Long-term use of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise in the treatment of NIDDM patients.

Notes: 

Pritikin Center: The benefit will last for years if the same diet is continued.

TitleLong-term use of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise in the treatment of NIDDM patients.
Publication TypeJournal Article
Year of Publication1983
AuthorsBarnard RJ, Massey MR, Cherny S, O'Brien LT, Pritikin N
JournalDiabetes care
Volume6
Issue3
Pagination268-73
Date Published1983 May-Jun
ISSN0149-5992
KeywordsAdult, Aged, Blood Glucose, Cholesterol, Diabetes Mellitus, Diabetic Diet, Dietary Carbohydrates, Dietary Fats, Dietary Fiber, Energy Intake, Exercise Therapy, Follow-Up Studies, Humans, Middle Aged, Time Factors, Triglycerides
Abstract

The purpose of this study was to assess the long-term effects of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise on 69 NIDDM patients. During the initial 26-day program, fasting glucose was reduced from 179.5 +/- 10.6 to 133.5 +/- 4.0 mg/dl. This decrease in fasting glucose was achieved along with the discontinuation of oral hypoglycemic agents in 24 of 31 patients and of insulin in 13 of 18 patients; one patient was placed on insulin. Serum cholesterol and triglycerides were reduced by 25% and 27%, respectively. At 2-3 yr of follow-up, fasting glucose was not significantly different from the value observed at the end of the 26-day program. Compared with the end of the 26-day program, seven more patients were taking oral agents and four more were on insulin. Exercise and diet inventories obtained at follow-up indicated good compliance to the program and also indicated that the main difference between those patients who went back on medication at follow-up compared with those remaining off medication was the percent of calories derived from fat.

Alternate JournalDiabetes Care
PubMed ID6307614
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