2008 American Diabetes Association, et al. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2008 Jan; 31 Suppl 1: S61-S78. medical nutrition therapy: MNT 1 MNT position statement MNT 2002 2004 2000 MNT MNT MNT MNT 1 3 MNT MNT 1) URL: http://www.repix-lab.co.jp E-mail: info@repix-lab.co.jp 1
MNT MNT CVD MNT 1) 2) 3) 4) MNT 1) 1 2 2) MNT MNT MNT MNT 1 1 2 1 % HbA1C 2
MNT LDL 15-25mg/dL MNT 3-6 1 2 5-10% BMI35kg/m 2 2 BMI 23kg/m 2 30kg/m 2 BMI 2 BMI23kg/m 2 35 40 2 BMI 2 31 35 3
5% 2 2 52 HbA1C HbA1C Look AHEAD Action for Health in Diabetes 30 5-7 2 MNT 500-1000 1-2 6 10% 2 6 4 1 12 1 4
HDL 2 HbA1C 6 HDL LDL RDA 1 130g 1 Look AHEAD 800 2 2 2 2 5-10 BMI 27.0kg/m 2 2 BMI 35kg/m 2 2 77 86 Swedish Obese Subjects study 10 13 36 5
2 7 1 150 2 1000kcal 14g 1 2 2 2 2 2 Finnish Diabetes Prevention study Diabetes Prevention Program (DPP) 2 7 150 34 6
1 28 DPP 150 DPP CVD DPP Finnish Diabetes Prevention study DPP 2 2 2004 1 1-3 15-45g 2 U J 1 3 2005 USDA 1 1 2 7
8 1 2 2 2 FDA
2004 ADA RDA 1 130g 1 130g 1 21mg/dl(1.17mmol/l) 28mg/dl(1.55mmol/l) HbA1C 1 120g 230g 50g 2 9
HbA1C 0.4 1 5g 1 50g 1 2 1000kcal 14g 10
3-4% FDA 2cal/g FDA 5 7 11
1 200mg 1 2 n-3 CVD LDL LDL HDL HDL LDL CVD 2 CVD 7 1 200mg LDL 55 HbA1C 7 n-3 2 LDL HDL n-3 12
-3 CVD n-3 1 2 2 1 2g LDL 15-20% 2 20 10-35% 15 1 1kg 0.8g 10 PDCAAS 9 1 1kg 0.8g 20 13
20 1 1 1 1 2 1 1 1 2 1 12 5 1.5 15g 14
1 1 3 1 1-2 15-30 CVD CVD HDL E C 1 15
E CVD 1990 2 2 FDA 2 1 1 (C) 16
DAFNE study HbA1C 2-3mg/kg/min 70kg 1 10-15g 2005 1 MNT 2 2 MNT 2 2 MNT 17
2 1 2 MNT 1 MNT 1 2 1 150 3 2 2 3 (C) MNT 2 MNT 18
MNT MNT 30 1 175g 1 3 2-4 MNT 2 19
20 (C) MNT 5-10% MNT 6 10 5-10 1 1kg 0.8-1.0g 0.8 MNT (C) 15-20% 20
1 1kg 0.8-1.0g 1 1kg 0.8g 1 1kg 0.8g 1 2 2 MNT MNT HbA1C (C) 1 2000mg (C) (C) DCCT EDIC study DCCT study 1 HbA1C UKPDS 2 HbA1C 2 MNT 21
DASH(Dietary Approaches to Stop Hypertension) DASH MNT 1 2000mg 15-20g 10-20 60 70mg 10g 30 40mg/dl 20g 45 22
60mg/dl 60 2 1 100mg/dl 1 150-200g 3-4 45-50 MNT MNT 23
1 ADA ADA 1 200g 50% 33-40% 24 25-35kcal/kg (C) MNT 24
3 HbA1C MNT 25