Abstract
The overall aim of diet in diabetes is to facilitate normalization of blood glucose and lipids as factors in the etiology of macro- and microvascular disease, to maintain nitrogen balance without endangering renal function, and to do this in the context of a balanced diet which allows achievement and maintenance of ideal body weight. For the majority of patients with type II diabetes who are overweight, weight loss is considered to be of crucial importance. In terms of the macronutrient profile recommended to achieve this, there is a growing consensus internationally amongst the diabetes associations [1–3]. The general guidelines issued by the diabetes associations and allied bodies are also in agreement with recommendations provided to the public by nutritional organizations concerned with heart disease [4] and cancer [5]. It is therefore becoming increasingly the case that the diet prescribed for the diabetic is simply that which would be recommended for the population in general.
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References
American Diabetes Association Policy Statement (1987) Nutritional recommendations and principles for individuals with diabetes mellitus: 1986. Diabetes Care 10: 126–132
Nutrition Sub-Committee of the British Diabetic Association’s Medical Advisory Committee (1982) Dietary recommendations for diabetics for the 1980’s - a policy statement by the British Diabetic Association. Hum Nutr App Nutr 36A: 378–394
Canadian Diabetes Association (1981) Guidelines for the nutritional management of diabetes mellitus: 1980. J Can Dietet Assoc 42: 110–118
AHA Committee Report (1982) Rationale of the diet-heart statement of the American Heart Association. Circulation 65: 839A–854A
Committee on Diet, Nutrition, and Cancer (1982) Diet, nutrition and cancer. National Research Council - National Academy of Sciences, Washington D. C.
Brenner BM, Meyer TW, Hostetter TH (1982) Dietary protein intake and the progressive nature of kidney disease: the role of hemodynamically mediated glomerular injury in the pathogenesis of progressive glomerular sclerosis in aging, renal ablation, and intrinsic renal disease. N Engl J Med 307: 652–659
Kromhout DK, Bosschieter EB, Coulander CDeL (1985) The inverse relation between fish consumption and 20-year mortality from coronary heart disease. N Engl J Med 312: 1205–1209
Phillipson BE, Rothrock DW, Connor WE, Harris WS, Illingworth DR (1985) Reduction of plasma lipids, lipoproteins and apoproteins by dietary fish oils in patients with hypertriglyceridemia. N Engl J Med 312: 1210–1216
West KM, Ahuja MMS, Bennett PH, Czyzyk A, Mateo-de-Acosta O, Fuller JH, Grab B, Grabauskas V, Jarrett RJ, Kosaka K, Keen H, Krolewski AS, Miki I, Schliack V, Teuscher A, Watkins PJ, Stober JA (1983) The role of circulating glucose and triglyceride concentrations and their interactions with other “risk factors” as determinants of arterial disease in nine diabetic population samples from the WHO multinational study. Diabetes Care 6: 361–369
Finday KE, Childs M, Tsuneham C, Fujimoto WY, Bierman EL, Ensinck JW (1987) Omega 3 fatty acid supplementation has discordant effects on plasma glucose and lipoproteins in type II diabetes. Diabetes [Suppl 1] 36: 12A
Grundy SM (1986) Comparison of monounsaturated fatty acids and carbohydrates for lowering plasma cholesterol. N Engl J Med 314: 745–748
Roseman JB, Ter Wee PM, Meiger S, Piers-Becht TPM, Sluiter WJ, Donker AJM (1984) Prospective randomized trial of early protein restriction in chronic renal failure. Lancet II: 1291–1296
El Nahas AM, Asters-Thomas A, Brady SA, Farrington K, Wilkinson V, Hilson AJW, Varghese Z, Moorhead JF (1984) Selective low protein diets in chronic renal diseases. Br Med J 289: 1337–1341
Laine DC, Thomas W, Levitt MD, Bantle JP (1987) Comparison of predictive capabilities of diabetic exchange lists and glycemic index of foods. Diabetes Care 10: 387–394
Hollenbeck CB, Coulston AM, Reaven GM (1986) Glycemic effects of carbohydrates: a different perspective. Diabetes Care 9: 641–647
Coulston AM, Hollenbeck CB, Reaven GM (1984) Utility of studies measuring glucose and insulin responses to various carbohydrate-containing foods. Am J Clin Nutr 39: 163–165
