skewed logic or what?

[Tunderbar]

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db-
=PubMed&list_uids=2209326&dopt=Abstract

Effect of isocaloric substitution of chocolate cake for potato
in type I diabetic patients.Peters AL, Davidson MB, Eisenberg
K. Division of Endocrinology, Cedars-Sinai Medical Center, Los
Angeles, California 90048.

Traditional dietary advice given to people with diabetes
includes eliminating simple sugars (primarily sucrose) from
the diet. Many people have difficulty following this
recommendation. Because patients with type I
(insulin-dependent) diabetes do not need overall calorie
restriction, there is no caloric reason to restrict sucrose.
In this study, we looked at the effect of the isocaloric
substitution of a piece of chocolate cake for a baked potato
in a mixed meal to determine whether this would increase the
blood glucose in patients with type I diabetes. The glucose
response to a cake-added meal was significantly greater than
to a standard meal. The glucose response was no different
between a cake-substitution meal and a standard meal. The
reproducibility studies showed no difference between repeated
standard meals. The urinary glucose excretion was
significantly greater after a cake-added meal but was no
different with the other pairs. There were no significant
differences in the counterregulatory hormone responses at
baseline between any of the paired studies. In conclusion,
patients with type I diabetes may substitute a sucrose-
containing dessert for another carbohydrate in their diet
without compromising their postprandial glucose response.
These data suggest that a dessert exchange may be helpful and
not harmful in the management of diabetic patients. There is
an inherent variability (at least 16%) in an insulin-requiring
patient's response to a meal, making self-monitoring of blood
glucose and adjustment of insulin doses necessary to achieve
near euglycemia.

*****

Hey guys, cake was no worse than a potato in terms of
postpriandal response, therefore it, and other sugar
containing crap food, must be just as good for you as a
potato.

Don't you just love these glass-half-full food industry
cultist researchers and their elegant and simple-minded logic.

I'd really like to know who funded this crap.

TC

[Enrico C]

On 12 Mar 2007 13:56:55 -0700, Tunderbar wrote:

> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&-
> db=PubMed&list_uids=2209326&dopt=Abstract
>
> Effect of isocaloric substitution of chocolate cake
> for potato

Let me say: what a weird substitution!

> in type I diabetic patients.

> Peters AL, Davidson MB, Eisenberg K. Division of
> Endocrinology, Cedars-Sinai Medical Center, Los Angeles,
> California 90048.
>
> Traditional dietary advice given to people with diabetes
> includes eliminating simple sugars (primarily sucrose) from
> the diet.

Does it?

> Many people have difficulty following this recommendation.

A matter of habit, IMHO.

> Because patients with type I (insulin-dependent) diabetes do
> not need overall calorie restriction, there is no caloric
> reason to restrict sucrose. In this study, we looked at the
> effect of the isocaloric substitution of a piece of
> chocolate cake for a baked potato in a mixed meal to
> determine whether this would increase the blood glucose in
> patients with type I diabetes.

I wouldn't expect much difference, as potatoes can have a
glycemic index even higher than sugar, AFAIK. BTW, was it a
baked potato with fat or without fat?

> The glucose response to a cake-added meal was significantly
> greater than to a standard meal.

That's the way real people have real meals: they *add* the
cake to the meal. :-/

> The glucose response was no different between a
> cake-substitution meal

A "cake-substitution meal" is not a real meal. It's just a
snack. After that, they'll still long for a real meal.

> and a standard meal. The reproducibility studies showed no
> difference between repeated standard meals. The urinary
> glucose excretion was significantly greater after a
> cake-added meal but was no different with the other pairs.
> There were no significant differences in the
> counterregulatory hormone responses at baseline between any
> of the paired studies.

No big surprise, IMHO.

> In conclusion, patients with type I diabetes may substitute
> a sucrose- containing dessert for another carbohydrate in
> their diet without compromising their postprandial glucose
> response.

Maybe, but they won't *substitute*. They'll just *add* an
extra cake to their diet.

> These data suggest that a dessert exchange may be helpful
> and not harmful in the management of diabetic patients.
> There is an inherent variability (at least 16%) in an
> insulin-requiring patient's response to a meal, making
> self-monitoring of blood glucose and adjustment of insulin
> doses necessary to achieve near euglycemia.
>
> *****
>
> Hey guys, cake was no worse than a potato in terms of
> postpriandal response, therefore it, and other sugar
> containing crap food, must be just as good for you as
> a potato.
>
> Don't you just love these glass-half-full food
> industry cultist researchers and their elegant and
> simple-minded logic.
>
> I'd really like to know who funded this crap.