Diet and diabetes

Toeller, M.

doi:10.1002/dmr.5610090203

Cited by 23 publications

(4 citation statements)

References 132 publications

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“…Our results in Finnish and Dutch diabetic men resemble those obtained in US women with NIDDM and in German men and women with NIDDM in the high proportion of fat, especially saturated fatty acids, and low proportion of carbohydrates in the diet (Shimakawa et al, 1993;Toeller, 1993). In a recent study, a higher proportion of protein (20% of energy intake) and a lower proportion of carbohydrate (39%) were observed in Spanish men than among the present Finnish, Dutch and Italian men (Diabetes and Nutrition Study Group of the Spanish Diabetes Association, 1997).…”

Section: Discussionsupporting

confidence: 83%

Comparison of diets of diabetic and non-diabetic elderly men in Finland, The Netherlands and Italy

et al. 2000

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Objective: To evaluate whether dietary recommendations for subjects with diabetes are met among Finnish, Dutch and Italian elderly men with diabetes, and whether the diets of diabetic and non-diabetic men differ in these three countries. Design: A dietary survey using cross-check dietary history method. A cross-sectional comparison. Setting: Thirty-year follow-up of survivors from the Finnish, Dutch and Italian cohorts of the Seven Countries Study. Subjects: 227 elderly men from Finland, 537 from The Netherlands, and 417 from Italy, of whom 8 ± 9% had diabetes.Main results: The diets of non-diabetic men from the three countries differed markedly from each other. In all three countries diabetic men consumed less added sugar than non-diabetic men. In Italy, in addition, diabetic men consumed more fruits and berries and vegetables. The Dutch diabetic men ate relatively more cereal products, fruits and berries, milk and milk products, cheese, and meat and meat products and drank less alcoholic beverages than non-diabetic men. The diet of both diabetic and non-diabetic Finnish and Dutch men was characterized by high fat content (41% and 40% of energy, respectively). The fat content of the diet was even higher for diabetic than non-diabetic men in Finland and The Netherlands, but not in Italy. The ®bre content of the diet was the highest among Dutch men and diabetic men received more dietary ®bre than non-diabetic men in The Netherlands and Italy, but not in Finland. The diet of diabetic and non-diabetic Finnish men differed little from each other and was characterized by high nutrient density of several vitamins and minerals. The proportion of protein of energy intake was higher among diabetic than non-diabetic Dutch and Italian men. Conclusions: The diet of the diabetic men from Finland, the Netherlands, and Italy resembled more the diet of non-diabetic men from the respective countries than the diet of diabetic men from the other countries. In the diet of Italian diabetic men, the proportions of fat, saturated fatty acids and carbohydrates were nearest the recommended levels.

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Section: Discussionsupporting

confidence: 83%

Comparison of diets of diabetic and non-diabetic elderly men in Finland, The Netherlands and Italy

et al. 2000

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“…All subjects filled out a questionnaire about physical activity (34) and a 3-day dietary recall (35). A blood sample was drawn at fasting for evaluation of metabolic and endocrine variables including blood glucose, serum insulin, pro-insulin, C-peptide, triglycerides, cholesterol, HDL cholesterol, creatinine levels, and plasma free fatty acids.…”

Section: Research Design and Methods -mentioning

confidence: 99%

Familial clustering of arterial blood pressure, HDL cholesterol, and pro-insulin but not of insulin resistance and microalbuminuria in siblings of patients with type 2 diabetes.

et al. 2000

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OBJECTIVE -To test the hypothesis that selected abnormalities cluster in type 2 diabetic families. Offspring of patients with type 2 diabetes have a 40-60% chance of developing type 2 diabetes and an increased frequency of impaired glucose tolerance (IGT) or unknown diabetes. These offspring also show metabolic abnormalities of type 2 diabetes, such as insulin resistance, high insulin and pro-insulin, low HDL cholesterol levels, arterial hypertension, and microalbuminuria.RESEARCH DESIGN AND METHODS -We studied 87 families including at least one type 2 diabetic patient, i.e., 87 probands and 146 siblings; 60 spouses of probands with no family history of diabetes were compared with siblings. Familial clustering was evaluated by 2 methods: concordance of siblings and probands for a given abnormality (method 1) and intraclass correlation coefficients of values within each family (method 2).RESULTS -At oral glucose tolerance testing, 24 siblings had type 2 diabetes, 31 siblings had IGT, and 14 spouses had IGT (P = 0.0012 vs. siblings). With method 1, familial clustering occurred for microalbuminuria, insulin resistance, arterial hypertension, HDL cholesterol and pro-insulin levels; with method 2, familial clustering was observed for the same variables except for microalbuminuria. With both method 1 and 2, familial clustering for insulin resistance disappeared, whereas familial clustering for arterial blood pressure, HDL cholesterol, and pro-insulin remained after correction for BMI; after further restriction of analysis to probands and to siblings with normal glucose tolerance, familial clustering for pro-insulin was observed only with method 2. CONCLUSIONS P a t h o p h y s i o l o g y / C o m p l i c a t i o n s 1360DIABETES CARE, VOLUME 23, NUMBER 9, SEPTEMBER 2000Metabolic defects cluster in families with type 2 diabetes uate familial clustering of microalbuminuria (30,31) and has yielded results similar to those of studies performed in offspring of type 2 diabetic patients (29).The second criticism is that in previous studies, control subjects were from the general population. It is known that members of the same family usually share lifestyle in terms of physical activity and diet, whereas control subjects chosen from the general population might have a different lifestyle.The aim of this study was to evaluate the frequency and the possible familial clustering of a series of clinical and metabolic abnormalities in siblings of type 2 diabetic patients using control subjects from the same cohort, i.e., spouses of patients with type 2 diabetes without family history of diabetes. RESEARCH DESIGN AND METHODS -The study known as SPIDER (an Italian acronym that stands for Studio di Prevenzione dell' Insorgenza del Diabete ad Estensione Regionale, i.e., regional study of prevention of onset of type 2 diabetes) is an ongoing family study aimed at predicting and preventing type 2 diabetes in families with at least one patient affected by type 2 diabetes. The protocol of the study was approved by the Ethics Committee of...

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“…Epidemiological evidence suggests that people with diabetes in populations consuming low fat diets have a reduced morbidity and mortality (Uusitupa et al, 1993). In Europe, the average person with IDDM diabetes has a saturated fatty acid intake of 14 ±17% dietary energy (Toeller et al, 1996;Toeller, 1993).…”

Section: Saturated Fatmentioning

confidence: 99%

Recommendations for the nutritional management of patients with diabetes mellitus

Lean

1998

Eur J Clin Nutr

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Diet and diabetes

Cited by 23 publications

References 132 publications

Comparison of diets of diabetic and non-diabetic elderly men in Finland, The Netherlands and Italy

Comparison of diets of diabetic and non-diabetic elderly men in Finland, The Netherlands and Italy

Familial clustering of arterial blood pressure, HDL cholesterol, and pro-insulin but not of insulin resistance and microalbuminuria in siblings of patients with type 2 diabetes.

Recommendations for the nutritional management of patients with diabetes mellitus

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