SPECIALIZED NUTRITION FOR DIABETES MELLITUS
Abstract and keywords
Abstract (English):
The article analyzes the statistical data of diabetes mellitus (DM) of the 1st and 2nd type in dynamics over 5 years and in the context of the subjects of the Russian Federation on 01.012021. The trend of increasing the prevalence of this diagnosis per 100,000 population has been established, so the number of people with type 1 diabetes has increased by 7%, and type 2 diabetes by 12%. Krasnoyarsk Krai is among the top 25 subjects of the Russian Federation with a high incidence of type 1 diabetes mellitus (199.8 people per 100,000 population), which exceeds the established average for the whole country. According to the prevalence of type 2 diabetes, the region is in the top 50 subjects, and the incidence rate is 2926.8 people per 100,000 population. The total number of people with DM in the Krasnoyarsk Territory is more than 92 thousand people, while the proportion of the adult population with DM disease reaches 99%, adolescents – 0.3% and children – 0.7%. The total number of people with DM in the region is dominated by the number of people with DM2 (90%), DM1 accounts for 6% of patients, other types of DM account for 4%. The features of specialized nutrition for people with DM disease in accordance with the requirements of regulatory documentation are considered, the results of scientific research in the field of development of specialized foods for diabetic patients, which are aimed at creating bakery and flour confectionery products by partially or completely replacing sugar, wheat flour, fat products with products with a low glycemic index, are presented, the second direction is based on the modification of the carbohydrate profile of the product, due to the exclusion of sugar from the composition of the formulation and the introduction of a sweetener that allows to normalize carbohydrate and lipid metabolism in the human body with diabetes mellitus. Despite the importance of the problem of the prevalence of diabetes mellitus and the development of ways to solve it, it is still considered to be not fully studied scientific topics. This enables researchers to identify new approaches to the creation of specialized food products, expand their range and consumer awareness.

Keywords:
diabetes mellitus (DM), prevalence, morbidity, specialized nutrition, nutrition for diabetes, glycemic index, sugar substitutes, hypoglycemic therapy
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References

1. Decree of the Government of the Russian Federation "Strategy for improving the quality of food products in the Russian Federation until 2030" No. 1364-r dated 06/29/2016. [Electronic source] URL: https://docs.cntd.ru/document/420363999 (Date of access: 12.01.2023).

2. Dedov, I. I., Shestakova, M. V., Vikulova, O. K., Zheleznyakova, A. V., Isakov M. A. (2021). Epidemiological characteristics of diabetes mellitus in the Russian Federation: clinical and statistical analysis according to the data of the register of diabetes mellitus on 01.01.2021. Diabetes mellitus, 24(3), 204-221. [Electronic source] URL: https://www.dia-endojournals.ru/jour/article/view/12759 (Date of access: 12.01.2023).

3. Dedov, I. I., Shestakova, M. V., Mayorov, A. Yu., Vikulova, O. K., Galstyan, G. R., Kuraeva, T. L. et al. (2019). Algorithms of specialized medical care for patients with diabetes mellitus. Diabetes mellitus. 22(1S). [Electronic source] URL: https://www.dia-endojournals.ru/dia/article/view/12211 (Date of access: 12.01.2023).

4. Technical regulations of the Customs of the Union (TR CU 027/2012) "On the safety of certain types of specialized food products, including dietary therapeutic and dietary preventive nutrition". [Electronic source] URL: https://docs.cntd.ru/document/902352823 (Date of access: 12.01.2023).

5. GOST R 33999-2016. Specialized food products. Food products of dietary therapeutic and dietary preventive nutrition. Terms and definitions. (2017). Introduction 01.07.2018. Moscow : Standartinform, 8.

