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Vergleich einer kalorien-definierten Diät mit der konventionellen Austauschdiät bei Diabetes mellitus Typ 2

Keller, U. and Wackernagel, C. and Messer, C. and Riesen, W.. (1991) Vergleich einer kalorien-definierten Diät mit der konventionellen Austauschdiät bei Diabetes mellitus Typ 2. Schweizerische medizinische Wochenschrift, Jg. 121, H. 27-28. S. 1014-1019.

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Official URL: http://edoc.unibas.ch/dok/A6419951

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Abstract

Meal planning using food exchange lists is problematic for many elderly type 2 diabetic subjects because the system is too complicated and too rigid regarding the daily meals. In addition, exchange lists are calorically imprecise. 12 non-insulin-dependent diabetic subjects agreed to participate in the present study (6 male, 6 female; age 40-82 years, weight 80 +/- 6 kg; HbA1c 7.3 +/- 0.3%); they received sequentially in randomized order either a diet using exchange lists, or a diet defined by total amount of allowed daily calories (`calorie diet`), both containing approx. 25 calories/kg ideal body weight/day, each for 8 weeks. The `exchange lists` mainly contained foods which were defined according to their content in carbohydrates (including bread exchanges, fruit exchanges, milk exchanges, vegetable exchanges). With the `calorie diet` the patients were relatively free during the day, the only rule being that they were allowed to consume a certain amount of calories per day, using a `calorie ruler`. The results demonstrated that body weight decreased similarly during both diet periods (2.0 +/- 0.8 kg during the exchange list diet; 2.5 +/- 0.9 kg during the `calorie diet`). Fasting blood glucose concentration decreased during the `calorie diet` by 7% (p less than 0.05; fasting blood glucose at the end of the `calorie diet` was lower than after the exchange list diet (p less than 0.016). Serum lipoproteins were similar after both diet periods. 10/12 patients preferred the `calorie diet` because of its simplicity and flexibility. It allowed consumption of instant food which was calorically defined but difficult to convert into the exchange system.(ABSTRACT TRUNCATED AT 250 WORDS)
Faculties and Departments:03 Faculty of Medicine > Departement Biomedizin > Former Units at DBM > Metabolism (Keller/Müller)
03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Klinische Endokrinologie (Keller)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Klinische Endokrinologie (Keller)
UniBasel Contributors:Keller, Ulrich O.
Item Type:Article, refereed
Bibsysno:Link to catalogue
Publisher:Benno Schwabe
ISSN:0036-7672
Note:Variant title: [Comparison of a calorie-defined diet with the conventional exchange diet in Type 2 diabetes mellitus] -- Publication type according to Uni Basel Research Database: Journal article
Last Modified:04 Sep 2015 14:32
Deposited On:04 Sep 2015 14:32

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