Source:http://linkedlifedata.com/resource/pubmed/id/17134786
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
2007-4-23
|
pubmed:abstractText |
Eighteen insulin-treated obese type 2 diabetic patients were followed for 18 months after they followed a 30-day very low calorie diet (VLCD, 450kCal/day) with the cessation of all glucose-lowering medication. After the 30-day VLCD, caloric intake was slowly increased to eucaloric and glucose-lowering medication was restarted if necessary. On day 0 and 30 of the VLCD and after 18 months follow-up, bodyweight, blood-pressure, glycaemic control and lipid levels were measured. The 30-day VLCD significantly reduced bodyweight (-11.7+/-0.7kg, mean+/-S.E.M.) and improved dyslipidaemia, hypertension and glycaemia. As a group, this effect was sustained at 18 months follow-up despite the fact that patients used less lipid-, blood-pressure- and glucose-lowering medication. Especially, the use of insulin was significantly reduced: 18 out of 18 patients on day 0 (mean 137+/-22units/day); 5 out of 18 patients at 18 months (86+/-14units/day). Patients using insulin at 18 months had regained weight to prediet levels, but still had a better cardiovascular risk profile compared with before the dietary intervention. Thus, a once-only 30-day VLCD leads to a sustained improvement in glycaemia, dyslipidaemia and blood-pressure up to 18 months follow-up in obese type 2 diabetic patients, even, although to a lesser extent, in patients who regained body-weight.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Blood Glucose,
http://linkedlifedata.com/resource/pubmed/chemical/Hemoglobin A, Glycosylated,
http://linkedlifedata.com/resource/pubmed/chemical/Hypoglycemic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Insulin,
http://linkedlifedata.com/resource/pubmed/chemical/hemoglobin A1c protein, human
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
|
pubmed:issn |
0168-8227
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
77
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
70-6
|
pubmed:dateRevised |
2011-11-17
|
pubmed:meshHeading |
pubmed-meshheading:17134786-Blood Glucose,
pubmed-meshheading:17134786-Blood Pressure,
pubmed-meshheading:17134786-Caloric Restriction,
pubmed-meshheading:17134786-Diabetes Mellitus, Type 2,
pubmed-meshheading:17134786-Female,
pubmed-meshheading:17134786-Follow-Up Studies,
pubmed-meshheading:17134786-Hemoglobin A, Glycosylated,
pubmed-meshheading:17134786-Humans,
pubmed-meshheading:17134786-Hypoglycemic Agents,
pubmed-meshheading:17134786-Insulin,
pubmed-meshheading:17134786-Male,
pubmed-meshheading:17134786-Middle Aged,
pubmed-meshheading:17134786-Obesity, Morbid
|
pubmed:year |
2007
|
pubmed:articleTitle |
Sustained beneficial metabolic effects 18 months after a 30-day very low calorie diet in severely obese, insulin-treated patients with type 2 diabetes.
|
pubmed:affiliation |
Department of General Internal Medicine, Leiden University Medical Centre, Leiden, The Netherlands. i.m.jazet@lumc.nl
|
pubmed:publicationType |
Journal Article
|