Diabetes Care, Vol 15, Issue 4 562-564, Copyright © 1992 by American Diabetes Association

ARTICLES

Beneficial effect of low-glycemic index diet in overweight NIDDM subjects

TM Wolever, DJ Jenkins, V Vuksan, AL Jenkins, GS Wong and RG Josse
Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Ontario, Canada.

OBJECTIVE--To determine whether low-glycemic index (GI) diets have clinical utility in overweight patients with non-insulin-dependent diabetes mellitus (NIDDM). RESEARCH DESIGN AND METHODS--Six patients with NIDDM were studied on both high- and low-GI diets of 6-wk duration with metabolic diets with a randomized crossover design. Both diets were of similar composition (57% carbohydrate, 23% fat, and 34 g/day dietary fiber), but the low-GI diet had a GI of 58 compared with 86 for the high-GI diet. RESULTS--Small and similar amounts of weight were lost on both diets: 2.5 kg on high-GI diet and 1.8 kg on low-GI diet. On the low-GI diet, the mean level of serum fructosamine, as an index of overall blood glucose control, was lower than on the high-GI diet by 8% (P less than 0.05), and total serum cholesterol was lower by 7% (P less than 0.01). CONCLUSIONS--In overweight patients with NIDDM, reducing diet GI improves overall blood glucose and lipid control.
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