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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1985-9-4
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pubmed:abstractText |
Diabetic associations throughout the world are recommending high carbohydrate/high fibre/low fat diets for diabetic patients as a means of improving general health and metabolic control. We have previously shown that the efficacy of a 'conventional' low carbohydrate diet can be greatly increased by improving the method of dietary education. To test whether further improvement in metabolic control could be achieved by changing to a high carbohydrate/high fibre/low fat diet we have followed a group of 40 Type 1 (insulin dependent) diabetic adults for up to 19 months. They had all been prescribed a conventional low carbohydrate diet taught by one of three methods (dietician only, practical lunchtime demonstration or videotape). Those taught by dietician only were left as a control group for follow-up (group A). The others were randomized either to continue on their present diet (group B) or to change to a high carbohydrate/high fibre/low fat diet (group C). At final assessment those in groups B and C were more knowledgeable, compliant and better controlled than group A. Those in group C achieved a change from 38% carbohydrate/43% fat/20 g fibre daily to 45% carbohydrate/34% fat/32 g fibre daily. However, metabolic control in group C deteriorated while taking the high carbohydrate/high fibre/low fat diet (haemoglobin A1 went from 9.4 +/- 0.5% to 11.2 +/- 0.5%, p less than 0.01, over 4 months). None of the patients in group C changed their eating habits or those of their families nearly as much as was recommended.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0012-186X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
208-12
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2991051-Adolescent,
pubmed-meshheading:2991051-Adult,
pubmed-meshheading:2991051-Diabetes Mellitus, Type 1,
pubmed-meshheading:2991051-Diabetic Diet,
pubmed-meshheading:2991051-Dietary Carbohydrates,
pubmed-meshheading:2991051-Dietary Fats,
pubmed-meshheading:2991051-Dietary Fiber,
pubmed-meshheading:2991051-Energy Intake,
pubmed-meshheading:2991051-Female,
pubmed-meshheading:2991051-Hemoglobin A, Glycosylated,
pubmed-meshheading:2991051-Humans,
pubmed-meshheading:2991051-Male,
pubmed-meshheading:2991051-Middle Aged,
pubmed-meshheading:2991051-Patient Compliance,
pubmed-meshheading:2991051-Patient Education as Topic,
pubmed-meshheading:2991051-Prospective Studies
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pubmed:year |
1985
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pubmed:articleTitle |
A prospective comparison of 'conventional' and high carbohydrate/high fibre/low fat diets in adults with established type 1 (insulin-dependent) diabetes.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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