โครงการนำร่องการเปรียบเทียบผลของอาหารเบาหวานชนิดปั่นที่ทำในโรงพยาบาลพระมงกุฎเกล้ากับอาหารมาตรฐานที่ผลิตจำหน่ายต่อระดับน้ำตาลในเลือดในผู้ป่วยเบาหวานชนิดที่ 2

Abstract

To compare postprandial glycemic response after ingestion of diabetic blendarized diet (diabetic BD) of Phramongkutklao hospital commercial diabetic diet (diet A) and commercial standard diet (diet B) in type 2 diabetic patients. To analysis of the macronutrients composition of diabetic BD and compared the difference of value between the direct measurement and the calculation method. Methodology: Ten patients with type 2 diabetes  were recruited. After overnight fast all of the patients were ingested 250 milliliters of diabetic BD. Blood samples   erecollected at 0, 30, 60, 90, 120 and 180 minutes after ingestion. Two hundred and fifty milliliters of diet  A and diet B were ingested by the same patients after 1 and 2 weeks later and blood samples were collected at 0, 30, 60, 90, 120 and 180 minutes respectively. The value of plasma glucose from difference diet were compared. We also randomized the diabetic BD from the Phramongkutklao’s culinary department to analyze for the nutritional composition at the Institute of food research and development Science and Technology. Results: Mean plasma glucose after ingestion of diabetic BD at 60 and 90 minutes were 127.7 ± 24.76 and 119.9 ± 25.14 mg/dl respectively and significant lower than mean plasma glucose after ingestion of  diet B (168.7 ± 31.12 and 157.3 ± 29.68 mg/dl). Mean  plasma glucose at 60 minutes after ingestion of diet A was 140.8 ± 26.49 mg./dl significant lower  than mean plasma  glucose after ingestion of diet B (168.7 ± 31.12 mg/dl). After analysis of the macronutrients  in diabetic BD we  found no statistic significant of macronutrient composition of diabetic BD regimen between  that assigned by the   octor and the analysis result. Conclusion: After ingestion of diabetic BD of the Phramongkutklao  hospital postprandial glucose response was lower than after ingestion of commercial diabetic diet and  commercial standard diet.