It is the glycaemic response to, not the carbohydrate content of food that matters in diabetes and obesity: The glycaemic index revisited

Journal of Insulin Resistance


 
 
Field Value
 
Title It is the glycaemic response to, not the carbohydrate content of food that matters in diabetes and obesity: The glycaemic index revisited
 
Creator Unwin, David Haslam, David Livesey, Geoffrey
 
Subject — low-glycaemic index; obesity; low-carbohydrate diet; diabetes
Description Background: The low-carbohydrate diet for diabetes and obesity is over 200 years old. A new lease of life comes with evidence for its beneficial effects supplied by research into the value of low-glycaemic index (GI) foods in diabetes control. While trialling this approach it became evident that professionals and patients had previously misunderstood the index leading to errors in food choices. Aim: To explore the importance of the GI for those with T2D and improve understanding of the likely effect of various foods on blood glucose. Setting: A 9000 patient United Kingdom (UK) primary care practice.Methods: Relevant supporting studies were examined and data were reviewed from a previously published case-series with new data relating to the effect of the approach on the whole practice over a period of three years. An improved interpretation of the GI using a ‘teaspoons of sugar equivalent’ was developed as an aide to understanding. We looked at quality markers for diabetes and obesity such as HbA1c and weight. Results: Our approach was readily understood by patients and staff, helping to achieve significant improvements in diabetes control and weight. The practice as a whole compared to the average for the area was found to have; a significantly better quality of diabetes control, lower obesity prevalence whilst spending around £40 000 less per year on drugs for diabetes.Conclusion: Greater consideration needs to be given to the harmful effects of high-GI starchy foods in the treatment and prevention of obesity and diabetes. Patient compliance and outcomes justify our approach in a primary care setting.
 
Publisher AOSIS
 
Contributor
Date 2016-08-19
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/jir.v1i1.8
 
Source Journal of Insulin Resistance; Vol 1, No 1 (2016); 9 pages 2519-7533 2412-2785
 
Language eng
 
Relation https://insulinresistance.org/index.php/jir/article/view/8/11 https://insulinresistance.org/index.php/jir/article/view/8/12 https://insulinresistance.org/index.php/jir/article/view/8/10 https://insulinresistance.org/index.php/jir/article/view/8/9
 
Coverage — — —
Rights Copyright (c) 2016 David Unwin, David Haslam, Geoffrey Livesey https://creativecommons.org/licenses/by/4.0