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Dietary Changes in Men and Women with Type 2 Diabetes Mellitus: A Pilot Study Assessing the Impact of a Novel, Simplified Approach to Diet Guidance
Author(s) -
Rubin Kristin Herron,
Matusheski Nathan V,
Maki Kevin C,
Rubin Martyn R,
Reeves Matthew S,
Kaden Valerie N,
Black Richard M
Publication year - 2010
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.24.1_supplement.564.9
Subject(s) - medicine , meal , population , diabetes mellitus , type 2 diabetes , zoology , saturated fat , dietary fiber , food group , endocrinology , food science , biology , environmental health , cholesterol
This 10‐week pilot study assessed the impacts of a novel intervention for simplified diet guidance on changes in dietary intake and clinical measures in subjects with type 2 diabetes. Subjects (n=51) followed their normal diets for 14 days, with a 5‐day record starting day −5. Subjects were then randomized to either: 1) simplified diet guidance with energy maintenance (EM, n = 26); or 2) simplified diet guidance with a 500 kcal/d target for energy restriction (ER, n = 25). Subjects received 45 to 60 minutes of instruction, and were provided with example menus and food lists, allowing creation of self‐developed meal plans. Five‐day food records were started at 23 days, and again at 51 days, following 15–30 minute refresher sessions. The efficacy‐evaluable population included 48 subjects. Compared to baseline, mean energy intake was decreased only in the ER group (−357.0 ± 99.5 kcal/d, P =0.002). Decreases in total fat (−18.2 ±5.7 g/day, P =0.004), saturated fat (−6.8 ± 2.2 g/day, P =0.004), carbohydrate (−40.7 ± 15.7 g/day, P =0.016), and a trend toward a decrease in sodium intake (−354.5 ± 180.4 mg/day, P =0.061) were also observed. In the EM group, increased intakes of total dietary fiber (2.1 ± 1.0 g/day, P =0.027) and calcium (140.2 ± 46.4 mg/day, P =0.006) were observed. These results suggest that simplified diet guidance can improve the dietary profile in people with type 2 diabetes. Funded by Kraft Foods, Inc. (Glenview, IL).