medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-19-105-114medalphabet-4526Research ArticleСтатьиГликемия под контролем: роль микро- и фитонутриентовGlycemia under control: the role of micro- and phytonutrientshttps://orcid.org/0000-0003-3220-0333НикитинаЕ. А.NikitinaE. A.

Никитина Елена Александровна, к.м.н., доцент кафедры диетологии и клинической нутрициологии, научный сотрудник, эксперт Методического аккредитационно-симуляционного центра

Москва

Nikitina Elena A., PhD Med, associate professor at Dept of Dietetics and Clinical Nutrition, research fellow, expert of Methodological Accreditation and Simulation Center

Moscow 

nikitina-ea1@rudn.ruhttps://orcid.org/0000-0002-4689-3591ОрловаС. В.OrlovaS. V.

Орлова Светлана Владимировна, д.м.н., проф., зав. кафедрой диетологии и клинической нутрициологии, главный научный сотрудник

Москва

Orlova Svetlana V., DM Sci (habil.), professor, head of Dept of Dietetics and Clinical Nutritiology, Chief Researcher

Moscow 

orlova-sv@rudn.ruhttps://orcid.org/0000-0003-0928-2131БатышеваТ. Т.BatyshevaT. T.

Батышева Татьяна Тимофеевна, д.м.н., проф., заслуженный врач РФ, директор, глав. внештатный детский специалист невролог ДЗМ, глав. внештатный детский специалист по медицинской реабилитации Минздрава России, зав. кафедрой неврологии, физической, реабилитационной медицины и психологии детского возраста

Москва

Batysheva Tatyana T., DM Sci (habil.), professor, Honored Doctor of the Russian Federation, head of Dept of Neurology, Physical, Rehabilitation Medicine and Childhood Psychology, director, chief freelance pediatric neurologist of the Moscow Health Department, chief freelance pediatric specialist in medical rehabilitation of the Russian Ministry of Health

Moscow 

https://orcid.org/0000-0002-0548-3414БалашоваН. В.BalashovaN. V.

Балашова Наталья Валерьевна, к.б.н., доцент кафедры диетологии и клинической нутрициологии, доцент кафедры клинической лабораторной диагностики факультета усовершенствования врачей

Author ID: 832745

Москва

Balashova Natalya V., PhD Bio, assistant professor at Dept of Clinical Laboratory Diagnostics of the Faculty of Advanced Training of Doctors, assistant professor at Dept of Dietetics and Clinical Nutritiology

Author ID: 832745

Moscow 

BalashovaN77@mail.ruhttps://orcid.org/0000-0001-8448-8493АлексееваМ. В.AlekseevaM. V.

Алексеева Марина Валерьевна, к.м.н., зам. директора по организационно-методической работе

Москва

Alekseeva Marina.V., Ph.D., Deputy Director for Organizational and Methodological Work

Moscow 

https://orcid.org/0000-0003-4749-731XПигареваЮ. А.PigarevaYu. A.

Пигарева Юлия Анатольевна, к.м.н., зав. отделением клинической диетологии

Москва

Pigareva Yulia A., PhD Med, head of Dept of Clinical Dietetics

Moscow 

1092153068@rudn.ruФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы» ; ФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицины» Минздрава РоссииРоссияPeoples’ Friendship University of Russia named after Patrice Lumumba ; Scientific and Practical Center for Pediatric Psychoneurology of the Moscow Department of HealthRussian FederationФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»РоссияPeoples’ Friendship University of Russia named after Patrice Lumumba ; Scientific and Practical Center for Pediatric Psychoneurology of the Moscow Department of HealthRussian FederationФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ МО «Московский областной научно-исследовательский клинический институт имени М.Ф. Владимирского»РоссияPeoples’ Friendship University of Russia named after Patrice Lumumba ; MONIKI M.F. Vladimirskii Moscow Regional Scientific Research InstituteRussian FederationГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»РоссияScientific and Practical Center for Pediatric Psychoneurology of the Moscow Department of HealthRussian FederationГБУЗ «Городская клиническая больница имени В.В. Виноградова Департамента здравоохранения г. Москвы»РоссияCity Clinical Hospital named after V.V. Vinogradov, Moscow City Health DepartmentRussian Federation202530082025119«Диетология и нутрициология»105114Copyright © Никитина Е.А., Орлова С.В., Батышева Т.Т., Балашова Н.В., Алексеева М.В., Пигарева Ю.А., 20252025Никитина Е.А., Орлова С.В., Батышева Т.Т., Балашова Н.В., Алексеева М.В., Пигарева Ю.А.Nikitina E.A., Orlova S.V., Batysheva T.T., Balashova N.V., Alekseeva M.V., Pigareva Y.A.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-alphabet.com/jour/article/view/4526

Сахарный диабет 2 типа (СД2) представляет собой глобальную эпидемию, обусловленную избыточным несбалансированным питанием и низкой физической активностью. Снижение массы тела на 5% и более улучшает чувствительность к инсулину, нормализует гликемию и снижает риск осложнений. Вместе с тем у пациентов с СД часто выявляется дефицит витаминов (С, группы В) и минералов (магния, цинка, хрома), что может усугублять метаболические нарушения и повышать риск развития осложнений. Коррекция дефицита микронутриентов, применение пищевых волокон (инулин) и растительных экстрактов (джимнема) способствуют улучшению углеводного и липидного обмена. Оптимальная стратегия диетотерапии включает сбалансированную диету, физическую активность и персонализированную нутритивную поддержку с включением витаминно-минерального комплекса и фитонутриентов.

Type 2 diabetes mellitus (T2DM) is a global epidemic driven by unbalanced nutrition and physical inactivity. Body weight reduction by 5% and more improves insulin sensitivity, normalizes glycemia and reduces complication risks. However, patients with T2DM frequently demonstrate deficiencies in key vitamins (C, B-complex) and minerals (magnesium, zinc, chromium), which may exacerbate metabolic disorders and increase risk of complications. Addressing these micronutrient deficiencies through dietary fiber (inulin) and phytochemicals (Gymnema sylvestre) supplementation helps improve carbohydrate and lipid metabolism. Optimal nutritional therapy should combine balanced diet, physical activity and personalized micronutrient support including multivitamin-multimineral complexes and phytonutrients.

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