6. MR 2.4.0162-19. 2.4. Hygiene of children and adolescents. Features of the organization of nutrition for children suffering from diabetes mellitus and other diseases accompanied by dietary restrictions (in educational and health organizations). Methodological recommendations (approved by the Chief State Sanitary Doctor of the Russian Federation, 30.12.2019). [Electronic source] URL: https://docs.cntd.ru/document/564173479 (Date of access: 12.01.2023).

7. Morozov, M. A. (2012). Healthy lifestyle and disease prevention. St. Petersburg : SpetsLit, 175.

8. Verbova, A. F. et al. (2019). Type 2 diabetes mellitus: pathogenesis, diagnosis, clinic, treatment. Samara : ETCHING, 98.

9. Borisova, I. (2020). Diet "Without sugar". Physical culture and sport, 5, 20-21.

10. Alekseev, V. A., Sharafetdinov, H. H., Plotnikova, O. A. (2022). Basic principles of diet therapy in type 2 diabetes mellitus: emphasis on antioxidant protection and endothelial dysfunction. Nutrition issues, 91(4), 6-18.

11. GOST R 55577-2013. Specialized and functional food products. Information about distinctive features and effectiveness. (2015). Introduction. 01.01.2015. Moscow : Standartinform, 23.

12. Dmitrievskaya, M. N., Pogozheva, A. V., Vasiliev, A. V., Maltsev , G. Yu. et al. (2007). The use of diet therapy developed on the basis of a comprehensive assessment of nutritional status in patients with cardiovascular diseases and obesity. Nutrition issues, 3, 24-28.

13. Toshev, A. D., Persetskaya, K. M. (2018). Confectionery products without sugar in the diet of diabetics. Young scientist, 52(238), 23-27.

14. Alekseenko, E. V., Belyavskaya, I. G., Glebova, P. S. (2019). Promising ingredients for the production of rich biscuits of increased nutritional value. Materials of reports of the XII International Conference "Confectionery of the XXI century" (25-27 February 2019). Moscow: International Industrial Academy, 52-56.

15. Vasyukova, A. T., Slavyansky, A. A., Khairulin, M. F. et al. (2019). Products with herbal supplements for healthy nutrition. Food industry, 12, 72-75.

16. Savenkova, T. V., Kochetkova, A. A., Sharafetdinov, H. H., Plotnikova, O. A., Soldatova, E. A., Vorobyova, V. M., Glazkova, I. V. (2017). Theoretical and practical aspects of the creation of flour confectionery products for patients with type 2 diabetes mellitus. Food industry, 4, 44-48.

17. Kochetkova, A. A., Vorobyeva, I. S., Vorobyeva, V. M., Sharafetdinov, H. H., Plotnikova, O. A., Pilipenko, V. V., Alekseeva, R. I., Sosunova, A. N. (2018). Specialized food products with a modified carbohydrate profile for dietary correction of the diet of patients with type 2 diabetes mellitus. Nutrition issues, 87(6), 76-88.

18. Maksimov, S. A., Karamnova, N. S., Shalnova, S. A., Drapkina, O. M. (2020). Empirical models of nutrition and their impact on health in epidemiological studies. Questions of nutrition, 89(1), 6-18.

19. Sharafetdinov, H. H., Plotnikova, O. A., Pilipenko, V. V., Kochetkova, A. A., Vorobyova, V. M., Vorobyova, I. S., Tutelyan V. A. (2015). The influence of a specialized food product with a modified carbohydrate profile on postprandial glycemia in patients with type 2 diabetes mellitus. Nutrition issues, 84(6), 92-98.

20. Sokolova, E. I. (2018). Modern raw materials for confectionery production. Moscow : Academia, 64.

21. Frolova, N. A. Scientific substantiation and practical aspects of the formation of the quality and safety of confectionery products of functional orientation : specialty 05.18.15 "Technology and commodity science of functional and specialized food products and public catering" : abstract of the dissertation for the degree of Candidate of Technical Sciences / Frolova Nina Anatolyevna; Kemerovo State University. Kemerovo, 2022. 25 p.

