Refined carbohydrate restricted diet versus conventional diabetic diet in type 2 diabetic patients treated by insulin
Acta Endocrinologica, cilt.6, sa.2, ss.203-209, 2010 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 6 Sayı: 2
- Basım Tarihi: 2010
- Doi Numarası: 10.4183/aeb.2010.203
- Dergi Adı: Acta Endocrinologica
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.203-209
- Anahtar Kelimeler: refined carbon hydrate restricted diet, type 2 diabetes mellitus
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction. Our aim was to compare the effects of conventional diabetic diet with refined carbohydrate restricted diet on glycemic and metabolic parameters in type 2 diabetic patients who were treated by insulin. Materials and methods. A hundred type 2 diabetic patients treated by insulin, randomized into two groups. The first group (n:50) was given a low refined carbohydrate diet, the second group was given conventional diabetic diet. Metabolic parameters were evaluated at the beginning and at the end of the 3rd month of randomization. Results. There were no statistically significant weight change differences between groups (p=0,237). Changes in the HbA1C level (Δ HbA1C) in the basal insulin-refined carbohydrate restricted diet group, in the basal insulin-conventional diet group and in the premixed insulin-conventional diet group were -1.22% (p<0.001), -0.51% (p=0.13) and -0.66% (p=0.155), respectively. Symptomatic hypoglycemic episodes were reported only by the patients in premixed insulin group. Conclusion. A diet rich in nutrients with sole exclusion of refined carbohydrates has been shown to be as effective as a stricter conventional diet and therefore it has to be considered as a preferable treatment option.