The effect of a diet education with six iso-caloric meals on the body weight and blood glucose of diabetes type 2 patients

Abstract

The treatment of Diabetes should not only be sought through drug administration; diet is also a part of its treatment. The aim of this study was to determine the effect of a diet with six meals having equal calories on the body weight and blood glucose on diabetes type 2 patients. This research is an Experimental study conducted in 2009 on 181 patients with diabetes. The patients visited the IDSF (Iranian Diabetes Society of Fars) weekly and the patients to be studied were randomly divided into two groups of 85 and 96 patients, respectively. The participants were repeatedly requested to consume their calculated calorie in six equal parts. The average age in the Experimental and Control groups were 51.2 ± 13.3 and 53.1 ± 9.4, respectively. The mean body weight and fasting blood glucose at the beginning of the study in Experimental and Control groups were 66.3 ± 9.4 and 69.1 ± 11.1 kg, 198.9 ± 35.1, and 199.8 ± 39.1 mg.dL-1, respectively. At the end of the study, however, the values were 63.5 ± 7.5 and 66.98 ± 9 kg, 139.5 ± 34.6 and 164.2 ± 22.1 mg.dL-1, respectively. Only the mean fasting blood glucose at the end of the study revealed a significant difference (p-value = 0.001). The results show that educating those afflicted with Diabetes Type 2 aiming at changing their diet can greatly help them manage their blood glucose.

Glycemic index and glycemic load of tropical fruits and the potential risk for chronic diseases

“…GL was low for all fruits. Regarding the recommendations that both GI and GL should be low, (Salehi et al, 2012;Egan et al, 2011), dietary restriction of coconut water and custard apple intake is advised. However, with regard to cashew (Figure 4), although its GI and GL are low, the initial glycemic peak triggered can be harmful, especially for people who have high fasting glucose level, such as obese patients who have metabolic syndrome and diabetic patients (Brand-Miller et al, 2009a).…”

“…Thus, various strategies for prevention and control have been developed in order to stop or delay the spread of these diseases (American Diabetes Association, 2013; Salehi et al, 2012;Salgado et al, 2010).…”

“…Fruits deserve special consideration when evaluating safe food consumption because they are included in international guidelines for a healthy diet, as shown in the Dietary Guidelines for Americans (U.S. Department of Agriculture, 2010), in which their daily intake is recommended consumption and they can have a positive impact on the glycemic and cholesterol control and can help reduce the risk of coronary heart disease (Jenkins et al, 2011;Salehi et al, 2012;Balisteiro et al, 2013).…”

Glycemic Index and Glycemic Load of Four Local Fruits of Benin Among Apparently Healthy Young Adult Subjects

“…There is an increasing prevalence of chronic noncommunicable diseases across the world which contributes to premature deaths due to changes in nutrition and lifestyle. Various prevention and control strategies have been developed in order to stop or delay their spread (1)(2)(3). Three decades ago, the concept of dietary glycemic index (GI), proposed by a team of researchers from the University of Toronto for the first time, was discussed as a factor likely to help prevent chronic diseases (4).…”

“…Fruits play an important role during food intake assessment according to the international guidelines for healthy diet. Their daily consumption is recommended since they may have a positive impact on glycemic control and cholesterol, and help reduce the risk for coronary disease (2,17,18). In general, recommended intakes of fruits are based on their concentration of vitamins, minerals, and fibers, while little attention is given to their glycemic effect.…”