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Response of non-insulin-dependent diabetic patients to an intensive program of diet and exercise.

Abstract

To assess the effectiveness of the Pritikin program of diet and exercise for treating patients with non-insulin-dependent diabetes mellitus (NIDDM), data were obtained from 60 patients who completed the 26-day residential program. Of the 23 patients who were taking oral hypoglycemic agents upon entry, all but 2 were off medication by the end of the program. Of the 17 patients who were taking insulin, all but 4 were off medication at discharge. Two of the four had their insulin reduced by 50% while the remaining two had no major change in their insulin dosage. Fasting blood glucose was reduced from 194.9 +/- 10.1 to 144.6 +/- 7.1 mg/dl. Serum cholesterol was reduced from 225.4 +/- 5.7 to 181.7 +/- 4.9 mg/dl while triglycerides were reduced from 283.7 +/- 28.8 to 186.2 +/- 11.6 mg/dl. The group as a whole lost an average of 4.3 kg/body wt and achieved 40.5% of their desired weight loss. Maximum work capacity increased from 5.6 +/- 0.3 to 7.9 +/- 0.4 METs, while daily walking increased from 11.7 +/- 2.4 to 102.8 +/- 4.8 min/day. The decrease in fasting glucose was not correlated with weight loss (r = 0.24), increase in walking time (r = 0.00), or increase in MET capacity (r = 0.05). We conclude that the total program is an effective means for treating NIDDM patients. We also feel that the high-complex-carbohydrate, high-fiber, low-fat diet is of primary importance.

Authors

, , , ,

Source

Diabetes care 5:4 pg 370-4

MeSH

Adult
Aged
Blood Glucose
Body Weight
Diabetes Mellitus
Diet, Diabetic
Fasting
Female
Follow-Up Studies
Humans
Hypoglycemic Agents
Male
Middle Aged
Physical Exertion
Triglycerides

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7151652

Citation

Barnard, R J., et al. "Response of Non-insulin-dependent Diabetic Patients to an Intensive Program of Diet and Exercise." Diabetes Care, vol. 5, no. 4, 1982, pp. 370-4.
Barnard RJ, Lattimore L, Holly RG, et al. Response of non-insulin-dependent diabetic patients to an intensive program of diet and exercise. Diabetes Care. 1982;5(4):370-4.
Barnard, R. J., Lattimore, L., Holly, R. G., Cherny, S., & Pritikin, N. (1982). Response of non-insulin-dependent diabetic patients to an intensive program of diet and exercise. Diabetes Care, 5(4), pp. 370-4.
Barnard RJ, et al. Response of Non-insulin-dependent Diabetic Patients to an Intensive Program of Diet and Exercise. Diabetes Care. 1982;5(4):370-4. PubMed PMID: 7151652.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Response of non-insulin-dependent diabetic patients to an intensive program of diet and exercise. AU - Barnard,R J, AU - Lattimore,L, AU - Holly,R G, AU - Cherny,S, AU - Pritikin,N, PY - 1982/7/1/pubmed PY - 1982/7/1/medline PY - 1982/7/1/entrez SP - 370 EP - 4 JF - Diabetes care JO - Diabetes Care VL - 5 IS - 4 N2 - To assess the effectiveness of the Pritikin program of diet and exercise for treating patients with non-insulin-dependent diabetes mellitus (NIDDM), data were obtained from 60 patients who completed the 26-day residential program. Of the 23 patients who were taking oral hypoglycemic agents upon entry, all but 2 were off medication by the end of the program. Of the 17 patients who were taking insulin, all but 4 were off medication at discharge. Two of the four had their insulin reduced by 50% while the remaining two had no major change in their insulin dosage. Fasting blood glucose was reduced from 194.9 +/- 10.1 to 144.6 +/- 7.1 mg/dl. Serum cholesterol was reduced from 225.4 +/- 5.7 to 181.7 +/- 4.9 mg/dl while triglycerides were reduced from 283.7 +/- 28.8 to 186.2 +/- 11.6 mg/dl. The group as a whole lost an average of 4.3 kg/body wt and achieved 40.5% of their desired weight loss. Maximum work capacity increased from 5.6 +/- 0.3 to 7.9 +/- 0.4 METs, while daily walking increased from 11.7 +/- 2.4 to 102.8 +/- 4.8 min/day. The decrease in fasting glucose was not correlated with weight loss (r = 0.24), increase in walking time (r = 0.00), or increase in MET capacity (r = 0.05). We conclude that the total program is an effective means for treating NIDDM patients. We also feel that the high-complex-carbohydrate, high-fiber, low-fat diet is of primary importance. SN - 0149-5992 UR - https://www.unboundmedicine.com/medline/citation/7151652/Response_of_non_insulin_dependent_diabetic_patients_to_an_intensive_program_of_diet_and_exercise_ L2 - https://medlineplus.gov/diabeticdiet.html DB - PRIME DP - Unbound Medicine ER -