Nuts as a Replacement for Carbohydrates in the Diabetic Diet

Jenkins, David; Kendall, Cyril W.C.; Banach, Monica S.; Srichaikul, Korbua; Vidgen, Edward; Mitchell, Sandy; Parker, Tina; Nishi, Stephanie K.; Bashyam, Balachandran; Souza, Russell J. de; Ireland, Christopher; Josse, Robert G.

doi:10.2337/dc11-0338

Cited by 105 publications

(94 citation statements)

References 22 publications

(25 reference statements)

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“…Studies have shown that a healthy diet combined with pistachios, due to its compounds, has positive effects on glycemic control, blood pressure, and obesity in patients with diabetes (27). The substitution of carbohydrates with unsaturated fatty acids is a recognized therapeutic strategy in the treatment of diabetes (39). Therefore, a diet that contains a certain amount of pistachio can improve diabetes.…”

Section: Discussionmentioning

confidence: 99%

The effect of pistachios on human health: A review study

Shahrabadi

Nadimi

Jalalli

et al. 2014

JOHE

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using the keyword pistachio in combination with cholesterol, cardiovascular, health, consumption, diabetes, serum lipid levels, glucose, and metabolic syndrome. Results: Of the total of 194 articles searched, 19 articles were included in the study. The consumption of pistachio, due to its minerals, vitamins, proteins, and antioxidants, improved health and had a positive impact on health outcomes, such as fat, blood sugar, and weight control. It also helped in the promotion of a healthy heart and recovery of high blood pressure, diabetes, coronary heart disease (CHD), metabolic syndrome, and pre-diabetes. Conclusions: Pistachio, due to its nutrients, has positive impact on human body health, including the cardiovascular system, blood lipids, and blood pressure. Moreover, because of its unsaturated fats, it also affects the lipoproteins and reduces cardiovascular disease (CVD) and diabetes, and helps in the management of weight and metabolic syndrome. It can also help in the recovery of patients with prediabetes through changes in their harmful metabolism. Pistachios are recommended as part of a healthy diet for the human health and prevention of chronic non-infectious diseases.

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Section: Discussionmentioning

confidence: 99%

The effect of pistachios on human health: A review study

Shahrabadi

Nadimi

Jalalli

et al. 2014

JOHE

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“…Baseline exercise routine was recorded and any subsequent change noted. The study conformed to the same general principles as other studies of this duration run from the center (16).…”

Section: Protocolmentioning

confidence: 94%

“…However, because of a larger-than-expected dropout at the start and to capture smaller effect sizes seen in our more-recent studies, participant recruitment numbers were increased to 140 (16,25). On the basis of data from a 12-week study in type 2 diabetes (16) …”

Section: Statistical Analysesmentioning

confidence: 99%

Effect of Lowering the Glycemic Load With Canola Oil on Glycemic Control and Cardiovascular Risk Factors: A Randomized Controlled Trial

et al. 2014

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OBJECTIVEDespite their independent cardiovascular disease (CVD) advantages, effects of a-linolenic acid (ALA), monounsaturated fatty acid (MUFA), and low-glycemicload (GL) diets have not been assessed in combination. We therefore determined the combined effect of ALA, MUFA, and low GL on glycemic control and CVD risk factors in type 2 diabetes. RESEARCH DESIGN AND METHODSThe study was a parallel design, randomized trial wherein each 3-month treatment was conducted in a Canadian academic center between March 2011 and September 2012 and involved 141 participants with type 2 diabetes (HbA 1c 6.5%-8.5% [48-69 mmol/mol]) treated with oral antihyperglycemic agents. Participants were provided with dietary advice on either a low-GL diet with ALA and MUFA given as a canola oil-enriched bread supplement (31 g canola oil per 2,000 kcal) (test) or a whole-grain diet with a whole-wheat bread supplement (control). The primary outcome was HbA 1c change. Secondary outcomes included calculated Framingham CVD risk score and reactive hyperemia index (RHI) ratio. RESULTSSeventy-nine percent of the test group and 90% of the control group completed the trial. The test diet reduction in HbA 1c units of 20.47% (25.15 mmol/mol) (95% CI 20.54% to 20.40% [25.92 to 24.38 mmol/mol]) was greater than that for the control diet (20.31% [23.44 mmol/mol] [95% CI 20.38% to 20.25% (24.17 to 22.71 mmol/mol)], P = 0.002), with the greatest benefit observed in those with higher systolic blood pressure (SBP). Greater reductions were seen in CVD risk score for the test diet, whereas the RHI ratio increased for the control diet. CONCLUSIONSA canola oil-enriched low-GL diet improved glycemic control in type 2 diabetes, particularly in participants with raised SBP, whereas whole grains improved vascular reactivity.

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“…Otro estudio de intervención a pacientes diabéticos a quienes se les dio durante 12 semanas un mix de nueces, almendras, pistachos, pacanas, avellanas, macadamias y castañas de caju (75 g/día), todos buenas fuentes de MUFAS y fibra dietaria, mostró una reducción significativa de la HbA1c frente al grupo control (26), resultado similar a lo realizado en otra intervención en diabéticos con maní (27). Por el contrario el consumo de poliinsaturados de la familia omega 3 no presenta efectos sobre la HbA1c tal como lo muestra el meta análisis realizado por Hartweg y cols.…”

Section: Discussionunclassified

Asociación entre nutrientes y hemoglobina glicosilada en diabéticos tipo 2

Agüero¹,

Godoy²,

Piña³

2016

Nutr Hosp

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Introducción: la hiperglicemia es la característica principal de la diabetes (DM). La restricción de CHO en la dieta presenta el mayor efecto en la disminución de los niveles de glucosa en sangre tanto en DM 1 y 2.Objetivo: asociar la ingesta de macro y micronutrientes con el control metabólico de pacientes con diabetes tipo 2.Material y métodos: se entrevistó a 714 pacientes diabéticos tipo 2 de ambos sexos, entre 27 y 90 años, en centros de salud familiar de Santiago de Chile. Se les aplicó una encuesta alimentaria y una evaluación antropométrica. Se realizó prueba de regresión logística, se estimó además el valor del Odds Ratio (OR) y su correspondiente intervalo de confianza (IC).Resultados: el IMC promedio fue de 30,8 ± 5,7 kg/m2, el 29,8% de los sujetos tenía una HbA1c compensada. Se puede observar que solo la ingesta elevada de carbohidratos (percentil 75) se asoció con un incremento en el riesgo de tener HbA1c elevada OR = 2,7 (IC 95% 1,5-4,8; p < 0,001).Conclusiones: la ingesta elevada de carbohidratos de rápida absorción, altos en sacarosa y bajos en fibra se asocia como factor de riesgo en el incremento de HbA1c. La ingesta total de energía y el patrón de alimentación saludable se debe priorizar sobre la distribución de macronutrientes. Es importante la asesoría de un experto en nutrición especializado en diabetes quien, en colaboración con el equipo médico, debe determinar el tratamiento para cumplir con los objetivos individuales del paciente.

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Nuts as a Replacement for Carbohydrates in the Diabetic Diet

Cited by 105 publications

References 22 publications

The effect of pistachios on human health: A review study

The effect of pistachios on human health: A review study

Effect of Lowering the Glycemic Load With Canola Oil on Glycemic Control and Cardiovascular Risk Factors: A Randomized Controlled Trial

Asociación entre nutrientes y hemoglobina glicosilada en diabéticos tipo 2

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