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Diabetes aktuell 2019; 17(08): 305-310
DOI: 10.1055/a-1031-7953
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© Georg Thieme Verlag Stuttgart · New York

Kohlenhydratrestriktion bei Typ-2-Diabetes aus Sicht des Präventivmediziners

Sicher und sinnvoll?
Scholl Johannes
1   Prevention First Rüdesheim
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Publication Date:
18 December 2019 (online)

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ZUSAMMENFASSUNG

Die Verminderung der Kohlenhydratzufuhr im Austausch gegen mehr Eiweiß und Fett verbessert den Glukosestoffwechsel bei Typ-2-Diabetespatienten und kann in einem hohen Prozentsatz sogar eine Diabetesremission ermöglichen. Darüber hinaus bewirkt die Restriktion der Kohlenhydratzufuhr eine erhebliche Verbesserung der triglyzeridreichen Lipoproteine und damit des non-HDL-Cholesterins bei gleichzeitigem Anstieg des HDL-Cholesterins. Ein leichter Anstieg des LDL-Cholesterins ist durch die Zunahme der LDL-Partikelgröße bedingt, wohingegen die kleinen, dichten LDL-Partikel (sd-LDL) und das Apolipoprotein B als Maß für die Anzahl der LDL-Partikel abnehmen. Insgesamt zeigen Interventionsstudien mit Reduktion der Kohlenhydratzufuhr eine Verbesserung des kardiovaskulären Risikoprofils bei Typ-2-Diabetespatienten.

 

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