Hollenbeck CB, Coulston AM, Reaven GM (1988) Comparison of plasma glucose and insulin responses to mixed meals of high-, intermediate-, and low-glycemic potential. Diabetes Care 11: 323–329
Nuttall FQ, Mooradian AD, Gannon MC, Billington C, Krezowski P (1984) Effect of protein ingestion on the glucose and insulin response to a standardized oral glucose load. Diabetes Care 7: 465–470
Nuttall FQ, Gannon MC, Wald JL, Ahmed M (1985) Plasma glucose and insulin profiles in normal subjects ingesting diets of varying carbohydrate, fat and protein content. J Am Col Nutr 4: 437–450
Collier G, O’Dea K (1983) The effect of co-ingestion of fat on the glucose, insulin and gastric inhibitory polypeptide responses to carbohydrate and protein. Am J Clin Nutr 37: 941–944
Collier G, McLean A, O’Dea K (1984) Effect of co-ingestion of fat on the metabolic responses to slowly and rapidly absorbed carbohydrates. Diabetologia 26: 50–54
Collier GR, Wolever TMS, Jenkins DJA (1987) Concurrent ingestion of fat and reduction in starch content impairs carbohydrate tolerance to subsequent meals. Am J Clin Nutr 45: 963–969
Mayer KH, Stamler J, Dyer A, Freinkel N, Stamler R, Berkson DM, Farber B (1987) Epidemiologic findings on the relationship of time of day and time since last meal to glucose tolerance. Diabetes 25: 936–943
Creutzfeldt W (1983) Introduction. In: Creutzfeldt W, Fosch UR (eds) Delaying absorption as a therapeutic principle in metabolic diseases. Thieme-Stratton, New York, p 1
Smith U, Holm G (1982) Effect of a modified guar gum preparation on glucose and lipid levels in diabetics and healthy volunteers. Atherosclerosis 45: 1–10
Jenkins DJA, Wolever TMS, Nineham R, Taylor RH, Metz GL, Bacon S, Hockaday TDR (1978) Guar crispbread in the diabetic diet. Br Med J 2: 1744–1746
Anderson JW, 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: 77–82
Jenkins DJA, Leeds AR, Gassull MA, Houston H, Goff DV, Hill MJ (1976) The cholesterol lowering properties of guar and pectin. Clin Sci Mol Med 51: 8
Kay RM (1982) Dietary fiber. J Lipid Res 23: 221–242
Miettinen TA, Tarpila S (1977) Effect of pectin on serum cholesterol, fecal bile acids and biliary lipids in normolipidemic and hyperlipidemic individuals. Clin Chim Acta 79: 471–474
Jenkins DJA, Reynolds D, Slavin B, Leeds AR, Jenkins AL, Jepson EM (1980) Dietary fiber and blood lipids: treatment of hypercholesterolemia with guar crispbread. Am J Clin Nutr 33: 575–581
Blackburn NA, Redfera JS, Jarjis H, Holgate AM, Hanning I, Scarpello JHB, Johnson IT, Read NW (1984) The mechanism of action of guar gum in improving glucose tolerance in man. Clin Sci 66: 329–336
Jenkins DJA, Ghafari H, Wolever TMS, Taylor RH, Barker HM, Fielden H, Jenkins AL, Bowling AC (1982) Relationship between the rate of digestion of foods and post-prandial glycaemia. Diabetologia 22: 450–455
Edwards CA, Blackburn NA, Graigen L, Davison P, Tomlin J, Sugden K, Johnson IT, Read NW (1987) Viscosity of food gums determined in vitro related to their hypoglycemic actions. Am J Clin Nutr 45: 72–77
Elsenhaus B, Sufke U, Blume R, Caspary WF (1980) The influence of carbohydrate gelling agents on rat intestinal transport of monosaccharides and neutral amino acids in vitro. Clin Sci 59: 373–380
Cohen M, Leong VW, Salmon E, Martin FIR (1980) The role of guar and dietary fibre in the management of diabetes mellitus. Med J Aust 1: 59–61
Puis W, Keup V (1973) Influence of an alpha-amylase inhibitor (BAY d 7791) on blood glucose, serum insulin and NEFA in starch loading tests in rats, dogs and man. Diabetologia 9: 97
Jenkins DJA, Taylor RH, Goff DV, Fielden H, Hisiewicz JJ, Sarson DL, Bloom SR, Alberti KGMM (1981) Scope and specificity of acarbose in slowing carbohydrate absorption in man. Diabetes 30: 951–954
Solsch UR, Ebert R, Creutzfeldt W (1981) Response of serum levels of gastric inhibitory polypeptide and insulin to sucrose ingestion during long-term application of acarbose. Scand J Gastroenterol 16: 629–632
Walton RJ, Now GA, Sherif IT, Alberti KGMM (1979) Improved metabolic profiles in insulin treated patients given an alpha-glucosidehydrolase inhibitor. Br Med J 1: 220–221
