European Journal of Pediatrics

, Volume 149, Issue 10, pp 705–708 | Cite as

The glycaemic effect of simple sugars in mid-morning and afternoon snacks in childhood diabetes

  • R. Primavesi
  • J. Drakeford
  • D. C. L. Savage
Metabolic Diseases


Eighteen diabetic children ate three different snacks (free sucrose, sucrose plus fibre, fructose plus fibre) or had no snack on each of 4 mornings. Subsequently 10 children from this group took a standard snack (free sucrose) or no snack on two afternoons. In other respects the day of testing was standardised, the children going to school as normal and collecting their blood spots on filter paper for glucose analysis. There was no difference in the blood glucose profiles between different snacks or when no snack was taken either in the mornings or afternoon. This suggests both that moderate amounts of simple sugar do not have a detrimental effect on glycaemic control and that snacks can generally be omitted without serious hypoglycaemic problems.

Key words

Diabetes Sucrose Fructose Diet 


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  1. 1.
    Akerblorn HK, Siltanen I, Kallio A (1972) Does dietary fructose effect the control of diabetes in children? Acta Med Scand [Suppl] 542:195–202Google Scholar
  2. 2.
    Bantle JP, Laine DC, Castle GW, Thomas JW, Hoogwerf BJ, Goetz FC (1983) Postprandial glucose and insulin responses to meals containing different carbohydrates in normal and diabetic subjects. N Engl J Med 309:7–12PubMedGoogle Scholar
  3. 3.
    Bierman EL (1985) Diet and diabetes. Am J Clin Nutr 41:113–116PubMedGoogle Scholar
  4. 4.
    British Diabetic Association Medical Advisory Report (1982)Google Scholar
  5. 5.
    Chantelau E, Gosseringer G, Sonnenberg G, Berger M (1985) Moderate intake of sucrose does not impair metabolic control in pump-treated diabetic out-patients. Diabetolgia 28:204–207Google Scholar
  6. 6.
    Crapo PA, Olefsky JM (1983) Food fallacies and blood sugar. New Engl J Med 309:44–45PubMedGoogle Scholar
  7. 7.
    Day JL (ed) (1986) The diabetes handbook — insulin dependent diabetes. Thorsons, New YorkGoogle Scholar
  8. 8.
    Kinmouth AL, Angus RM, Jenkins PA, Smith MA, Baum JD (1982) Whole foods and increased dietary fibre improve blood glucose control in diabetic children. Arch Dis Child 57:187–194PubMedGoogle Scholar
  9. 9.
    Lean MEJ, Tennison BR, Williams DRR (1985) Glycaemic effect of bread and marmalade in insulin dependent diabetes. Diabetic Med 2:117–120PubMedGoogle Scholar
  10. 10.
    Mann JI (1987) Simple sugars and diabetes. Diabetes Med 4:135–139Google Scholar
  11. 11.
    Nuttall FQ (1983) Diet and the diabetic patients. Diabetes Care 6:197–207PubMedGoogle Scholar
  12. 12.
    Slama G, Haardt MJ, Jean-Joseph P, Costagliola D, Giocolea I, Bornet F, Elgrably F, Tchobroutsky G (1984) Sucrose taken during mixed meal has, no additional hyperglycaemic action of isocaloric amounts of starch in well controlled diabetics. Lancet II:122–124CrossRefGoogle Scholar
  13. 13.
    Steel JM, Mitchell D, Prescott RL (1983) Comparison of glycaemic effect of fructose, sucrose and starch containing mid-morning snacks in insulin dependent diabetics. Hum Nutr Appl Nut 37 A:3–8Google Scholar
  14. 14.
    Wakelin K, Goldie DJ, Hartog M, Robinson AP (1978) Measurement of capillary blood glucose as filter paper spots: an aid to the assessment of diabetic control. Br Med J 2:468–469PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • R. Primavesi
    • 1
  • J. Drakeford
    • 1
  • D. C. L. Savage
    • 1
  1. 1.Diabetic ClinicBristol Royal Hospital for Sick ChildrenBristolUK

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