PMID- 17027229
OWN - NLM
STAT- MEDLINE
DCOM- 20070208
LR  - 20221207
IS  - 0899-9007 (Print)
IS  - 0899-9007 (Linking)
VI  - 22
IP  - 11-12
DP  - 2006 Nov-Dec
TI  - Low-carbohydrate and high-fat intake among adult patients with poorly controlled 
      type 2 diabetes mellitus.
PG  - 1129-36
AB  - OBJECTIVE: This study examined baseline dietary intake, body weight, and 
      physiologic status in patients enrolled in a dietary intervention for type 2 
      diabetes mellitus (T2DM). METHODS: Dietary, physiologic, and demographic 
      information were collected at baseline from 40 adult patients with poorly 
      controlled T2DM (glycosylated hemoglobin >7%) who participated in a clinical 
      trial at an academic medical center in Worcester, Massachusetts, USA. RESULTS: 
      The average age at enrollment was 53.5 y (SD 8.4), average body mass index was 
      35.48 kg/m(2) (SD 7.0), and glycosylated hemoglobin was 8.3% (SD 1.2). 
      Participants were predominantly white, married, and employed full time. 
      Forty-eight percent were men. Seventy-eight percent had hyperlipidemia, and 68% 
      had hypertension. Reported baseline daily average energy intake was 1778 kcal (SD 
      814), daily carbohydrate was 159 g (SD 71.5), and dietary fiber was 11.4 g (SD 
      5.2). The dietary composition was 35% carbohydrate, 45% fat (15% saturated fat), 
      and 20% protein. The American Diabetes Association (ADA) guidelines recommends 
      45-65% of energy from carbohydrate, 20-35% from fat (<7% saturated), and 20% from 
      protein. CONCLUSION: These patients reported a low-carbohydrate, low-fiber, 
      high-fat (especially saturated) diet, although they stated they are not following 
      any of the popular low-carbohydrate diets. Patients with T2DM may find the 
      current trend toward reducing weight through low-carbohydrate diets attractive 
      for control of blood glucose, despite ADA recommendations. This dietary pattern 
      may represent a popular trend that extends beyond our particular study and, if 
      so, has serious cardiovascular implications in this vulnerable population of T2DM 
      patients.
FAU - Ma, Yunsheng
AU  - Ma Y
AD  - Division of Preventive and Behavioral Medicine, University of Massachusetts 
      Medical School, Worcester, Massachusetts, USA. yunsheng.ma@umassmed.edu
FAU - Olendzki, Barbara C
AU  - Olendzki BC
FAU - Hafner, Andrea R
AU  - Hafner AR
FAU - Chiriboga, David E
AU  - Chiriboga DE
FAU - Culver, Annie L
AU  - Culver AL
FAU - Andersen, Victoria A
AU  - Andersen VA
FAU - Merriam, Philip A
AU  - Merriam PA
FAU - Pagoto, Sherry L
AU  - Pagoto SL
LA  - eng
GR  - P30 DK032520-24/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20061004
PL  - United States
TA  - Nutrition
JT  - Nutrition (Burbank, Los Angeles County, Calif.)
JID - 8802712
RN  - 0 (Dietary Carbohydrates)
RN  - 0 (Dietary Fats)
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Body Mass Index
MH  - Diabetes Mellitus, Type 2/*diet therapy/epidemiology/etiology
MH  - Diet/adverse effects/psychology/*trends
MH  - Diet, Diabetic/methods/psychology
MH  - Dietary Carbohydrates/*administration & dosage
MH  - Dietary Fats/*administration & dosage/adverse effects
MH  - *Feeding Behavior
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nutrition Policy
PMC - PMC2039705
MID - NIHMS31752
EDAT- 2006/10/10 09:00
MHDA- 2007/02/09 09:00
PMCR- 2007/10/19
CRDT- 2006/10/10 09:00
PHST- 2006/06/07 00:00 [received]
PHST- 2006/08/01 00:00 [revised]
PHST- 2006/08/17 00:00 [accepted]
PHST- 2006/10/10 09:00 [pubmed]
PHST- 2007/02/09 09:00 [medline]
PHST- 2006/10/10 09:00 [entrez]
PHST- 2007/10/19 00:00 [pmc-release]
AID - S0899-9007(06)00316-9 [pii]
AID - 10.1016/j.nut.2006.08.006 [doi]
PST - ppublish
SO  - Nutrition. 2006 Nov-Dec;22(11-12):1129-36. doi: 10.1016/j.nut.2006.08.006. Epub 
      2006 Oct 4.