J Korean Diabetes > Volume 19(4); 2018 > Article
The Journal of Korean Diabetes 2018;19(4):237-245.
DOI: https://doi.org/10.4093/jkd.2018.19.4.237    Published online January 8, 2019.
혈당조절과 저탄수화물고지방 식사
Blood Sugar Control and Low-Carbohydrate High-Fat Diet.
Eun Hee Kang
Clinical Dietitian Health Screening Administration, Asan Medical Center, Seoul, Korea. ehkang@amc.seoul.kr
Diabetes patients and pre-diabetic patients are increasing worldwide. Type 2 diabetes starts with insulin resistance, and the long-term habit of stimulating insulin secretions causes insulin resistance and accumulates body fat to develop obesity and non-alcoholic fatty liver into diabetes. It also causes a variety of chronic diseases such as high blood pressure, polycystic ovary diseases, cancer and dementia. Insulin resistance is caused by an unbalanced lifestyle, and among other factors, the balance of the macronutrient is a very important factor. Koreans are characterized by high carbohydrate intake. Given the increasing prevalence of diabetes and the characteristics of Korean physical and eating habits, a more effective balance of diet education is needed. Therefore, it is very important for clinical dietitian to understand the carbohydrate and fat metabolism caused by insulin, and the concept of balanced diet for blood sugar control needs to be shifted from low-fat high-carbohydrate diet to low-carbohydrate high-fat diet.
Key Words: Body fat, High-carbohydrate diet, Insulin, Insulin resistance, Lipoprotein lipase, Low-fat diet, Type 2 diabetes

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