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Item #1
Chicken
Diet Better Than Red Meat in Type 2 Diabetes
A
conventional diet rather than a very-low caloric diet produced
more sustained weight loss.
A
conventional diet and exercise is likely to produce slower but
more sustained weight loss than a very-low-calorie diet (VLCD),
according to a five year follow-up of two groups of patients with
type 2 diabetes who chose one of the two regimens.
Weight loss was slower in the intensive conventional diet group
than in the VLCD group, but better maintained at five years. In
the intensive conventional diet group, year high-density
lipoprotein cholesterol was increased, and diastolic blood
pressure reduced, report researchers at The Diabetes Research
Group, Torbay Hospital, Torquay, England.
They also report that outpatient VLCD did prove safe and
effective. "Diabetic patients willing to attempt the diet may
safely lose sufficient weight to allow major surgery, but weight
regain will be inevitable," they say. "Patients willing
to undertake a long-term group program of conventional diet can
sustain significant weight loss for years, but still require
anti-diabetic medication."
Forty-five patients with type 2 diabetes and a body mass index
(BMI) of 30 or greater expressed interest in an intensive weight
loss program. One group of 15 selected a very low calorie diet,
while a second group of 15 selected intensive conventional diet
and exercise (ICD). Fifteen patients failed to follow either
program.
Group sessions of eight to 15 subjects continued weekly for six
months, then monthly for 12 months. Quality of life, BMI,
waist/hip ratio, blood pressure, fasting blood glucose, serum
fructosamine and serum lipids were prospectively recorded at
three, six and 12 months, and then annually. Journal
of Human Nutrition & Dietetics Volume 15 Issue 2 Page 121 -
April 2002.
Breaking
News Flash:
Does
the Fasting Blood Glucose Level Predict the Post-meal Glucose
Excursion?
In
a presentation to be released this week in Chicago at the American
Association of Clinical Endocrinologists 11th Annual
meeting they will announce the results of a study that shows
postprandial hyperglycemia is a major clinical challenge in type 2
diabetes. The study
concludes that the fasting blood glucose level predicts the
post-meal glucose rise. The
pre-meal glucose level accounts for 50 percent of the post-meal
excursion in subjects with non-insulin –dependent type 2
diabetes. In order to
improve overall glycemic control, fasting hyperglycemia should be
corrected before starting specific treatment for postprandial
hyperglycemia.
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