بررسي اثر خرما بر قند بعد از غذا در زنان ديابتي نوع II مراجعه كننده به مركز تحقيقات غدد و متابوليسم استان اصفهان

EFFECT OF DATES (KHORMA) ON 2HOUR POSTPRANDIAL (2hPP)BLOOD GLUCOSE LEVEL IN TYPE 2 DIABETIC PATIENTS RETERRED TO ISFAHAN ENDOCRINE AND METABOLISM RESEARCH CENTER

Nutrition therapy is an elementary constituent in diabetes control level trials. It is proved that the composition of food can significantly affect the postmeal blood glucose level in diabetic patients. Recent investigations have shown beneficial effects of fructose on postprandial blood glucose level. In this investigation, we studied the effect of dates which contain 25% fructose on 2hpp blood glucose levels in type 2 diabetic patients. In a clinical trial study, 16 type 2 diabetic patients who had bread and cheese as their usual breakfast regimen, had 50% of the carbohydrate content of their breakfast (bread) replaced with an equal amount of dates for one day. They were asked to keep their diet and physical activity unaltered (luring the study. FRG and 2hpp blood glucose levels were measured for two successive days (before and after intervention). Paired t-test was used to compare the means of 2hpp blood glucose levels and the rate of decrease in 2hpp glucose levels. P value < 0.05 was considered significant . The mean ± SI} for age and HMI in patients were 48.5 ± 7.9 and 29.59 + 3.39 respectively. 2hpp blood glucose level was significantly lower after adding dates to breakfast (117 ± 21.6 vs 148 ± 32.46 and P = 0.02). The mean of the decrease in 2hpp blood glucose level was 31.43 ± 28.94 after intervention as compared to 6.69 ± 37.5 before that (P=0.04). There was no significant change in the carbohydrate , fat and protein content of the diet (luring the study. Our findings show that by partly replacing the bread content in a diabetic diet with dates , the 2hpp blood glucose levels decrease substantially . It is therefore suggested that more extensive and accurate studies should be pertormed in this field so that by adding dates to a diabtic diet , the blood glucose levels can be mantained at a lower level.