Samed AHB, Willing TST, Alberti KGMM, Taylor R (1988) Effects of BAY m 1099, a new alpha- glucosidase inhibitor on acute metabolic responses and metabolic control in NIDDM over I Mo. Diabetes Care 11: 337–344
Caspary WF (1978) Sucrose malabsorption in man after ingestion of alpha-glycosidehydrolase inhibitor. Lancet I: 1231–1233
Gérard J, Luyckx AS, Lefèbvre PJ (1981) Improvement of metabolic control in insulin dependent diabetes treated with the alpha-glucosidase inhibitor acarbose for two months. Diabetologia 21: 446–457
Hillebrand I, Boehma K (1982) Clinical studies on acarbose during 5 years. In: Creutzfeldt W (ed) Proceedings of the First international symposium on acarbose, Montreux, October 1981. Excerpta Medica, Amsterdam, pp 445–450
Watther A, Mordanini R, Bran del Re G, Reisen W (1982) Acarbose and clofibrate in hyper-triglyceridemia - a double-blind crossover study. In: Creutzfeldt W (ed) Proceedings of the First international symposium on acarbose, Montreux, October 1981. Excerpta Medica, Amsterdam, pp 438–444
Otto H, Bleyer G, Pennartz M, Sabin G, Schauberger G, Spaethe K (1973) Kohlenhydrataus- tausch nach biologischen Equivalenten. In: Otto H, Spaethe R (eds) Diatetik bei Diabetes Mellitus. Huber, Bern, pp 41–50
Thorne MJ, Thomspon LU, Jenkins DJA (1983) Factors affecting starch digestibility and the glycemic response with special reference to legumes. Am J Clin Nutr 38: 481–488
Committee of the American Diabetes Association on Food and Nutrition Special Report (1979) Principles of nutrition and dietary recommendations for individuals with diabetes mellitus. Diabetes C,are 2: 520–523
Fontvielle AM, Acosta M, Riskalla SW, Bomet F, David P, Letanouse M, Tchobroutsky G, Slama G (1988) A moderate switch from high to low glycemic-index foods for 3 weeks improves the metabolic control of type 1 ( IDDM) diabetes. Diabetes Nutr Metabol 1: 139–143
Jenkins DJA, Wolever TMS, Buckley G, Lam KY, Giudici S, Kalmusky J, Jenkins AL, Patten RL, Bird J, Wong GS, Josse RJ (1988) Low glycemic index starchy foods in the diabetic diet. Am J Clin Nutr 48: 248–254
Jenkins DJA, Wolever TMS, Collier GR, Ocana A, Rao AV, Buckley G, Lam Y, Mayer A, Thompson LU (1987) The metabolic effects of a low glycemic index diet. Am J Clin Nutr 46: 968–975
Gwinup G, Byron RC, Roush WH, Druger FA, Hamere GJ (1963) Effect of nibbling versus gorging on serum lipids in man. Am J Clin Nutr 13: 209–213
Anderson IH, Levine AS, Levitt MD (1981) Incomplete absorption of the carbohydrate in all- purpose wheat flour. N Engl J Med 304: 891–892
Stephen AM, Cummings JH (1980) The microbial contribution to human faecal mass. J Med Microbiol 13: 45–56
Wolever TMS, Cohen Z, Thompson LU, Thorne MJ, Jenkins MJA, Prokipchuk EF, Jenkins DJA (1986) Ileal loss of available carbohydrate in man: comparison of a breath hydrogen method with direct measurement using a human ileostomy model. Am J Gastroenterol 81: 115–122
Jenkins DJA, Cuff D, Wolever TMS, Knowland D, Thompson LU, Cohen Z, Prokipchuk E (1987) Digestibility of carbohydrate foods in an ileostomate: relationship to dietary fiber, in vitro digestibility, and glycemic response. Am J Gastroenterol 82: 709–717
Cummings JH (1981) Short chain fatty acids in the human colon. Gut 22: 763–779
Anderson JW, Story L, Sieling B, Chen WL (1984) Hypocholesterolaemic effects of high-fibre diets rich in water-soluble plant fibres. J Can Diet Assoc 45: 140–149
Chen WJL, Anderson JW (1986) Hypocholesterolemic effects of soluble fibers. In: Vahouny GV, Kritchevsky D (eds) Dietary fiber: basic and clinical aspects. Plenum Press, New York, pp 275–286
Rampton DS, Cohen SL, Crammond VdeB, Gibbons J, Lilbura MF, Rabet JY, Vince AJ, Wager JD, Wrong OM (1984) Treatment of chronic renal failure with dietary fiber. Clin Nephrol 21: 159–163
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Jenkins, D.J.A., Jenkins, A.L., Wolever, T.M.S., Vuksan, V., Wong, G.S., Josse, R.G. (1989). Aims of Diet in Diabetes Management. In: Creutzfeldt, W., Lefèbvre, P.J. (eds) Diabetes Mellitus: Pathophysiology and Therapy. Bayer AG Centenary Symposium. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74255-2_27
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DOI: https://doi.org/10.1007/978-3-642-74255-2_27
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