Cover

Nutritional Management of Diabetes Mellitus and Dysmetabolic Syndrome

11th Nestlé Nutrition Workshop, Hangzhou, October-November 2005

Editor(s): Bantle J.P. (Minneapolis, Minn.) 
Slama G. (Paris) 
Table of Contents
Vol. 11, No. , 2006
Section title: Paper
Bantle JP, Slama G (eds): Nutritional Management of Diabetes Mellitus and Dysmetabolic Syndrome. Nestlé Nutr Workshop Ser Clin Perform Program. Nestec Ltd., Vevey/S. Karger AG, Basel, 2006, vol 11, pp 73-81
(DOI:10.1159/000094407)

Low Glycemic Index Foods Should Play a Role in Improving Overall Glycemic Control in Type-1 and Type-2 Diabetic Patients and, More Specifically, in Correcting Excessive Postprandial Hyperglycemia

Slama G. · Elgrably F. · Kabir M. · Rizkalla S.
Department of Diabetes, Hôtel Dieu Hospital, University René Descartes, Paris V and Assistance Publique, Hôpitaux de Paris, Paris, France

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: 7/5/2006
Cover Date: 2006

Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 0

ISBN: 978-3-8055-8095-3 (Print)
eISBN: 978-3-318-01329-0 (Online)

Abstract

There is a large bulk of evidence that using low glycemic index (GI) foods has a very significant impact on the amelioration of metabolic disturbances observed in diabetic and/or hyperlipidemic patients and in subjects affected by the metabolic syndrome. Studies bringing convincing evidence against this concept are very rare if any. Improvement is observed not only in postprandial blood glucose and insulin variations but also in circulating plasma lipid levels and the morphology and function of adipocytes. Using the concept of low GI foods in diet counseling of diabetic patients is not exclusive of other measures to improve postprandial and overall blood glucose control. On the contrary, the use of low GI foods should be considered as one of other means and tools available to improve diabetes control (such as other dietary modifications, use of specific and nonspecific drug therapy altering postprandial blood glucose). Among these therapies, the most promising ones are α-glucosidase inhibitors, glynides, rapid insulin analogues and in the near future the GLP1 analogue. Again, all these classes of drugs could be associated with one another in order to obtain a postprandial delta excursion target of not below 20 and not above 40-50 mg/dl blood glucose.


Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: 7/5/2006
Cover Date: 2006

Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 0

ISBN: 978-3-8055-8095-3 (Print)
eISBN: 978-3-318-01329-0 (Online)


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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