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Diet Therapy for Poorly Controlled Type 2 (Non‐insulin‐dependent) Diabetes Mellitus
Author(s) -
VESSBY B.,
KARLSTRÖM B.,
BOBERG M.,
LITHELL H.,
GUSTAFSSON I.B.,
BERNE C.
Publication year - 1985
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1985.tb10137.x
Subject(s) - medicine , overweight , weight loss , diabetes mellitus , insulin , type 2 diabetes , endocrinology , obesity , type 2 diabetes mellitus , disease , low calorie diet , dietary therapy , physiology , intensive care medicine
. Poorly controlled type 2 diabetes represents a major therapeutic problem. A classification of the disease, based on body weight and presence or absence of adequate insulin‐secretion capacity, may be helpful in the choice of correct treatment. Calorie reduction is the most important therapeutic intervention in overweight patients. In the diabetic diet digestible carbohydrates should comprise at least 50 energy % , while the fat content should be reduced below 30 energy % . Controlled clinical studies show that the blood glucose control can be improved and the urinary glucose excretion be diminished by addition of dietary fibre. In obese type 2 diabetics supplemented fasting may be usehrl to achieve a rapid weight loss and an improved metabolic control. Although our knowledge with regard to the patho‐physiology of type 2 diabetes and the effects of dietary treatment has increased during recent years, several important questions remain unanswered. Also there is a great need for education and training programmes to achieve improved compliance to the dietary advice given.