VARIABILITY OF GLUCOSE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS DEPENDING ON THE GLYCEMIC LOAD AND GLYCEMIC INDEX OF FOOD INGREDIENTS
Keywords:
Type 2 diabetes mellitus, glycemic index, glycemic load, postprandial hyperglycemia, glucose variability, diet therapy, national cuisineAbstract
Optimal glycemic control is essential for patients with type 2 diabetes mellitus, as managing postprandial hyperglycemia reduces the risk of cardiovascular complications and mortality. The main factors influencing the glycemic response are the quality and quantity of carbohydrates. Diets with a low glycemic index (GI) and glycemic load (GL) have proven effective in improving glycemic profiles and reducing HbA1c levels. The GI reflects the rate of carbohydrate absorption, while the GL accounts for their quantity, providing a more accurate assessment of the food’s effect on blood glucose levels.Controlling postprandial hyperglycemia is an important part of nutrition in type 2 diabetes.The aim of the study was to develop a menu based on national cuisine for patients with type 2 diabetes, replacing ingredients according to their GI and GL to improve glycemic control.
References
Atkinson F.S., Foster-Powell K., Brand-Miller J.C. International Tables of Glycemic Index and Glycemic Load Values: 2008. Diabetes Care. 2008;31:2281–2283.
Augustin L.S.A., Kendall C.W.C., Jenkins D.J.A., Willett W.C., Astrup A., Barclay A.W., Björck I., Brand-Miller J.C., Brighenti F., Buyken A.E., et al. Glycemic index, glycemic load and glycemic response: An International Scientific Consensus Summit from the International Carbohydrate Quality Consortium (ICQC) Nutr. Metab. Cardiovasc. Dis. 2015;25:795–815.
Ceriello A. Postprandial Hyperglycemia and Diabetes Complications: Is It Time to Treat? Diabetes. 2005;54:1–7.
Emerging Risk Factors Collaboration. Sarwar N., Gao P., Seshasai S.R.K., Gobin R., Kaptoge S., Di Angelantonio E., Ingelsson E., Lawlor D.A., Selvin E., et al. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: A collaborative meta-analysis of 102 prospective studies. Lancet. 2010;375:2215–2222. doi: 10.1016/S0140-6736(10)60484-9.
Esfahani A., Wong J.M.W., Mirrahimi A., Srichaikul K., Jenkins D.J.A., Kendall C.W.C. The Glycemic Index: Physiological Significance. J. Am. Coll. Nutr. 2009;28:439S–445S.
Evert A.B., Boucher J.L., Cypress M., Dunbar S.A., Franz M.J., Mayer-Davis E.J., Neumiller J.J., Nwankwo R., Verdi C.L., Urbanski P., et al. Nutrition Therapy Recommendations for the Management of Adults With Diabetes. Diabetes Care. 2014;37:S120–S143.
International Diabetes Federation - Type 2 Diabetes. [(accessed on 18 March 2020)]; Available online: https://www.idf.org/aboutdiabetes/type-2-diabetes.html.
Livesey G., Taylor R., Hulshof T., Howlett J. Glycemic response and health - A systematic review and meta-analysis: Relations between dietary glycemic properties and health outcomes. Am. J. Clin. Nutr. 2008;87:258S–268S.
Nathan D.M., Buse J.B., Davidson M.B., Ferrannini E., Holman R.R., Sherwin R., Zinman B. Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy. Diabetes Care. 2009;32:193–203.
Nita C. Predictors of postprandial hyperglycemia in patients with type 2 diabetes. Acta Endocrinol. (Buc) 2009;5:177–182.
Ojo O., Ojo O., Adebowale F., Wang X.-H. The Effect of Dietary Glycaemic Index on Glycaemia in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2018;10:373. doi: 10.3390/nu10030373.
Rizkalla S.W., Bellisle F., Slama G. Health benefits of low glycaemic index foods, such as pulses, in diabetic patients and healthy individuals. Br. J. Nutr. 2002;88:255–262.
Thomas D.E., Elliott E.J. The use of low-glycaemic index diets in diabetes control. Br. J. Nutr. 2010;104:797–802.
WHO. In: Global Report on Diabetes. Weltgesundheitsorganisation, editor. WHO Press, World Health Organization; Geneva, Switzerland: 2016.