Carbohydrate in the diabetic diet.

Crapo, Phyllis A.

doi:10.1080/07315724.1986.10720110

Cited by 8 publications

(1 citation statement)

References 67 publications

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“…Its purpose is to lower low-density lipoprotein cholesterol to minimise the risk of coronary heart disease. The use of high carbohydrate diets may also improve glucose tolerance in some diabetic Crapo 1986). Recently, these recommendations have been questioned because of poor patient compliance when this dietary composition is combined with increased fibre intake (Garg and others 1988), and because of potential deleterious effects this dietary formulation may have on plasma triglyceride and high-density lipoprotein concentrations in humans with NIDDM (Coulston and others 1989).…”

Section: Dietary Compositionmentioning

confidence: 99%

Dietary management of diabetes mellitus

Nelson

1992

J of Small Animal Practice

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Dietary therapy should be designed to enhance insulin therapy and improve glycaemic regulation of the diabetic dog and cat. Dietary therapy will not alleviate the necessity for insulin therapy in dogs and cats with insulin‐dependent diabetes mellitus. Preliminary work suggests that dietary therapy may ultimately be the only therapy necessary to maintain glycaemic control in cats with suspected non‐insulin‐dependent diabetes mellitus. Currently, the feeding of a high fibre, high complex carbohydrate diet is recommended at a caloric intake designed to correct obesity and maintain ideal bodyweight. Several small meals should be fed during the period of insulin activity, to help minimise post prandial fluctuations in the blood glucose concentration.

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Section: Dietary Compositionmentioning

confidence: 99%

Dietary management of diabetes mellitus

Nelson

1992

J of Small Animal Practice

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Comparison of glycemic response and insulin requirements after mixed meals of equal carbohydrate content in healthy, type-1, and type-2 diabetic man

Schrezenmeir

Tato

et al. 1989

Klin Wochenschr

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The postprandial insulin requirements after three mixed meals of equal carbohydrate and energy content were assessed in 10 type-1 and 12 type-2 diabetics by a glucose-controlled insulin infusion system. These were compared with the glycemic response to the same meals of 10 healthy individuals (glycemic index). In type-1 diabetics, we found the highest insulin requirements after consumption of a continental breakfast (low fibre, low protein, high fat). Ten percent less insulin was infused after milk (low fat, high protein) and 30% less after an English breakfast (high fibre, high protein). Type-2 diabetics showed no significant differences in insulin requirements between the three test meals. The glycemic response in healthy individuals had no relation to these insulin requirements. Continental and English breakfast had a similar glycemic effect, whereas milk produced only 30% of the blood glucose response observed after the continental breakfast. These results indicate that neither the carbohydrate content (exchange lists) nor the glycemic index enable prediction of postprandial insulin requirements in insulin-deficient diabetes. For this purpose, we propose the insulin-need index, elaborated by testing whole meals in closed-loop experiments with type-1 diabetics.

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