\u306e\u95a2\u5fc3\u304c\u9ad8\u307e\u3063\u3066\u3044\u307e\u3059\u3002\u30a4\u30f3\u30bf\u30fc\u30df\u30c3\u30c6\u30f3\u30c8\u30d5\u30a1\u30b9\u30c6\u30a3\u30f3\u30b0\u306f\u3001\u98df\u4e8b\u5236\u9650\u306e 3\u3064\u306e\u4e3b\u306a\u5f62\u5f0f\u3092\u542b\u3080\u5305\u62ec\u7684\u306a\u7528\u8a9e\u3067\u3059: 1\u65e5\u304a\u304d\u306e\u65ad\u98df \uff081 \u65e5\u304a\u304d\u306b500\uff5e600\u30ab\u30ed\u30ea\u30fc\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u5236\u9650\uff09\u30015:2\u30c0\u30a4\u30a8\u30c3\u30c8 \uff08\u9023\u7d9a\u307e\u305f\u306f\u975e\u9023\u7d9a\u306e\u65e5\u306b500\uff5e600\u30ab\u30ed\u30ea\u30fc\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u5236\u9650\uff09\u6b8b\u308a\u306e5\u65e5\u306f\u901a\u5e38\u306e\u98df\u4e8b\u6442\u53d6\u3001\u304a\u3088\u3073\u6642\u9593\u5236\u9650\u306e\u3042\u308b\u98df\u4e8b \uff088\uff5e15\u6642\u9593\u306e\u6642\u9593\u67a0\u306b\u57fa\u3065\u304f\u6bce\u65e5\u306e\u30ab\u30ed\u30ea\u30fc\u5236\u9650\uff09\u3002\u3044\u305a\u308c\u3082\u3001\u77ed\u671f\u9593 \uff088\uff5e12\u9031\u9593\uff09\u3067\u8efd\u5ea6\u304b\u3089\u4e2d\u7a0b\u5ea6\u306e\u6e1b\u91cf \uff08\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304b\u30893\uff5e8%\u306e\u6e1b\u91cf\uff09\u3092\u3082\u305f\u3089\u3057\u3001\u7d99\u7d9a\u7684\u306a\u30ab\u30ed\u30ea\u30fc\u5236\u9650\u3068\u6bd4\u8f03\u3057\u305f\u5834\u5408\u3001\u6e1b\u91cf\u306b\u6709\u610f\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3044\u304f\u3064\u304b\u306e\u7814\u7a76\u3067\u306f52\u9031\u9593\u307e\u3067\u5ef6\u9577\u3055\u308c\u3001\u540c\u69d8\u306e\u7d50\u679c\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6642\u9593\u5236\u9650\u306e\u3042\u308b\u98df\u4e8b \uff08\u98df\u4e8b\u6642\u9593\u5e2f\u306e\u77ed\u7e2e\uff09\u306f\u3001\u6982\u3057\u30661\u65e5\u304a\u304d\u306e\u7d76\u98df\u30845:2\u30d7\u30e9\u30f3\u306b\u6bd4\u3079\u3066\u884c\u3046\u306e\u304c\u7c21\u5358\u3067\u3059\u3002\u3053\u308c\u306f\u4e3b\u306b\u3001\u624b\u8efd\u3055\u3001\u30ab\u30ed\u30ea\u30fc\u8a08\u7b97\u306e\u5fc5\u8981\u304c\u306a\u3044\u3053\u3068\u3001\u6301\u7d9a\u53ef\u80fd\u6027\u3001\u304a\u3088\u3073\u5b9f\u73fe\u53ef\u80fd\u6027\u306b\u3088\u308b\u3082\u306e\u3067\u3059\u3002\u7cd6\u5c3f\u75c5\u60a3\u8005\u306f\u5b9f\u7528\u7684\u306a\u98df\u4e8b\u7ba1\u7406\u30c4\u30fc\u30eb\u3092\u63a2\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u3053\u308c\u306f\u610f\u5473\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/span><\/p>\n

\u6642\u9593\u5236\u9650\u306e\u3042\u308b\u98df\u4e8b\u306f\u30a8\u30cd\u30eb\u30ae\uff08\u30ab\u30ed\u30ea\u30fc\uff09\u5236\u9650\u306e\u5fc5\u8981\u306f\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u81ea\u7136\u3068\u30a8\u30cd\u30eb\u30ae\u30fc\u6442\u53d6\u91cf\u306f\u6e1b\u5c11\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u305d\u3057\u3066\u3001\u7cd6\u8cea\u5236\u9650\u3068\u7d44\u307f\u5408\u308f\u305b\u308c\u3070\u3055\u3089\u306b\u52b9\u679c\u7684\u3067\u3057\u3087\u3046\u306d\u3002<\/p>\n

\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u3001\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u3088\u308a\u306f\u305a\u3044\u3076\u3093\u307e\u3068\u3082\u306a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3059\u3002<\/p>\n

\u3053\u306e\u7d9a\u304d\u306f\u6b21\u306e\u8a18\u4e8b\u3067\u3002<\/p>\n

 <\/p>\n

\u300c5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes-2023\u300d<\/span><\/p>\n

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