medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2022-16-10-104-109medsovet-6936Research ArticleСАХАРНЫЙ ДИАБЕТDIABETES MELLITUSПищевые волокна как элемент терапии пациентов с сахарным диабетом 2-го типа и сердечно-сосудистыми заболеваниями: простое решение сложной проблемыDietary fiber is a reliable and apparent element of treatment for patients with type 2 diabetes mellitus and cardiovascular diseases: an easy solution to a complicated problemhttps://orcid.org/0000-0001-6385-540XДемидоваТ. Ю.DemidovaT. Yu.

Демидова Татьяна Юльевна, доктор медицинских наук, профессор, заведующая кафедрой эндокринологии лечебного факультета

Scopus ID: 7003771623;SPIN-код 9600-9796

117997, Москва, ул. Островитянова, д. 1

Tatiana Yu. Demidova, Dr. Sci. (Med.), Professor, Head of the Department of Endocrinology, Faculty of Medicine

Scopus ID: 7003771623

1, Ostrovityanov St., Moscow, 117997

t.y.demidova@gmail.comhttps://orcid.org/0000-0002-3684-9992КоротковаТ. Н.KorotkovaT. N.

Короткова Татьяна Николаевна, заведующий лабораторией клинической биохимии, иммунологии и аллергологии

SPIN-код 6502-3727 

109240, Москва, Устьинский проезд, д. 2/14

Tatiana N. Korotkova, Head of the Laboratory of Clinical Biochemistry, Immunology and Allergology

2/14, Ustyinsky proezd, Moscow, 109240

tntisha@gmail.comhttps://orcid.org/0000-0002-6826-5924КочинаA. С.KochinaA. S.

Кочина Анна Сергеевна, аспирант кафедры эндокринологии лечебного факультета117997, Москва, ул. Островитянова, д. 1

Anna S. Kochina, Postgraduate Student of the Department of Endocrinology of the Medical Faculty

1, Ostrovityanov St., Moscow, 117997

anna_kochina_@mail.ruРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian FederationФедеральный исследовательский центр питания, биотехнологии и безопасности пищиРоссияFederal Research Center for Nutrition, Biotechnology and Food SafetyRussian Federation202219062022010104109Copyright © Демидова Т.Ю., Короткова Т.Н., Кочина A.С., 20222022Демидова Т.Ю., Короткова Т.Н., Кочина A.С.Demidova T.Y., Korotkova T.N., Kochina A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/6936

Заболевания сердечно-сосудистой системы часто встречаются в виде коморбидного фона у пациентов с сахарным диабетом 2-го типа (СД2). Проблема коморбидности при диабете является актуальной в связи с прогрессированием СД2, осложняющего течение любой патологии и повышающего шансы на развитие неблагоприятных сердечно-сосудистых событий. На сегодняшний день медицина располагает инновационными сахароснижающими препаратами, которые доказали свою безопасность и пользу в отношении сердечно-сосудистых заболеваний. Тем не менее высокая сердечно-сосудистая заболеваемость и смертность демонстрируют недостаточную эффективность лекарственной терапии. Отсутствие успешности терапии и профилактики сердечно-сосудистых заболеваний частично можно объяснить недостаточным ведением работы по устранению модифицируемых факторов риска, таких как гиподинамия, курение, избыточное и неправильное питание. Разработки в области пищевых волокон позволяют рассуждать об их внедрении в рацион питания пациентов с СД2 и сердечно-сосудистой патологией вследствие доказанного положительного влияния на углеводный обмен и сердечнососудистые заболевания. Одним из перспективных представителей пищевых волокон является экстракт плодов циамопсиса четырехкрыльникового. Он продемонстрировал свою эффективность в отношении улучшения углеводного обмена и липидного профиля, модулируя метаболические параметры пациентов с СД2 и снижая риски сердечно-сосудистых заболеваний. Помимо этого, неоспоримыми преимуществами биологически активной добавки на основе экстракта плодов циамопсиса четырехкрыльникового являются удобная форма применения и отсутствие побочных эффектов.

Cardiovascular diseases are a frequent comorbid condition in patients with type 2 diabetes mellitus (t2DM). This problem tends to remain acute because of the progression of t2DM, which increases the chances of cardiovascular events. Medicine today has a range of innovative hypoglycemic drugs, which proved their safety and effectiveness towards diseases of cardiovascular system. However, high cardiovascular mortality demonstrates that the medication is not enough effective. Partly lack of success may be explained by not enough work with unmodified risk factors, such as physical activity, smoking and excessive and wrong nutrition. Studies about dietary fiber (DF) let us discuss their including in the dietary plan of patients with t2DM and cardiovascular diseases. One of the promising DF types is Cyamopsis tetragonoloba extract. It showed its effectiveness concerning carbohydrate metabolism and lipid profile, improving, metabolic features of t2DM patients and lowering the risks of cardiovascular events. What is more, the advantage of Cyamopsis tetragonoloba extract is easy to use and has no side effects.

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The authors declare that there are no conflicts of interest present.