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The Dietary Management of Diabetes

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Advances in Nutritional Research

Part of the book series: Advances in Nutritional Research ((ANUR,volume 7))

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Abstract

For years, diet was one of the few factors which could be manipulated to improve diabetic control. The discovery of insulin did little to stimulate new developments in diabetic dietary policy and could be said to have had the reverse effect. The last ten years, however, have witnessed a dramatic revival of interest in the dietary management of diabetes. It seems ironical that major changes should have awaited the advent of sulphonyl ureas, more sophisticated insulins, and the technology which can make near-perfect diabetic control a realistic goal, but this underlines the vital role played by diet in the management of diabetics. This chapter will review some of the evidence which has stimulated these dietary changes and will attempt to define foods for diabetics, which combine dietary efficacy with patient acceptability.

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References

  • Ahrens, E. H., Hirsch, J., Insull, W., Tsaltas, T. T., Blomstrand, R., and Peterson, M. L., 1957, The influence of dietary fats on serum-lipid levels in man, Lancet i:943.

    Google Scholar 

  • Ahrens, E. H., Hirsch, J., Oette, J., Farquhar, J. W., and Stein, Y., 1961, Carbohydrate-induced and fat-induced lipemia, Trans. Assoc. Am. Physicians 74: 134.

    CAS  Google Scholar 

  • American Diabetes Association, Committee on Food and Nutrition, Special Report, 1971, Principles of nutrition and dietary recommendations for patients with diabetes mellitus, Diabetes 20: 633.

    Google Scholar 

  • Anderson, J. W., 1977, Effect of carbohydrate restriction and high carbohydrate diets on men with chemical diabetes, Am. J. Clin. Nutr. 30: 402.

    CAS  Google Scholar 

  • Anderson, J. W., and Ward, K., 1978, Long-term effects of high-carbohydrate, high-fiber diets on glucose and lipid metabolism: A preliminary report on patients with diabetes, Diabetes Care 1: 77.

    Article  CAS  Google Scholar 

  • Anderson, J. W., and Ward, K., 1979, High-carbohydrate, high-fiber diets for insulin-treated men with diabetes mellitus, Am. J. Clin. Nutr. 32: 2312.

    CAS  Google Scholar 

  • Anderson, J. W., Lin Chen, W-J., and Sieling, B., 1980, Hypolipidemic effects of highcarbohydrate, high-fiber diets, Metabolism 29: 551.

    Article  CAS  Google Scholar 

  • Antonis, A., and Bersohn, I., 1961, The influence of diet on serum-triglycerides in South African white and Bantu prisoners, Lancet i:3.

    Google Scholar 

  • Aro, A., Uusitupa, M., Voutilainen, E., Hersio, K., Korhonen, T., and Siitonen, O., 1981, Improved diabetic control and hypocholesterolaemic effect induced by long-term dietary supplementation with guar gum in type 2 (non-insulin-dependent) diabetes, Diabetologia 21: 29.

    Article  CAS  Google Scholar 

  • Bantle, J. P., Laine, D. C., Castle, G. W., Thomas, J. W., Hoogwerf, B. J., and Goetz, F. C., 1983, Postprandial glucose and insulin responses to meals containing different carbohydrates in normal and diabetic subjects, N. Engl. J. Med. 309: 7.

    Article  CAS  Google Scholar 

  • Beck-Nielsen, H., Pedersen, O., and Sorensen, N. S., 1978, Effects of diet on the cellular insulin binding and the insulin sensitivity in young healthy subjects, Diabetologia 15: 289.

    Article  CAS  Google Scholar 

  • Brunzell, J. D., Lerner, R. L., Porte, D., and Bierman, E. L., 1974, Effect of a fat-free high-carbohydrate diet on diabetic subjects with fasting hyperglycaemia, Diabetes 23: 138.

