PMID- 11015481 OWN - NLM STAT- MEDLINE DCOM- 20001114 LR - 20180330 IS - 0022-3166 (Print) IS - 0022-3166 (Linking) VI - 130 IP - 10 DP - 2000 Oct TI - A high carbohydrate versus a high monounsaturated fatty acid diet lowers the atherogenic potential of big VLDL particles in patients with type 1 diabetes. PG - 2503-7 AB - The objective of the present study was to compare the effects of two diets on the atherogenic potential of two VLDL subfractions harvested from fasting subjects by measuring the number and composition of particles and the amount of esterified cholesterol accumulated in macrophages. A high (25%) monounsaturated fatty acid (Mono) diet and a high (61%) carbohydrate (CHO) diet were provided for 4 wk in a randomized crossover design to 19 normolipidemic, nonobese patients with type 1 diabetes. The two diets were matched for protein, polyunsaturated/saturated fatty acids, cholesterol and fiber content. The number of circulating big VLDL (S:(f) 100-400) particles was greater during the high Mono than during the high CHO diet based on the levels of apolipoprotein B (means +/- SEM): 31.4 +/- 7.4 versus 20.0 +/- 3.8 mg/L (P: < 0.025, paired t test). The following variables did not differ during the diet periods: number of small VLDL (S:(f) 20-100) particles, esterified cholesterol accumulated in THP-1 macrophages incubated with the same number of big and small VLDL particles and particle composition. We conclude that a high CHO diet might be preferable to a high Mono diet, on the basis of the premise that more big VLDL particles could increase the atherosclerotic risk in patients with diabetes. FAU - Georgopoulos, A AU - Georgopoulos A AD - Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417, USA. FAU - Bantle, J P AU - Bantle JP FAU - Noutsou, M AU - Noutsou M FAU - Hoover, H A AU - Hoover HA LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - J Nutr JT - The Journal of nutrition JID - 0404243 RN - 0 (Cholesterol Esters) RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats, Unsaturated) RN - 0 (Fatty Acids, Monounsaturated) RN - 0 (Lipoproteins, VLDL) RN - 0 (Phospholipids) RN - 0 (Triglycerides) SB - IM MH - Adult MH - Arteriosclerosis/blood/*prevention & control MH - Cholesterol Esters/blood MH - Cross-Over Studies MH - Diabetes Mellitus, Type 1/blood/*complications MH - Dietary Carbohydrates/*administration & dosage MH - Dietary Fats, Unsaturated/*administration & dosage MH - Fasting MH - Fatty Acids, Monounsaturated/*administration & dosage MH - Female MH - Humans MH - Lipoproteins, VLDL/*blood MH - Macrophages/metabolism MH - Male MH - Middle Aged MH - Particle Size MH - Phospholipids/blood MH - Triglycerides/blood EDAT- 2000/10/04 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/10/04 11:00 PHST- 2000/10/04 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/10/04 11:00 [entrez] AID - 10.1093/jn/130.10.2503 [doi] PST - ppublish SO - J Nutr. 2000 Oct;130(10):2503-7. doi: 10.1093/jn/130.10.2503.