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从肠道到血糖:功能性食品和饮食干预糖尿病管理的综合评价。

From Gut to Glucose: A Comprehensive Review on Functional Foods and Dietary Interventions for Diabetes Management.

机构信息

Department of Bioinformatics, BioNome, Bengaluru 560043, India.

出版信息

Curr Diabetes Rev. 2024;20(5):e111023222081. doi: 10.2174/0115733998266653231005072450.

Abstract

BACKGROUND

In the realm of diabetes research, considerable attention has been directed toward elucidating the intricate interplay between the gastrointestinal tract and glucose regulation. The gastrointestinal tract, once exclusively considered for its role in digestion and nutrient assimilation, is presently acknowledged as a multifaceted ecosystem with regulatory supremacy over metabolic homeostasis and glucose metabolism. Recent studies indicate that alterations in the composition and functionality of the gut microbiota could potentially influence the regulation of glucose levels and glucose homeostasis in the body. Dysbiosis, characterized by perturbations in the equilibrium of gut microbial constituents, has been irrevocably linked to an augmented risk of diabetes mellitus (DM). Moreover, research has revealed the potential influence of the gut microbiota on important factors, like inflammation and insulin sensitivity, which are key contributors to the onset and progression of diabetes. The key protagonists implicated in the regulation of glucose encompass the gut bacteria, gut barrier integrity, and the gut-brain axis. A viable approach to enhance glycemic control while concurrently mitigating the burden of comorbidities associated with diabetes resides in the strategic manipulation of the gut environment through adapted dietary practices.

OBJECTIVE

This review aimed to provide a deep understanding of the complex relationship between gut health, glucose metabolism, and diabetes treatment.

CONCLUSION

This study has presented an exhaustive overview of dietary therapies and functional foods that have undergone extensive research to explore their potential advantages in the management of diabetes. It looks into the role of gut health in glucose regulation, discusses the impact of different dietary elements on the course of diabetes, and evaluates how well functional foods can help with glycemic control. Furthermore, it investigates the mechanistic aspects of these therapies, including their influence on insulin sensitivity, β-cell activity, and inflammation. It deliberates on the limitations and potential prospects associated with integrating functional foods into personalized approaches to diabetes care.

摘要

背景

在糖尿病研究领域,人们相当关注胃肠道与葡萄糖调节之间的复杂相互作用。胃肠道曾经仅被认为具有消化和营养吸收的功能,而现在被认为是一个具有多方面功能的生态系统,对代谢稳态和葡萄糖代谢具有调节作用。最近的研究表明,肠道微生物群落的组成和功能的改变可能会影响身体内葡萄糖水平和葡萄糖代谢的调节。肠道微生物组成的失衡,即所谓的生态失调,与糖尿病风险的增加是不可分割的。此外,研究揭示了肠道微生物群对炎症和胰岛素敏感性等重要因素的潜在影响,这些因素是糖尿病发病和进展的关键因素。参与调节葡萄糖的关键因素包括肠道细菌、肠道屏障完整性和肠道-大脑轴。通过适应性饮食实践来战略性地操纵肠道环境,以增强血糖控制并减轻与糖尿病相关的并发症负担,是一种可行的方法。

目的

本综述旨在深入了解肠道健康、葡萄糖代谢和糖尿病治疗之间的复杂关系。

结论

本研究全面概述了经过广泛研究的饮食疗法和功能性食品,以探索它们在糖尿病管理中的潜在优势。本文探讨了肠道健康在葡萄糖调节中的作用,讨论了不同饮食因素对糖尿病进程的影响,并评估了功能性食品在血糖控制方面的效果。此外,还研究了这些疗法的机制方面,包括它们对胰岛素敏感性、β细胞活性和炎症的影响。本文还讨论了将功能性食品纳入糖尿病护理个性化方法中所涉及的局限性和潜在前景。

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