{"id":8852,"date":"2013-06-19T08:34:35","date_gmt":"2013-06-18T23:34:35","guid":{"rendered":"http:\/\/arita.com\/ar\/?p=8852"},"modified":"2016-12-29T09:47:06","modified_gmt":"2016-12-29T00:47:06","slug":"%e7%b3%96%e8%b3%aa%e5%88%b6%e9%99%90%e3%81%ae%e7%a7%91%e5%ad%a6%e7%9a%84%e6%a0%b9%e6%8b%a0%e3%83%bb%e3%83%bb%e3%83%bb%e7%b1%b3%e5%9b%bd%e7%b3%96%e5%b0%bf%e7%97%85%e5%ad%a6%e4%bc%9a%e3%81%ae%e8%a6%8b-2","status":"publish","type":"post","link":"https:\/\/arita.com\/ar\/?p=8852","title":{"rendered":"\u7cd6\u8cea\u5236\u9650\u306b\u306f\u79d1\u5b66\u7684\u6839\u62e0\u3042\u308a\u30fb\u30fb\u30fb\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5354\u4f1a\u306e\u898b\u89e3\u3000\u305d\u306e2"},"content":{"rendered":"<div class=\"theContentWrap-ccc\"><p><a href=\"http:\/\/care.diabetesjournals.org\/content\/by\/year\"><img loading=\"lazy\" decoding=\"async\" src=\"..\/ar\/wp-content\/uploads\/2013\/06\/dbcare2.jpg\" alt=\"dbcare2\" width=\"400\" height=\"412\" class=\"alignright size-full wp-image-8855\" srcset=\"https:\/\/arita.com\/ar\/wp-content\/uploads\/2013\/06\/dbcare2.jpg 400w, https:\/\/arita.com\/ar\/wp-content\/uploads\/2013\/06\/dbcare2-291x300.jpg 291w, https:\/\/arita.com\/ar\/wp-content\/uploads\/2013\/06\/dbcare2-145x150.jpg 145w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/a>\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5354\u4f1a\uff08ADA\uff09\u306f2008\u5e74\u52e7\u544a\u3067\u7cd6\u8cea\u5236\u9650\u306b\u3088\u308b\u7cd6\u5c3f\u4eba\u306e\u98df\u4e8b\u7ba1\u7406\u3092\u63a8\u5968\u3057\u307e\u3057\u305f\u3002\u3067\u3082\u3001\u8a71\u306f\u305d\u3046\u5358\u7d14\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u79d1\u5b66\u7684\u6839\u62e0\u3042\u308a\u3068\u8a8d\u5b9a\u3057\u305f\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u305d\u308c\u307e\u3067\u306e\u52e7\u544a\u3068\u7cd6\u8cea\u5236\u9650\u98df\u3068\u306e\u95a2\u4fc2\u304c\u306f\u3063\u304d\u308a\u305b\u305a\u3001\u8a71\u304c\u6d6e\u3044\u305f\u611f\u3058\u3082\u3057\u307e\u3059\u3002\u305d\u306e\u5f8c\u3053\u306e\u6804\u990a\u7ba1\u7406\u306b\u95a2\u3059\u308b\u8a18\u8f09\u304c\u5fae\u5999\u306b\u5909\u308f\u3063\u3066\u3044\u304f\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u73fe\u5728\u3069\u3046\u306a\u3063\u3066\u3044\u308b\u306e\u304b\u3002\u5e74\u5ea6\u3092\u8ffd\u3063\u3066\u305d\u306e\u5185\u5bb9\u3092\u7d39\u4ecb\u3057\u3001\u73fe\u5728\u307e\u3067\u306e\u5909\u9077\u306b\u3064\u3044\u3066\u8a18\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<!--more--><\/p>\n<p>\u30fb\u30fb\u30fb<\/p>\n<p>\u5143\u6765\u3001\u7cd6\u5c3f\u75c5\u306e\u6cbb\u7642\u3068\u3044\u3046\u306e\u306f\u3001\u7cd6\u5c3f\u75c5\u306b\u306a\u3063\u3066\u304b\u3089\u85ac\u5264\u3084\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u4f7f\u3063\u3066\u8840\u7cd6\u5024\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff08Glycemic control\uff09\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u5931\u660e\u3084\u814e\u75c7\u3042\u308b\u3044\u306f\u58ca\u75bd\u3084\u795e\u7d4c\u969c\u5bb3\u3092\u3044\u304b\u306b\u3057\u3066\u56de\u907f\u3057\u3066\u3044\u304f\u306e\u304b\u3001\u3064\u307e\u308a\u5408\u4f75\u75c7\u3092\u9632\u3050\u3053\u3068\u3092\u91cd\u8996\u3057\u307e\u3059\u3002<\/p>\n<p><br