22. Patent No. 2772107 Russian Federation, IPC A21D 2/00 A21D 8/02 A21D 13/80. The method of production of cupcakes and multicomponent dry mixes for their manufacture : No. 2021131314 : application 26.10.2021 : publ. 18.05.2022 / Tuboltseva A. S., Renzyaeva T. V., Poznyakovsky V. M. ; applicant Kemerovo State Medical University. 2 p.

23. Patent No. 2775409 Russian Federation, IPC A21D 8/02, A21D 2/36, A21D 13/047. Method of production of bakery products from a composite mixture : No. 2021117645 : application 16.06.2021 : publ. 30.06.2022 / Sokol N. V., Olkhovatov E. A., Ayrumyan V. Yu., Kazakova V. S. ; applicant Kuban State University. 3 p.

24. Patent No. 2755689 Russian Federation, IPC A21D 2/36. Method of bread production : No. 2021105724 : application 05.03.2021 : publ. 20.09.2021 / Shevtsov A. A., Tertychnaya T. N., Kulikov S. S., Drannikov A. V., Zasypkin N. V. ; applicant Voronezh State University of Engineering Technologies. 2 p.

25. Patent No. 2774423 Russian Federation, IPC A21D 13/80 A21D 2/36. Method of production of butter cookies : No. 2021121417 : application 20.07.2021 : publ. 21.06.2022 / Ivanova N. G. 2 p.

26. Patent No. 2689715 Russian Federation, IPC A21D 13/04 (2006.01), A21D 13/047 (2017.01), A21D 13/066 (2017.01). Method of preparation of dietary semi-finished custard : No.2018116614 : application 05.05.2018 : publ. 28.05.2019 / Sergeeva S. S., Krasilnikov V. N., Popov V. S. 2 p.

27. Patent No. 2097041 Russian Federation, IPC A61K 31/7004 (2006.01), A61K 31/70 (2006.01), A61P 3/10 (2006.01). Method of diabetes mellitus treatment : No. 94042023/14 : application 22.11.1994 : publ. 27.11.1997 / Chepurnoy I. P., Bolbat K. E. 3 p.

28. Patent No. 2097041 Russian Federation, IPC A61K 31/7004, A61K 31/70, A61P 3/10. Method of treatment of diabetes mellitus : No. 94042023/14 : application 16.06.2021 : publ. 30.06.2022 / Chepurnoy I. P., Bolbat K. E. 3 p.

29. Patent No. 2775709 Russian Federation, IPC A21D 2/36 (2006.01), A21D 2/34 (2006.01), A21D 2/38 (2006.01). Method of production of bakery products : No. 2021127402 : application 17.09.2021 : publ. 06.07.2022 / Ponomareva E. I., Titov S. A., Alekhina N. N., Lukina S. I., Gubareva Yu. P ., Tereshchenko D. A. 2 p .

30. Patent No. 2735420 Russian Federation, IPC A23G 3/48 (2006.01), A23G 3/54 (2006.01), A23L 19/00 (2016.01). Confectionery : No. 2019104052 : application 13.02.2019 : publ. 02.11.2020 / Poddubny I. E., Zhurbenko E. V. 4 p.

31. Mayurnikova, L. A., Poznyakovsky, V. M., Sukhanov, B. P. et al. (2016). Expertise of specialized food products. Quality and safety. St. Petersburg : GIORD, 448.

32. Apolzan, J. W., Venditti, E. M., Edelstein, S. L., Knowler, W. C., Dabelea D., Boyko, E. J. et al. (2019). Long-term weight loss with metformin or lifestyle intervention in the diabetes prevention program outcomes study. Annals of Internal Medicine, 170(10), 682-690. DOI:https://doi.org/10.7326/M18-1605.

33. Ampofo, D., Agbenorhevi, J. K., Firempong, C. K., Adu-Kwarteng, E. (2020). Glycemic index of different varieties of yam as influenced by boiling, frying and. Food Science & Nutrition, 9(2), 1106-1111. DOI:https://doi.org/10.1002/fsn3.2087.

