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Long-term use of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise in the treatment of NIDDM patients.

Abstract

The purpose of this study was to assess the long-term effects of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise on 69 NIDDM patients. During the initial 26-day program, fasting glucose was reduced from 179.5 +/- 10.6 to 133.5 +/- 4.0 mg/dl. This decrease in fasting glucose was achieved along with the discontinuation of oral hypoglycemic agents in 24 of 31 patients and of insulin in 13 of 18 patients; one patient was placed on insulin. Serum cholesterol and triglycerides were reduced by 25% and 27%, respectively. At 2-3 yr of follow-up, fasting glucose was not significantly different from the value observed at the end of the 26-day program. Compared with the end of the 26-day program, seven more patients were taking oral agents and four more were on insulin. Exercise and diet inventories obtained at follow-up indicated good compliance to the program and also indicated that the main difference between those patients who went back on medication at follow-up compared with those remaining off medication was the percent of calories derived from fat.

Authors

, , , ,

Source

Diabetes care 6:3 pg 268-73

MeSH

Adult
Aged
Blood Glucose
Cholesterol
Diabetes Mellitus
Diet, Diabetic
Dietary Carbohydrates
Dietary Fats
Dietary Fiber
Energy Intake
Exercise Therapy
Follow-Up Studies
Humans
Middle Aged
Time Factors
Triglycerides

Pub Type(s)

Journal Article

Language

eng

PubMed ID

6307614

Citation

Barnard, R J., et al. "Long-term Use of a High-complex-carbohydrate, High-fiber, Low-fat Diet and Exercise in the Treatment of NIDDM Patients." Diabetes Care, vol. 6, no. 3, 1983, pp. 268-73.
Barnard RJ, Massey MR, Cherny S, et al. Long-term use of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise in the treatment of NIDDM patients. Diabetes Care. 1983;6(3):268-73.
Barnard, R. J., Massey, M. R., Cherny, S., O'Brien, L. T., & Pritikin, N. (1983). Long-term use of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise in the treatment of NIDDM patients. Diabetes Care, 6(3), pp. 268-73.
Barnard RJ, et al. Long-term Use of a High-complex-carbohydrate, High-fiber, Low-fat Diet and Exercise in the Treatment of NIDDM Patients. Diabetes Care. 1983;6(3):268-73. PubMed PMID: 6307614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term use of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise in the treatment of NIDDM patients. AU - Barnard,R J, AU - Massey,M R, AU - Cherny,S, AU - O'Brien,L T, AU - Pritikin,N, PY - 1983/5/1/pubmed PY - 1983/5/1/medline PY - 1983/5/1/entrez SP - 268 EP - 73 JF - Diabetes care JO - Diabetes Care VL - 6 IS - 3 N2 - The purpose of this study was to assess the long-term effects of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise on 69 NIDDM patients. During the initial 26-day program, fasting glucose was reduced from 179.5 +/- 10.6 to 133.5 +/- 4.0 mg/dl. This decrease in fasting glucose was achieved along with the discontinuation of oral hypoglycemic agents in 24 of 31 patients and of insulin in 13 of 18 patients; one patient was placed on insulin. Serum cholesterol and triglycerides were reduced by 25% and 27%, respectively. At 2-3 yr of follow-up, fasting glucose was not significantly different from the value observed at the end of the 26-day program. Compared with the end of the 26-day program, seven more patients were taking oral agents and four more were on insulin. Exercise and diet inventories obtained at follow-up indicated good compliance to the program and also indicated that the main difference between those patients who went back on medication at follow-up compared with those remaining off medication was the percent of calories derived from fat. SN - 0149-5992 UR - https://www.unboundmedicine.com/medline/citation/6307614/full_citation L2 - https://medlineplus.gov/diabeticdiet.html DB - PRIME DP - Unbound Medicine ER -