clear=\"both\" \/><\/p>\n<p>\u3067\u3082\u3001\u7cd6\u5c3f\u75c5\u306b\u306a\u3063\u3066\u304b\u3089\u3042\u308c\u3053\u308c\u53d6\u308a\u7d44\u3093\u3067\u3082\u4e88\u9632\u306b\u306f\u5230\u5e95\u306a\u308a\u307e\u305b\u3093\u3002\u9069\u5207\u306a\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u57fa\u6e96\u3084\u305d\u306e\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306f\u3082\u3061\u308d\u3093\u3067\u3059\u304c\u3001ADA\u306f\u4e88\u9632\u3092\u91cd\u8996\u3057\u3066\u304a\u308a\u3001\u533b\u5b66\u7684\u6804\u990a\u6cbb\u7642\uff08Medical Nutrition Therapy; MNT\uff09\u3068\u3044\u3046\u9805\u76ee\u3092\u7acb\u3066\u3066\u3001\u4f55\u3092\u884c\u3048\u3070\u3088\u3044\u306e\u304b\u3001\u305d\u306e\u52e7\u544a\u3092\u51fa\u3057\u3066\u3044\u307e\u3059\u3002\u5148\u306e2008\u5e74\u306e\u7cd6\u8cea\u5236\u9650\u98df\u306b\u95a2\u3059\u308b\u52e7\u544a\u306f\u3053\u306e\u6804\u990a\u6307\u5c0e\u306e\u4e00\u822c\u52e7\u544a\u306e\u4e2d\u3067\u767b\u5834\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>\u3082\u3046\u4e00\u5ea6\u7d39\u4ecb\u3059\u308b\u3068\u3001<\/p>\n<blockquote><p>In overweight and obese insulin- resistant individuals, modest weight loss has been shown to reduce insulin resistance. Thus, weight loss is recommended for all overweight or obese individuals who have or are at risk for diabetes. (A)<\/p>\n<p>For weight loss, either low-carbohy- drate or low-fat calorie-restricted diets may be effective in the short term (up to 1 year). (A) \uff08Executive Summary: Standards of Medical Care in Diabetes 2008\u3000\u3088\u308a\uff09<\/p><\/blockquote>\n<p>\u592a\u308a\u3059\u304e\u3084\u80a5\u6e80\u306f\u305d\u306e\u4f53\u91cd\u3092\u6e1b\u3089\u3059\u3053\u3068\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u62b5\u6297\u6027\u3092\u5f31\u3081\u308b\u306e\u3067\u3001\u4f53\u91cd\u6e1b\u5c11\u306f\u7cd6\u5c3f\u75c5\u3084\u305d\u306e\u5371\u967a\u304c\u3042\u308b\u8005\u306b\u63a8\u5968\u3055\u308c\u308b\u3001\u305d\u306e\u305f\u3081\u306b\u306f\u4f4e\u70ad\u6c34\u5316\u7269\u98df\uff08\u7cd6\u8cea\u5236\u9650\u98df\uff09\u3001\u4f4e\u8102\u80aa\u30ab\u30ed\u30ea\u30fc\u5236\u9650\u98df\u304c\u77ed\u671f\u7684\u306b\u52b9\u679c\u7684\uff08\uff11\u5e74\u307e\u3067\uff09\u3068\u3044\u3046\u52e7\u544a\u3067\u3057\u305f\u3002\u3069\u3061\u3089\u3082\u79d1\u5b66\u7684\u6839\u62e0\u306fA\u3067\u3059\u304b\u3089\u3001\u6587\u53e5\u306a\u304f\u7cd6\u8cea\u5236\u9650\u98df\u3082\u7cd6\u5c3f\u75c5\u6cbb\u7642\u3084\u4e88\u9632\u306b\u6709\u52b9\u3068\u3044\u3046\u5224\u65ad\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3068\u3053\u308d\u304c\u4e00\u65b9\u3067\u3001\u5f93\u6765\u901a\u308a\u306e\u30ab\u30ed\u30ea\u30fc\u5236\u9650\u3084\u8102\u80aa\u5236\u9650\u304c\u4e00\u6b21\u7684\u306a\u7cd6\u5c3f\u75c5\u4e88\u9632\u306b\u306f\u52b9\u679c\u7684\u3067\u63a8\u5968\u3067\u304d\u308b\u3068\u3044\u3046\u9805\u3082\u5225\u306b\u3042\u308a\uff08\u7cd6\u8cea\u5236\u9650\u98df\u306f\u7121\u8996\uff09\u3001\u3044\u3063\u305f\u3044ADA\u306f\u4f55\u3092\u85a6\u3081\u3066\u3044\u308b\u306e\u304b\u3001\u7cd6\u8cea\u5236\u9650\u3092\u3069\u3046\u6349\u3048\u3066\u3044\u308b\u306e\u304b\u3001\u305d\u3053\u3089\u304c\u306f\u3063\u304d\u308a\u3057\u307e\u305b\u3093\u30022007\u5e74\u52e7\u544a\u306b\u7121\u7406\u77e2\u7406\u7cd6\u8cea\u5236\u9650\u98df\u3092\u8ffd\u52a0\u3057\u3066\u4f5c\u6210\u3057\u305f2008