脂質栄養学
Online ISSN : 1883-2237
Print ISSN : 1343-4594
総説
超低糖質食評価研究から見えてきた食事指導の問題点
大櫛 陽一春木 康男宗田 哲男銅冶 英雄糖質ゼロ食 研究会山内 忠行
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19 巻 (2010) 1 号 p. 53-58

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Introduction: A control of blood glucose is known to be the most important fact to protect development of complications of diabetes. A low-carbohydrate diet has been recognized to be one of the choices of diets for patients with diabetes. But, a very low-carbohydrate diet where the uptake of carbohydrate is lower than 130g per day is not recommended by American Diabetes Association now. Methods: We examined 16 patients who are continuing in some years a very low-saccharide diet where the uptake of saccharide is lower than 5g per diet. Results: Their fasting glucose, HbA1c, triglyceride, HDL-C, creatinine, all ionic values, pH and bicarbonate of venous blood were normal. Their ketone body and free fatty acid were higher than people who have normal diet, but their respiratory quotient was 0.72 and it assures their resource of energy changes from glucose to ketone body. Conclusion: Dietary ketosis never makes acidosis. The very low-saccharide diet is a safe and most effective diet for patients with diabetes.

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