Aim: to assess the variability of glycemia (GV) in patients with type 2 diabetes on the background of a low-calorie diet with the inclusion of a specialized food (SF) with a modified carbohydrate profile.
Materials and methods: 38 women with type 2 diabetes and obesity (BMI on average 38.1 ± 0.89 kg/m2) aged 37 to 69 years were examined. All patients receiving standard hypoglycemic therapy were assessed for GV using the continuous glucose monitoring system from Medtronic for 6 days: 3 days against the background of a low-calorie diet (1,500 kcal / day) and 3 days against the background of a low-calorie diet with the inclusion of a SF for medical nutrition. SF was included in the hypocaloric diet in the form of a drink in the amount of 200 ml for a second breakfast instead of a carbohydrate-containing dish.
Results: It is shown that the inclusion of SF in the hypocaloric diet was accompanied by a statistically significant decrease in the level of maximum and average glycemia. For the majority of patients over the entire observation period, the average glycemia in the afternoon and in the evening was higher than at night, reflecting the natural effect of meals on glycemia.
Conclusions: modification of the hypocaloric diet due to the inclusion of SF with a modified carbohydrate profile helps to reduce some indicators of hepatitis B in patients with type 2 diabetes.