\u5e74\u52e7\u544a\u3068\u3044\u3046\u611f\u3058\u304c\u5426\u3081\u307e\u305b\u3093\uff08\u79c1\u898b\uff09\u3002<\/p>\n<p>\u884c\u9593\u3092\u8aad\u3080\u306a\u3089\u3001\u4f4e\u30ab\u30ed\u30ea\u30fc\u98df\u306f\u7cd6\u5c3f\u75c5\u306e\u5371\u967a\u6027\u6709\u308a\u7121\u3057\u306b\u95a2\u4fc2\u306a\u304f\u63a8\u5968\u3067\u304d\u308b\u304c\u3001\u7cd6\u8cea\u5236\u9650\u98df\u306f\u7cd6\u5c3f\u75c5\u3042\u308b\u3044\u306f\u305d\u306e\u5371\u967a\u306e\u3042\u308b\u8005\u306b\u9650\u3063\u3066\u63a8\u5968\u3067\u304d\u308b\u3068\u3044\u3044\u305f\u3044\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3067\u3082\u3001\u3053\u308c\u306f\u6b63\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u5f93\u6765\u306e\u4f4e\u30ab\u30ed\u30ea\u30fc\u98df\u52e7\u544a\u306b\u306f\u4f55\u306e\u554f\u984c\u3082\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u8cac\u4efb\u9003\u308c\u306a\u59ff\u304c\u305d\u3053\u306b\u6d6e\u304b\u3093\u3067\u304d\u307e\u3059\u3002<\/p>\n<p>\u6804\u990a\u7642\u6cd5\u306b\u95a2\u3057\u3066\u306f2011\u5e74\u52e7\u544a\u3067\u3001\u305d\u308c\u307e\u3067\u306e\u7cd6\u8cea\u5236\u9650\u98df\u3001\u4f4e\u30ab\u30ed\u30ea\u30fc\u98df\u3001\u4f4e\u8102\u80aa\u30ab\u30ed\u30ea\u30fc\u5236\u9650\u98df\u306b\u5730\u4e2d\u6d77\u98df\u304c\u52a0\u308f\u308a\u3001\u52b9\u679c\u306e\u7a0b\u5ea6\u304c\uff12\u5e74\u306b\u4f38\u3070\u3055\u308c\u307e\u3057\u305f\uff08up to 2 years\uff09\u3002\u3053\u308c\u306f2\u5e74\u307e\u3067\u306e\u52b9\u679c\u3092\u8abf\u67fb\u3057\u305f\u7814\u7a76\u5831\u544a\u304c\u516c\u8868\u3055\u308c\u305f\u3053\u3068\u306b\u3088\u308b\u4fee\u6b63\u3067\u3001\uff12\u5e74\u3057\u304b\u52b9\u679c\u304c\u306a\u3044\u3068\u4e91\u3063\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u65e5\u672c\u306e\u5b66\u8005\u306e\u4e2d\u306b\u306f\u7cd6\u8cea\u5236\u9650\u306b\u306f\uff12\u5e74\u3057\u304b\u52b9\u679c\u304c\u306a\u3044\u3001\u9577\u671f\u7684\u306b\u306f\u4e0d\u660e\u306a\u3069\u3068\u3044\u3046\u3088\u3046\u306a\u767a\u8a00\u3092\u3059\u308b\u8005\u304c\u3044\u307e\u3059\u304c\u3001\u3082\u3068\u3082\u3068\u3053\u306e\u624b\u306e\u7814\u7a76\u306f2\u5e74\u307e\u3067\u306e\u7814\u7a76\u3057\u304b\u306a\u3044\u308f\u3051\u3067\u3059\u304b\u3089\u3001\u3053\u306e\u6279\u5224\u306f\u7684\u5916\u308c\u3067\u6b63\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u3055\u3066\u3001\u6700\u65b0\u306e2013\u5e74\u52e7\u544a\u307e\u3067\u5185\u5bb9\u3092\u30c1\u30a7\u30c3\u30af\u3057\u3066\u307f\u308b\u3068\u3001\u80a5\u6e80\u9632\u6b62\u3068\u3057\u3066\u306e\u7cd6\u8cea\u5236\u9650\u98df\u306b\u3064\u3044\u3066\u306f2008\u5e74\u4ee5\u964d\u3001\u4e00\u8cab\u3057\u3066\u305d\u306e\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"..\/ar\/wp-content\/uploads\/2013\/06\/pool2-300x198.jpg\" alt=\"pool2\" width=\"300\" height=\"198\" class=\"aligncenter size-medium wp-image-8861 ml-lightbox-enabled\" srcset=\"https:\/\/arita.com\/ar\/wp-content\/uploads\/2013\/06\/pool2-300x198.jpg 300w, https:\/\/arita.com\/ar\/wp-content\/uploads\/2013\/06\/pool2-150x99.jpg 150w, https:\/\/arita.com\/ar\/wp-content\/uploads\/2013\/06\/pool2-400x264.jpg 400w, https:\/\/arita.com\/ar\/wp-content\/uploads\/2013\/06\/pool2.jpg 900w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" 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