    CAS  Google Scholar 

  • Cohen, A. M., Briller, S., and Shafrir, E., 1972, Effect of long-term sucrose feeding on the activity of some enzymes regulating glycolysis, lipogenesis and gluconeogenesis in rat liver and adipose tissue, Biochim. et Biophys. Acta 279: 129.

    Article  CAS  Google Scholar 

  • Conn, J. W., 1940, Interpretation of the glucose tolerance test. The necessity for a standard preparatory diet, Am. J. Med. Sci. 199: 555.

    Article  CAS  Google Scholar 

  • Conn, J. W., and Newburgh, L. H., 1936, The glycemic response to isoglucogenic quantities of protein and carbohydrate, J. Clin. Invest. 15: 665.

    Article  CAS  Google Scholar 

  • Crapo, P. A., Reaven, G., and Olefsky, J., 1977, Postprandial plasma-glucose and insulin responses to different complex carbohydrates, Diabetes 26: 1178.

    Article  CAS  Google Scholar 

  • Dodson, P. M., Stocks, J., Holdsworth, G., and Galton, D. G., 1981, High-fibre and low-fat diets in diabetes mellitus, Br. J. Nutr. 46: 289.

    Article  CAS  Google Scholar 

  • Elsenhans, B., Sufke, V., Blume, R., and Caspary, W. F., 1980, The influence of carbohydrate gelling agents on rat intestinal transport of monosaccharides and neutral amino acids in vitro, Clin. Sci. 59: 373.

    CAS  Google Scholar 

  • Ernest, I., Hallgren, B., and Svanborg, A., 1962, Short-term study of effect of different isocaloric diets in diabetes, Metabolism 11: 912.

    CAS  Google Scholar 

  • Estrich, D., Ravnik, A., Schlierf, G., Fukayama, C., and Kinsell, L., 1967, Effects of coingestion of fat and protein upon carbohydrate-induced hyperglycaemia, Diabetes 16: 232.

    CAS  Google Scholar 

  • Geyelin, H. R., 1935, The treatment of diabetes with insulin (after ten years), J. Am. Med. Assoc. 104: 1203.

    Article  Google Scholar 

  • Gibson, R. B., 1929, Latent tolerance in diabetes mellitus. A study of the effect of high sugar diets with insulin on controlled diabetics, J. Lab. Clin. Med. 14: 597.

    Google Scholar 

  • Haber, G. B., Heaton, K. W., Murphy, D., and Burroughs, L. F., 1977, Depletion and disruption of dietary fibre-effects on satiety, plasma-glucose and serum-insulin, Lancet ii:679.

    Google Scholar 

  • Hockaday, T. D.R., Hockaday, J. M., Mann, J. I., and Turner, R. C., 1978, Prospective comparison of modified-fat-high-carbohydrate with standard low-carbohydrate dietary advice in the treatment of diabetes: One year follow-up study, Br. J. Nutr. 39: 357.

    Article  CAS  Google Scholar 

  • Holt, S., Heading, R. C., Carter, D. C., Prescott, L. F., and Tothill, P., 1979, Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol, Lancet 1: 636.

    Article  CAS  Google Scholar 

  • Jenkins, D. J. A., Goff, D. V., Leeds, A. R., Alberti, K. G. M. M., Wolever, T. M. S., Gassull, M. A., and Hockaday, T. D. R., 1976a, Unabsorbable carbohydrates and diabetes: Decreased post-prandial hyperglycaemia, Lancet ii:172.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Haworth, R., Leeds, A. R., and Hockaday, T. D. R., 1976b, Guar gum in diabetes, Lancet ii:1086.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Hockaday, T. D. R., Leeds, A. R., Howarth, R., Bacon, S., Apling, E. C., and Dilawari, J., 1977, Treatment of diabetes with guar gum, Lancet ii:779.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Leeds, A. R., Gassull, M. A., Haisman, P., Dilawari, J., Goff, D. V., Metz, G. L., and Alberti, K. G. M. M., 1978a, Dietary fibres, fibre analogues and glucose tolerance: Importance of viscosity, Br. Med. J. i: 1392.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Nineham, R., Taylor, R., Metz, G. L., Bacon, S., and Hockaday, T.D. R., 1978b, Guar crispbread in the diabetic diet, Br. Med. J. ii: 1744.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Ghafari, H., Jenkins, A. L., Barker, H., and Jenkins, M. J. A., 1980a, Rate of digestion of foods and postprandial glycaemia in normal and diabetic subjects, Br. Med. J. ii: 14.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Barker, H. B., and Fielden, H., 1980b, Exceptionally low blood glucose response to dried beans: Comparison with other carbohydrate foods, Br. Med. J. ii: 578.

    Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Nineham, R., Sarson, D. L., Bloom, S. R., Ahern, J. Alberti, K. G. M. M., and Hockaday, T. D. R., 1980c, Improved glucose tolerance four hours after taking guar with glucose, Diabetologia 19: 21.

    Article  CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Reynolds, D., Nineham, R., and Hockaday, T. D. R., 1980d, Diabetic glucose control, lipids and trace elements on long-term guar, Br. Med. J. i: 1353.

    Article  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Barker, H. M., Fielden, H., Baldwin, J. M., Bowling, A. C. Newman, H. C., Jenkins, A. L., and Goff, D. V., 1981, Glycemic index of foods: A physiological basis for carbohydrate exchange, Am. J. Clin. Nutr. 34: 362.

    CAS  Google Scholar 

  • Jenkins, D. J. A., Taylor, R. H., and Wolever, T. M. S., 1982, The diabetic diet, dietary carbohydrate and differences in digestibility, Diabetologia 23: 477.

    Article  CAS  Google Scholar 

  • Johnson, I. T., and Gee, J. M., 1980, Inhibitory effect of guar gum on the intestinal absorption of glucose in vitro, Proc. Nutr. Soc. 39: 52A.

    Google Scholar 

  • Joslin, E. P., 1922, A discussion of the newer methods in the treatment of diabetes, South. Med. J. 15: 8.

    Article  Google Scholar 

  • Kannel, W. B., and McGee, D. L., 1979, Diabetes and cardiovascular risk factors: The Framingham Study, Circulation 59: 8.

    Article  CAS  Google Scholar 

  • Kay, R. M., Grubin, W., and Track, N. S., 1981, Diets rich in natural fibre improve carbohydrate tolerance in maturity-onset, non-insulin-dependent diabetes, Diabetologia 20: 18.

    Article  CAS  Google Scholar 

  • Kempner, W., Pescheli, R. L., and Schlayer, C., 1958, Effect of rice diet on diabetes mellitus associated with vascular disease, Postgrad. Med. 24: 359.

    CAS  Google Scholar 

  • Kiehm, T. G., Anderson, J. W., and Ward, K., 1976, Beneficial effects of a high carbohydrate, high fiber diet on hyperglycemic diabetic men, Am. J. Clin. Nutr. 29: 895.

    CAS  Google Scholar 

  • Kolterman, O. G., Greenfield, M., Reaven, G. M., Saekow, M., and Olefsky, J. M., 1979, Effect of a high carbohydrate diet on insulin binding toadipocytes and on insulin action in vivoin man, Diabetes 28: 731.

    Article  CAS  Google Scholar 

  • Leeds, A. R., Gassull, M. A., Metz, G. L., and Jenkins, D. J. A., 1975, Food: Influence of form on absorption, Lancet (letter) ii:1213.

    Google Scholar 

  • Leeds, A. R., Bolster, N. R., Andrews, R., and Truswell, A. S., 1979, Meal viscosity, gastric emptying and glucose absorption in the rat, Proc. Nutr. Soc. 38: 44A.

