首页|益生菌补充对2型糖尿病患者血糖控制和血脂代谢的影响

益生菌补充对2型糖尿病患者血糖控制和血脂代谢的影响

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目的 评估益生菌补充对2型糖尿病(T2DM)患者血糖和血脂的影响.方法 研究对象为60例T2DM患者.患者每天服用双歧杆菌乳杆菌三联活菌片,分别于三餐前口服,持续服用90 d.在干预第1天(T1)和最后1天(T90)采集血样,采用自动生化分析仪检测空腹血糖、甘油三酯、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白(LDL-c)、极低密度脂蛋白胆固醇(VLDL-c)和总胆固醇水平,并在服用益生菌之后,每15d评估肠道中大肠杆菌浓度,直到90d试验结束.结果 服用益生菌90d后,患者血糖水平显著降低(P<0.05);患者HDL-c值显著增加(P<0.05).补充益生菌15d后,已经可以观察到患者肠道中大肠杆菌的变化.随着补充时间增加,患者肠道中大肠杆菌逐渐减少.结论 益生菌补充显著降低T2DM患者空腹血糖,并促进了血脂和肠道健康的改善,可能是T2DM患者血糖控制的适当辅助疗法.
Effects of Probiotics Supplementation on Blood Glucose Control and Lipid Metabolism in Patients with Type 2 Diabetes
Objective To evaluate the effect of probiotics supplementation on blood glucose and lipids in patients with type 2 di-abetes mellitus(T2DM).Methods The subjects were 60 patients with T2DM.The patients take bifidobacterium lactobacillus triple viable tablets every day and take them orally before three meals for 90 days.Blood samples were collected on the first day(T1)and the last day(T90)of the intervention,and the levels of fasting blood glucose,triglyceride,high-density lipoprotein cholesterol(HDL-c),low-density lipoprotein cholesterol(LDL-c),extremely low-density lipoprotein cholesterol(VLDL-c)and total cholesterol were measured by automatic biochemical analyzer.After taking probiotics,the concentration of E.coli in the intestine was evaluated ev-ery 15 days until the end of the 90-day test.Results After taking probiotics for 90 days,the blood glucose level of patients decreased significantly(P<0.05);The HDL-c value of patients increased significantly(P<0.05).After 15 days of supplementation with probiot-ics,the changes of E.coli in the intestines of patients can be observed.With the increase of supplementation time,the number of Escherichia coli in patients'intestines gradually decreased.Conclusion Probiotics supplementation significantly reduced fasting blood glucose in T2DM patients,and promoted the improvement of blood lipids and intestinal health.These results suggest that pro-biotics supplementation may be an appropriate adjunctive therapy for blood glucose control in T2DM patients.

diabetesprobioticsblood glucoseblood lipids

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大同市第三人民医院内分泌科,山西大同 037000

糖尿病 益生菌 血糖 血脂

2024

山西大同大学学报(自然科学版)
山西大同大学

山西大同大学学报(自然科学版)

影响因子:0.271
ISSN:1674-0874
年,卷(期):2024.40(1)
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