34. Den Hartogh, D. J., Gabriel, A., Tsiani, E. (2019). Antidiabetic properties of curcumin II: evidence from in vivo studies. Nutrients, 12(1), 58. DOI:https://doi.org/10.3390/nu12010058.

35. Evert, A. B., Dennison, M., Gardner, C. D., Garvey, W. T., Lau, K. H. K., MacLeod, J. (2019). Nutrition therapy for adults with diabetes or prediabetes: a consensus report. Diabetes Care, 42(5), 731-754. DOI:https://doi.org/10.2337/dci19-0014.

36. Fallah, A. A., Sarmast, E., Jafari, T. (2020). Effect of dietary anthocyanins on biomarkers of glycemic control and glucose metabolism: a systematic review and meta-analysis of randomized clinical trials. Food Research International, 137, 109379. DOI:https://doi.org/10.1016/j.foodres.2020.109379.

37. Castaldo, L., Narváez, A., Izzo, L., Graziani, G., Gaspari, A., Minno, G. D. (2019). Red wine consumption and cardiovascular health. Molecules, 24(19), 3626. DOI:https://doi.org/10.3390/molecules24193626.

38. Kabeya, Y., Goto, A., Kato, M., Takahashi, Y., Isogawa, A., Matsushita, Y. et al. (2022). Cross-sectional associations between the types/amounts of beverages consumed and the glycemia status: the Japan Public Health Center-based Prospective Diabetes study. Metabolism Open, 14, 100185. DOI:https://doi.org/10.1016/j.metop.2022.100185.

39. Lean, M. E. J., Leslie, W. S., Barnes, A. C. et al. (2019). Durability of a primary care-led weight-management intervention for remission of type 2 diabetes: 2-year results of the DiRECT open-label, cluster-randomised trial. Lancet Diabetes Endocrinol, 7, 344-355. DOI:https://doi.org/10.1016/S2213-8587(19)30068-3.

40. Toi, P. L., Anothaisintawee, T., Chaikledkaew, U., Briones, J. R., Reutrakul, S., Thakkinstian, A. (2020). Preventive role of diet interventions and dietary factors in type 2 diabetes mellitus: an umbrella review. Nutrients, 12(9), 2722. DOI:https://doi.org/10.3390/nu12092722.

41. Marshall, S., Petocz, P., Duve, E., Abbott, K., Cassettari, T., Blumfield, M. et al. (2020). The effect of replacing refined grains with whole grains on cardiovascular risk factors: a systematic review and meta-analysis of randomized controlled trials with GRADE clinical recommendation. Journal of the Academy of Nutrition and Dietetics, 120(11), 1859-1883. DOI:https://doi.org/10.1016/j.jand.2020.06.021.

42. Mason, S. A., Keske, M. A., Wadley, G. D. (2021). Effects of vitamin C supplementation on glycemic control and cardiovascular risk factors in people with type 2 diabetes: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials. Diabetes Care, 44(2), 618-630. DOI:https://doi.org/10.2337/dc20-1893.

43. Christensen, A. A., Gannon, M. (2019). The beta cell in type 2 diabetes. Current Diabetes Reports, 19(9), 81. DOI:https://doi.org/10.1007/s11892-019-1196-4.

44. Forouhi, N. G., Misra, A., Mohan, V., Taylor, R., Yancy, W. (2018). Dietary and nutritional approaches for prevention and management of type 2 diabetes. BMJ, 361, k2234. DOI:https://doi.org/10.1136/bmj.k2234.

45. IDF Diabetes Atlas. 9th edition 2019 / International Diabetes Federation. [Electronic source] URL: https://diabetesatlas.org/upload/resources/material/20200302_ 133351_IDFATLAS9e-final-web.pdf.

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