    Google Scholar 

  • Lenner, R. A., 1976, Studies of glycemia and glucosuria in diabetics after breakfast meals of different composition, Am. J. Clin. Nutr. 29: 716.

    CAS  Google Scholar 

  • Lerner, R. L., Brunzell, J. D., Hazzard, W. R., Porte, D., and Bierman, E. L., 1971, Mechanism of improved glucose tolerance on high carbohydrate diets in normals and mild diabetics, Diabetes 20: 342.

    Google Scholar 

  • Marshall, J. J., and Lauda, C. M., 1975, Purification and properties of phaseolamin, an inhibitor of alpha-amylase from the kidney bean (phaseolus vulgaris), J. Biol. Chem. 250: 8030.

    CAS  Google Scholar 

  • Miller, N. E., Hammett, F., Saltissi, S., Rao, S., Van Zellen, H., Coltart, J., and Lewis, B., 1981, Relation of angiographically defined coronary artery disease to plasma lipoprotein subfractions and apolipoproteins, Br. Med. J. i: 1741.

    Google Scholar 

  • Miranda, P. M., and Horwitz, D.L., 1978, High fibre diets in the treatment of diabetes mellitus, Ann. Intern. Med. 88: 482.

    Article  CAS  Google Scholar 

  • Monnier, L. H., Blotman, M. J., Colette, C., Monnier, M. P., and Mirouze, J., 1981, Effects of dietary fibre supplementation in stable and labile insulin-dependent diabetics, Diabetologia 20: 12.

    Article  CAS  Google Scholar 

  • Morgan, L. M., Goulder, T. J., Tsiolakis, D., Marks, V., and Alberti, K. G. M. M., 1979, The effect of unabsorbable carbohydrate on gut hormones: Modification of postprandial GIP secretion by guar, Diabetologia 17: 85.

    Article  CAS  Google Scholar 

  • Olefsky, J. O., and Reaven, G. J., 1977, Insulin binding in diabetes-relationships with plasma insulin levels and insulin sensitivity, Diabetes 26: 680.

    CAS  Google Scholar 

  • Pederson, O., Hjollund, E., Lindskov, H. O., and Schwartz-Sorensen, N., 1980, Increased insulin receptors on monocytes from insulin-dependent diabetics after a high-starch, high-fibre diet, Diabetologia 19: 306.

    Google Scholar 

  • Puls, W., and Keup, V., 1973, Influence of an a glucoside inhibitor (Bay d 7791) on blood glucose, serum insulin and NEFA in starch loading tests in rats, dogs and man, Diabetologia 9: 97.

    Article  CAS  Google Scholar 

  • Rabinowitch, I. M., 1935, Effects of the high carbohydrate, low calorie diet upon carbohydrate tolerance in diabetes mellitus, Can. Med. Assoc. J. 33: 136.

    CAS  Google Scholar 

  • Richardson, R., 1929, High carbohydrate diets in diabetes mellitus, Am. J. Med. Sci. 177: 426.

    Article  Google Scholar 

  • Rivellese, A., Riccardi, G., Giacco, A., Pacioni, D., Genovese, S., Mattioli, P. L., and Mancini, M., 1980, Effect of dietary fibre on glucose control and serum lipoproteins in diabetic patients, Lancet ii:447.

    Google Scholar 

  • Rodger, N. W., Squires, B. P., and Du, E., 1970, Improved glucose tolerance in asymptomatic diabetics on diets high in simple sugar content, Diabetes 19: 399.

    Google Scholar 

  • Simpson, H. C. R., Lousley, S., Geekie, M., Simpson, R. W., Carter, R. H., Hockaday, T. D. R., and Mann, J. I., 1981, A high carbohydrate leguminous fibre diet improves all aspects of diabetic control, Lancet i:1.

    Google Scholar 

  • Simpson, H. C. R., Carter, R. D., Lousley, S., and Mann, J. I., 1982, Digestible carbohydrate-An independent effect on diabetic control in type 2 (non-insulin-dependent) diabetic patients? Diabetologia 23: 235.

