Non-Pharmacological Management of Non-Insulin-Dependent Diabetes

  • J. Köbberling
Part of the Handbook of Experimental Pharmacology book series (HEP, volume 119)


There is broad consensus that energy intake and diet are major causes of obesity and thereby main contributors to non-insulin-dependent diabetes (NIDDM). Today’s diet, which is rich in fats and relatively low in carbohydrates and fibres, the so-called westernized diet, is highly associated with the occurrence of NIDDM. It is therefore concluded that dietary modifications are the mainstay of treatment for NIDDM. These modifications, concentrating on fat restriction to reduce energy intake and body weight, should be the starting point of long-term treatment of NIDDM. Many patients with this disease who comply with dietary advice will show improvement in the major metabolic abnormalities associated with the condition. The main goal will be to obviate the need for oral agents and insulin. But even for those who cannot be managed without drug therapy, attention to dietary advice may modify blood lipids and will thereby reduce the risk for coronary heart disease. Even in insulin-dependent diabetes mellitus (IDDM), the role of diet is not only to help minimize the short-term fluctuations of blood glucose but also to reduce the risk of long-term complications by helping to achieve optimum glycaemic control and satisfactory levels of blood lipids.


Glycaemic Control Physical Training Sodium Intake Total Energy Intake Dietary Advice 
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© Springer-Verlag Berlin Heidelberg 1996

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  • J. Köbberling

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