April - June 2010, Volume 6, Issue 2

Mesci B, Celik S, Coksert Kilic D, Tekin M, Oguz A

Refined carbohydrate restricted diet versus conventional diabetic diet in typw 2 diabetic patients treated by insulin

Acta Endo (Buc) 2010, 6 (2): 203-209
doi: 10.4183/aeb.2010.203

Introduction. Our aim was to compare the effects of conventional diabetic diet with refined carbohydrate restricted diet on glycemic and metabolic parameters in type 2 diabetic patients who were treated by insulin.\r\nMaterials and methods. A hundred type 2 diabetic patients treated by insulin, randomized into two groups. The first group (n:50) was given a low refined carbohydrate\r\ndiet , the second group was given conventional diabetic diet. Metabolic parameters were evaluated at the beginning and at the end of the 3rd month of randomization.\r\nResults. There were no statistically significant weight change differences between groups (p=0,237). Changes in the HbA1C level (&#916; HbA1C) in the basal insulin-refined\r\ncarbohydrate restricted diet group, in the basal insulin-conventional diet group and in the premixed insulin-conventional diet group were -1.22% (p<0.001), -0.51% (p=0.13) and -0.66%(p=0.155), respectively. Symptomatic hypoglycemic episodes were reported only by the\r\npatients in premixed insulin group.\r\nConclusion. A diet rich in nutrients with sole exclusion of refined carbohydrates has been shown to be as effective as a stricter conventional diet and therefore it has to be\r\nconsidered as a preferable treatment option.

Keywords: refined carbon hydrate restricted diet , type 2 diabetes mellitus

Correspondence: Banu Mesci, Goztepe Training and Research Hospital - Diabetes Clinic, Istanbul, Oncu sk. Seher apt. 5/10 Suadiye Kadikoy Istanbul 34740, Turkey, E mail: banualpaslan@gmail.com