    Article  CAS  Google Scholar 

  • Simpson, R. W., Mann, J. I., Eaton, J., Moore, R. A, Carter, R., and Hockaday, T. D. R., 1979a, Improved glucose control in maturity-onset diabetes treated with high-carbohydrate modified fat diet, Br. Med. J. i: 1753.

    Google Scholar 

  • Simpson, R. W., Mann, J. I., Eaton, J., Carter, R. D., and Hockaday, T. D. R., 1979b, High carbohydrate diets and insulin-dependent diabetics, Br. Med. J. ii: 523.

    Google Scholar 

  • Stone, D. B., and Connor, W. E., 1963, The prolonged effects of a low cholesterol, high carbohydrate diet upon the serum lipids in diabetic patients, Diabetes 12: 127.

    CAS  Google Scholar 

  • Taskinen, M. R., Nikkila, E. A., and Ollus, A., 1983, Serum lipids and lipoproteins in insulin-dependent diabetic subjects during high-carbohydrate, high-fiber diets, Diabetes Care 6: 224.

    Article  CAS  Google Scholar 

  • Thompson, D. G., Archer, L., Benson, M., Green, W., Hardy, R., and Wingate, D. L., 1979, Variation in the glucose tolerance test with normal changes in fasting upper gastrointestinal motility, Clin. Sci. 57: 25 P.

    Google Scholar 

  • Trowell, H. C., 1960, Non-Infective Disease in Africa, Edward Arnold, London.

    Google Scholar 

  • Trowell, H. C., 1973, Dietary fibre, ischaemic heart disease and diabetes mellitus, Proc. Nutr. Soc. 32: 151.

    Google Scholar 

  • Trowell, H. C., 1975, Dietary-fibre hypothesis of the etiology of diabetes mellitus, Diabetes 24: 762.

    CAS  Google Scholar 

  • Trowell, H. C., 1976, Definition of dietary fibre and hypothesis that it is a protective factor in certain diseases, Am. J. Clin. Nutr. 29: 417.

    CAS  Google Scholar 

  • Truswell, A. S., Thomas, B. J., and Brown, A. M., 1975, Survey of dietary policy and management in British diabetic clinics, Br. Med. J. ii: 7.

    Google Scholar 

  • Van Eck, W. F., 1959, The effect of a low fat diet on the serum lipids in diabetes and its significance on diabetic retinopathy, Am. J. Med. 27: 196.

    Article  Google Scholar 

  • Ward, G. M., Simpson, R. W., Simpson, H. C. R., Naylor, B. A., Mann, J. I., and Turner, R. C., 1982, Insulin receptor binding increased by high carbohydrate, low fat diet in non-insulin-dependent diabetics, Eur. J. Clin. Invest. 12: 93.

    Article  CAS  Google Scholar 

  • Weinsier, R. L., Seeman, A., Herrera, G., Assal, J., Soeloner, S., and Gleason, R. E., 1974, High and low-carbohydrate diets in diabetes mellitus, Ann. Intern. Med. 80: 332.

    Article  CAS  Google Scholar 

  • Whitney, J. E., Roberts, S., and Beaver, E. L., 1955, Influence of previous diet on hepatic utilization of glucose in vitro, Am. J. Physiol. 182: 51.

    CAS  Google Scholar 

  • Wishnofsky, M., and Kane, A. P., 1935, The effect of equivalent amounts of dextrose and starch on glycaemia and glycosuria in diabetics, Am. J. Med. Sci. 189: 545.

    CAS  Google Scholar 

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© 1985 Plenum Press, New York

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Simpson, H.C.R., Mann, J.I. (1985). The Dietary Management of Diabetes. In: Draper, H.H. (eds) Advances in Nutritional Research. Advances in Nutritional Research, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2529-1_2

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