PMID- 6307613 OWN - NLM STAT- MEDLINE DCOM- 19830923 LR - 20190515 IS - 0149-5992 (Print) IS - 0149-5992 (Linking) VI - 6 IP - 3 DP - 1983 May-Jun TI - Serum lipids and lipoproteins in insulin-dependent diabetic subjects during high-carbohydrate, high-fiber diet. PG - 224-30 AB - The response of blood glucose and serum lipids and lipoproteins to a high-carbohydrate, high-fiber, low-fat diet was assessed in 10 insulin-dependent diabetic subjects. The diet contained approximately 60% of calories as carbohydrate (CHO) and 20% as fat. The patients were followed for 2 wk in a metabolic ward and subsequently for 4 wk at home without changing insulin dosage. During this 6-wk period, the fasting blood glucose fell from 10.6 +/- 1.1 to 8.9 +/- 1.3 mmol/L (NS); HbA1 fell from 11.7 +/- 0.5 to 11.0 +/- 0.7% (P less than 0.05). Serum total triglyceride and very-low-density lipoprotein levels remained unchanged. After 2 wk in the ward on a high-CHO diet, total cholesterol fell by 15% (P less than 0.01), LDL cholesterol by 16% (P less than 0.001), and HDL cholesterol by 10% (P less than 0.05). The fall of HDL cholesterol was due to a decrease of HDL3 cholesterol only. After the 4-wk home period on a high-CHO diet, the observed lipoprotein changes were reversed. Heparin-releasable adipose tissue LPL activity was not influenced by a high-CHO diet. In conclusion, a high-carbohydrate, high-fiber, low-fat diet did not deteriorate the diabetic control, and it had no unfavorable effects on serum lipids or lipoproteins. FAU - Taskinen, M R AU - Taskinen MR FAU - Nikkila, E A AU - Nikkila EA FAU - Ollus, A AU - Ollus A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Diabetes Care JT - Diabetes care JID - 7805975 RN - 0 (Blood Glucose) RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats) RN - 0 (Dietary Fiber) RN - 0 (Insulin) RN - 0 (Lipids) RN - 0 (Lipoproteins) RN - 0 (Triglycerides) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Adolescent MH - Adult MH - Blood Glucose/analysis MH - Cholesterol/blood MH - Circadian Rhythm MH - Diabetes Mellitus/*blood/diet therapy MH - *Diet, Diabetic MH - Dietary Carbohydrates/administration & dosage MH - Dietary Fats/administration & dosage MH - Dietary Fiber/administration & dosage MH - Female MH - Humans MH - Insulin/deficiency MH - Lipids/*blood MH - Lipoproteins/blood MH - Male MH - Triglycerides/blood EDAT- 1983/05/01 00:00 MHDA- 1983/05/01 00:01 CRDT- 1983/05/01 00:00 PHST- 1983/05/01 00:00 [pubmed] PHST- 1983/05/01 00:01 [medline] PHST- 1983/05/01 00:00 [entrez] AID - 10.2337/diacare.6.3.224 [doi] PST - ppublish SO - Diabetes Care. 1983 May-Jun;6(3):224-30. doi: 10.2337/diacare.6.3.224.