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The use of low-glycaemic index diets in diabetes control.
Br J Nutr 2010; 104(6):797-802BJ

Abstract

The aim of diabetes management is to normalise blood glucose levels since improved blood glucose control is associated with fewer complications. Food affects blood glucose levels; however, there is no universal approach to the optimal diabetic diet and there is controversy about the usefulness of the low-glycaemic index (GI) diet. To assess the effects of low-GI diets on glycaemic control in diabetes, we conducted electronic searches of the Cochrane Library, MEDLINE, EMBASE and CINAHL. We assessed randomised controlled trials (RCT) with interventions >4 weeks that compared a low-GI diet with a higher-GI diet for type 1 or type 2 diabetes. Twelve RCT (n 612) were identified. There was a significant decrease in glycated Hb (HbA1c) with low-GI diet than with the control diet, indicating improved glycaemic control (seven trials, n 457, weighted mean difference (WMD) - 0.4 % HbA1c, 95% CI - 0.7, - 0.20, P = 0.001). In four studies reporting the results for glycaemic control as fructosamine, three of which were 6 weeks or less in duration, pooled data showed a decrease in fructosamine (WMD - 0.23 mmol/l, 95% CI - 0.47, 0.00, P = 0.05), n 141, with low-GI diet than with high-GI diet. Glycosylated albumin levels decreased significantly with low-GI diet, but not with high-GI diet, in one study that reported this outcome. Lowering the GI of the diet may contribute to improved glycaemic control in diabetes.

Authors+Show Affiliations

Centre for Evidence Based Paediatrics Gastroenterology and Nutrition (CEBPGAN), Sydney Medical School, The University of Sydney, c/o Research Building, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia. dianat@chw.edu.auNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

20420752

Citation

Thomas, D E., and E J. Elliott. "The Use of Low-glycaemic Index Diets in Diabetes Control." The British Journal of Nutrition, vol. 104, no. 6, 2010, pp. 797-802.
Thomas DE, Elliott EJ. The use of low-glycaemic index diets in diabetes control. Br J Nutr. 2010;104(6):797-802.
Thomas, D. E., & Elliott, E. J. (2010). The use of low-glycaemic index diets in diabetes control. The British Journal of Nutrition, 104(6), pp. 797-802. doi:10.1017/S0007114510001534.
Thomas DE, Elliott EJ. The Use of Low-glycaemic Index Diets in Diabetes Control. Br J Nutr. 2010;104(6):797-802. PubMed PMID: 20420752.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use of low-glycaemic index diets in diabetes control. AU - Thomas,D E, AU - Elliott,E J, Y1 - 2010/04/27/ PY - 2010/4/28/entrez PY - 2010/4/28/pubmed PY - 2010/9/30/medline SP - 797 EP - 802 JF - The British journal of nutrition JO - Br. J. Nutr. VL - 104 IS - 6 N2 - The aim of diabetes management is to normalise blood glucose levels since improved blood glucose control is associated with fewer complications. Food affects blood glucose levels; however, there is no universal approach to the optimal diabetic diet and there is controversy about the usefulness of the low-glycaemic index (GI) diet. To assess the effects of low-GI diets on glycaemic control in diabetes, we conducted electronic searches of the Cochrane Library, MEDLINE, EMBASE and CINAHL. We assessed randomised controlled trials (RCT) with interventions >4 weeks that compared a low-GI diet with a higher-GI diet for type 1 or type 2 diabetes. Twelve RCT (n 612) were identified. There was a significant decrease in glycated Hb (HbA1c) with low-GI diet than with the control diet, indicating improved glycaemic control (seven trials, n 457, weighted mean difference (WMD) - 0.4 % HbA1c, 95% CI - 0.7, - 0.20, P = 0.001). In four studies reporting the results for glycaemic control as fructosamine, three of which were 6 weeks or less in duration, pooled data showed a decrease in fructosamine (WMD - 0.23 mmol/l, 95% CI - 0.47, 0.00, P = 0.05), n 141, with low-GI diet than with high-GI diet. Glycosylated albumin levels decreased significantly with low-GI diet, but not with high-GI diet, in one study that reported this outcome. Lowering the GI of the diet may contribute to improved glycaemic control in diabetes. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/20420752/The_use_of_low_glycaemic_index_diets_in_diabetes_control_ L2 - https://www.cambridge.org/core/product/identifier/S0007114510001534/type/journal_article DB - PRIME DP - Unbound Medicine ER -