Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus
Department of Medicine, Division of Preventive and Behavioral Medicine
Body Mass Index; Diabetes Mellitus, Type 2; Diabetic Diet; Diet; Dietary Carbohydrates; Dietary Fats; Female; *Food Habits; Hemoglobin A, Glycosylated; Humans; Male; Middle Aged; Nutrition Policy
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Dietetics and Clinical Nutrition | Preventive Medicine
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.
DOI of Published Version
Nutrition. 2006 Nov-Dec;22(11-12):1129-36. Epub 2006 Oct 4. Link to article on publisher's site
Nutrition (Burbank, Los Angeles County, Calif.)
Ma Y, Olendzki BC, Hafner AR, Chiriboga DE, Culver AL, Andersen VA, Merriam PA, Pagoto SL. (2006). Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus. Preventive and Behavioral Medicine Publications. https://doi.org/10.1016/j.nut.2006.08.006. Retrieved from https://escholarship.umassmed.edu/prevbeh_pp/18