Sun, Jun-01-08, 08:56
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Senior Member
Posts: 997
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Plan: high fat paleo
Stats: 238/215/165
BF:yes
Progress: 32%
Location: UK
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Low-carb diets for overweight diabetics
http://www.thenews.com.pk/daily_detail.asp?id=115982
Quote:
Sunday, June 01, 2008
Overweight people with type 2 diabetes can keep their weight and blood sugar under control in the long term by following a low-carbohydrate diet.
Researchers from Sweden previously reported superior weight loss and glucose control over a 22-month period among 16 obese patients with diabetes who followed a low-carbohydrate diet compared with 15 similar patients following a diet containing 55 to 60 percent of energy from carbohydrates.
In their current study they reported 44 months of follow up data. Of the 16 patients, five had retained or reduced bodyweight since the 22 months point and all but one have lower weight at 44 months than at start. Furthermore, glucose levels dropped soon after starting the diet and have stayed down over the 44 months period.
The participants in the study limited their carbohydrate intake to 20 percent of total calories. The most significant effect of this low-carb diet is the absence of hunger. The consequent reduction in food intake allows the body to use its own stores of fat for fuel, which results in weight reduction. Moreover, avoiding starch-rich bread, pasta, potatoes, rice, and breakfast cereals, and limiting carbohydrate intake to 80 to 90 grams a day primarily from vegetables, salad, and crisp bread, also minimises the glucose spikes that make it necessary for people with diabetes to take insulinn.
The findings advise obese patients with type 2 diabetes to follow a 20 per dent carbohydrate diet with some caloric restriction for a lasting effect on bodyweight and glycaemic control. The study appeared in journal the, Nutrition and Metabolism.
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Also:
http://7thspace.com/headlines/28204..._follow_up.html
Quote:
Low-carbohydrate diet in type 2 diabetes: stable improvement of bodyweight and glycemic control during 44 months follow-up.
Low-carbohydrate diets, due to their potent antihyperglycemic effect, are an intuitively attractive approach to the management of obese patients with type 2 diabetes. We previously reported that a 20% carbohydrate diet was significantly superior to a 55-60 % carbohydrate diet with regard to bodyweight and glycemic control in 2 groups of obese diabetes patients observed closely over 6 months (intervention group, n = 16; controls, n=15) and we reported maintenance of these gains after 22 months.
The present study documents the degree to which these changes were preserved in the low-carbohydrate group after 44 months observation time, without close follow-up. In addition, we assessed the performance of the two thirds of control patients from the high-carbohydrate diet group that had changed to a low-carbohydrate diet after the initial 6 month observation period.
We report cardiovascular outcome for the low-carbohydrate group as well as the control patients who did not change to a low-carbohydrate diet.MethodRetrospective follow-up of previously studied subjects on a low carbohydrate diet.
Results: The mean bodyweight at the start of the initial study was 100.6+/-14.7 kg. At six months it was 89.2+/- 14.3 kg.
From 6 to 22 months, mean bodyweight had increased by 2.7+/- 4.2 kg to an average of 92.0 +/- 14.0 kg. At 44 months average weight has increased from baseline g to 93.1+/- 14.5 kg.
Of the sixteen patients, five have retained or reduced bodyweight since the 22 month point and all but one have lower weight at 44 months than at start. The initial mean HbA1c was 8.0 +/- 1.5 %.
After 6, 12 and 22 months,HbA1c was 6.1+/- 1.0 %, 7.0 +/- 1.3 % and 6.9 +/- 1.1 % respectively. After 44 months mean HbA1c is 6.8 +/- 1.3 %.
Of the 23 patients who have used a low-carbohydrate diet and for whom we have long-term data, two have suffered a cardiovascular event while four of the six controls who never changed diet have suffered several cardiovascular events.
Conclusion: Advice to obese patients with type 2 diabetes to follow a 20 % carbohydrate diet with some caloric restriction has lasting effects on bodyweight and glycemic control.
Author: Jorgen V Nielsen and Eva A Joensson
Credits/Source: Nutrition &Metabolism 2008, 5:14
Published on: 2008-05-22
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