The implementation of nutritional advice for people with diabetes

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doi:10.1046/j.1464-5491.2003.01104.x

Cited by 140 publications

(6 citation statements)

References 144 publications

(204 reference statements)

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“…Studies have shown that it is acceptable for a healthy diet if sugar or sucrose constitutes no more than 10% of the total caloric intake or 50 g per day (20,21). However, sugar or sucrose should be consumed as a substitute for other carbohydrate in the total daily calories (22). In the current study, 64 out of the 163 participants had regular snacks besides three main meals and 48% consumed more than two carbohydrate portions per snack.…”

Section: Discussionmentioning

confidence: 99%

Self-care practices of Chinese individuals with diabetes

Zhou

Liao

Sun

et al. 2013

Experimental and Therapeutic Medicine

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The aim of this study was to investigate the self-care practices of Chinese individuals with diabetes. Data were collected from 163 Chinese individuals with diabetes using a one-to-one interview approach. The Chinese version of the Summary of Diabetes Self-Care Activities (SDSCA) was used to assess diabetes-related knowledge and self-care practices. The majority of participants were aware of the importance of self-care in managing diabetes. However, only 70 participants (43%) scored >50% in the diabetes-related questionnaires. Mean fasting blood glucose (FBG) levels were higher (P<0.04) for participants who had extra meals per day (46%). The majority of participants took oral hypoglycemic agents (OHAs; 60.1%) and some were also treated with OHA-insulin combination therapy (17.8%). Participants with medication adherence (52%) tended to have lower FBG levels. Only 13% of participants practiced self-monitoring of blood glucose (SMBG). The predictors of a knowledge deficit or poor self-care were a low level of education (P<0.01) or old age (older than 53 years old; P=0.002). Deficits in diabetes-related knowledge and self-care practices existed among the majority of patients with suboptimal blood glucose control. The understanding of the importance of self-care practices requires improvement in individuals with diabetes. The development of effective education strategies to improve the awareness of self-care practices by Chinese individuals with diabetes is necessary.

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Section: Discussionmentioning

confidence: 99%

Self-care practices of Chinese individuals with diabetes

Zhou

Liao

Sun

et al. 2013

Experimental and Therapeutic Medicine

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“…The number of portions of fruit and vegetable intake was low, but similar to that reported for the general Scottish population (3.2 for women and 3.0 for men [40]). The protein content of the DUK menu (1.7 g/kg body weight) is higher than that usually recommended for those with diabetes where 1 g/kg body weight should not be exceeded [41]. …”

Section: Discussionmentioning

confidence: 99%

Food Intake and Dietary Glycaemic Index in Free-Living Adults with and without Type 2 Diabetes Mellitus

et al. 2011

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A recent Cochrane review concluded that low glycaemic index (GI) diets are beneficial in glycaemic control for patients with type 2 diabetes mellitus (T2DM). There are limited UK data regarding the dietary GI in free-living adults with and without T2DM. We measured the energy and macronutrient intake and the dietary GI in a group (n = 19) of individuals with diet controlled T2DM and a group (n = 19) without diabetes, matched for age, BMI and gender. Subjects completed a three-day weighed dietary record. Patients with T2DM consumed more daily portions of wholegrains (2.3 vs. 1.1, P = 0.003), more dietary fibre (32.1 vs. 20.9 g, P < 0.001) and had a lower diet GI (53.5 vs. 57.7, P = 0.009) than subjects without T2DM. Both groups had elevated fat and salt intake and low fruit and vegetable intake, relative to current UK recommendations. Conclusions: Patients with T2DM may already consume a lower GI diet than the general population but further efforts are needed to reduce dietary GI and achieve other nutrient targets.

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“…Beverages with carbohydrate-based sweeteners promote weight gain and contribute to an increased risk of T2DM not only through obesity but also due to the glycaemic effects derived from the consumption of large amounts of rapidly absorbable sugars. Interest has focused on recommending the intake of low-GI beverages with natural sweeteners to both prevent the development of diabetes and effectively manage diabetic patients [ 14 , 15 ]. A continuous association between fasting blood glucose levels and CVD, in both diabetic and non-diabetic patients, has suggested that all individuals may benefit from blood glucose level lowering strategies.…”

Section: Introdutionmentioning

confidence: 99%

Effects of a Carob-Pod-Derived Sweetener on Glucose Metabolism

et al. 2018

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Background: Patients with type 2 diabetes mellitus (T2DM) have a higher incidence of cardiovascular (CV) events. The ingestion of high-glycemic index (GI) diets, specially sweetened beverage consumption, has been associated with the development of T2DM and CV disease. Objective: We investigated the effects of the intake of a sweetened beverage, obtained from natural carbohydrates containing pinitol (PEB) compared to a sucrose-enriched beverage (SEB) in the context of impaired glucose tolerance (IGT) and diabetes. Methods: The study was divided in three different phases: (1) a discovery phase where the plasma proteomic profile was investigated by 2-DE (two-dimensional electrophoresis) followed by mass spectrometry (matrix-assisted laser desorption/ionization time-of-flight—MALDI-TOF/TOF) in healthy and IGT volunteers; (2) a verification phase where the potential mechanisms behind the observed protein changes were investigated in the discovery cohort and in an additional group of T2DM volunteers; and (3) the results were validated in a proof-of-concept interventional study in an animal model of diabetic rats with complementary methodologies. Results: Six weeks of pinitol-enriched beverage (PEB) intake induced a significant increase in two proteins involved in the insulin secretion pathway, insulin-like growth factor acid labile subunit (IGF1BP-ALS; 1.3-fold increase; P = 0.200) and complement C4A (1.83-fold increase; P = 0.007) in IGT subjects but not in healthy volunteers. Changes in C4A were also found in the serum samples of Zucker diabetic fatty (ZDF) rats after four weeks of PEB intake compared to basal levels (P = 0.042). In addition, an increased expression of the glucose transporter-2 (GLUT2) gene was observed in the jejunum (P = 0.003) of inositol-supplemented rats when compared to sucrose supplementation. This change was correlated with the observed change in C4A (P = 0.002). Conclusions: Our results suggest that the substitution of a common sugar source, such as sucrose, by a naturally-based, pinitol-enriched beverage induces changes in the insulin secretion pathway that could help to reduce blood glucose levels by protecting β-cells and by stimulating the insulin secretion pathway. This mechanism of action could have a relevant role in the prevention of insulin resistance and diabetes progression.

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The implementation of nutritional advice for people with diabetes

Cited by 140 publications

References 144 publications

Self-care practices of Chinese individuals with diabetes

Self-care practices of Chinese individuals with diabetes

Food Intake and Dietary Glycaemic Index in Free-Living Adults with and without Type 2 Diabetes Mellitus

Effects of a Carob-Pod-Derived Sweetener on Glucose Metabolism

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