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Formuladiäten bei der Behandlung des Typ-2-Diabetes

Formula diets for treatment of type 2 diabetes

  • Leitthema
  • Published:
Der Diabetologe Aims and scope

Zusammenfassung

Hintergrund

Bereits seit mehr als 30 Jahren ist bekannt, dass kurz nach der Umstellung auf eine hypokalorische Ernährung eine signifikante Reduktion der Nüchternglucose- und der Insulinkonzentration sowie eine Steigerung der Insulinsensitivität erreicht werden können.

Ziel der Arbeit

Der Beitrag beschreibt die vielversprechenden Auswirkungen von niedrig-kalorischen bzw. Formuladiäten in der Behandlung des Typ-2-Diabetes.

Material und Methode

Hierzu wird ein Überblick über die Studienergebnisse zur Behandlung des Typ-2-Diabetes mithilfe von niedrig-kalorischen bzw. Formuladiäten gegeben. Der Einfluss auf Stoffwechselveränderungen, diabetesrelevante Parameter und die Lebensqualität von Typ-2-Diabetes-Patienten wird diskutiert. Des Weiteren wird die Vergleichbarkeit von bariatrischer Chirurgie und Formuladiäten behandelt.

Ergebnisse

Die schnellen Effekte auf metabolische Parameter, die zeitlich deutlich vor der Körpergewichtsreduktion auftreten, sind vergleichbar mit den Ergebnissen, die sich durch bariatrische Operationen erzielen lassen.

Schlussfolgerung

Die erfolgreiche und langfristige Integration von kalorienreduzierter Ernährung in den Alltag ist schwierig, da bisher das Hauptaugenmerk der Typ-2-Diabetes-Behandlung primär auf pharmakologischen Therapien lag. Formuladiäten bieten jedoch ein bisher ungenutztes Potenzial, durch die zu Beginn schnell erzielte Verbesserung der Stoffwechsellage bei den Betroffenen einen Motivationsschub auszulösen.

Abstract

Background

It has been known for more than 30 years that a significant reduction of fasting glucose and insulin concentrations as well as an increase in insulin sensitivity can be achieved immediately after the beginning of a hypocaloric diet.

Aim

This article describes the promising effects of low-calorie and formula diets in the treatment of type 2 diabetes.

Material and methods

A review of the study results on the treatment of type 2 diabetes using low-calorie and formula diets is given. The influence on metabolic alterations, diabetes-relevant parameters and the quality of life of type 2 diabetes patients is discussed, Furthermore, the comparability of bariatric surgery and formula diets is examined.

Results

The rapid effects on metabolic parameters which occur before the occurrence of an essential weight loss are comparable to the results after bariatric surgery.

Conclusion

The successful and long-term integration of calorie-reduced diets into everyday life is difficult because treatment of type 2 diabetes has primarily focused on pharmacological therapies; nevertheless, the rapidly achieved improvements in metabolic control by formula diets offer an as yet unexploited potential for patient motivation.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. S. Martin und K. Kempf haben eine Projektförderung der Almased-Wellness-GmbH erhalten. Der Beitrag enthält keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Westdeutsches Diabetes- und Gesundheitszentrum (WDGZ), Verbund Katholischer Kliniken Düsseldorf (VKKD), Hohensandweg 37, 40591, Düsseldorf, Deutschland

    S. Martin & K. Kempf

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  1. S. Martin
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  2. K. Kempf
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Correspondence to S. Martin.

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Martin, S., Kempf, K. Formuladiäten bei der Behandlung des Typ-2-Diabetes. Diabetologe 10, 122–129 (2014). https://doi.org/10.1007/s11428-013-1112-5

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