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Original Articles

Response of Non-insulin-dependent Diabetic Patients to an Intensive Program of Diet and Exercise

  1. R James Barnard,
  2. Leza Lattimore,
  3. Robert G Holly,
  4. Samuel Cherny and
  5. Nathan Pritikin
  1. Departments of Surgery and Medicine, UCLA School of Medicine Los Angeles, California; and the Ocean Front Medical Group, Pritikin Longevity Center Santa Monica, California
  1. Address reprint requests to R. James Barnard, Department of Surgery, UCLA Medical Center, 405 Hilgard Avenue, Los Angeles, California 90024.
Diabetes Care 1982 Jul; 5(4): 370-374. https://doi.org/10.2337/diacare.5.4.370
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Abstract

To assess the effectiveness of the Pritikin program of diet and exercise for treating patients with non-insulin-dependent diabetes mellitus (NIDDM), data were obtained from 60 patients who completed the 26-day residential program. Of the 23 patients who were taking oral hypoglycemic agents upon entry, all but 2 were off medication by the end of the program. Of the 17 patients who were taking insulin, all but 4 were off medication at discharge. Two of the four had their insulin reduced by 50% while the remaining two had no major change in their insulin dosage. Fasting blood glucose was reduced from 194.9 ± 10.1 to 144.6 ± 7.1 mg/dl. Serum cholesterol was reduced from 225.4 ± 5.7 to 181.7 ± 4.9 mg/dl while triglycerides were reduced from 283.7 ± 28.8 to 186.2 ± 11.6 mg/dl. The group as a whole lost an average of 4.3 kg/body wt and achieved 40.5% of their desired weight loss. Maximum work capacity increased from 5.6 ± 0.3 to 7.9 ± 0.4 METs, while daily walking increased from 11.7 ± 2.4 to 102.8 ± 4-8 min/day. The decrease in fasting glucose was not correlated with weight loss (r = 0.24), increase in walking time (r = 0.00), or increase in MET capacity (r = 0.05). We conclude that the total program is an effective means for treating NIDDM patients. We also feel that the high-complexcarbohydrate, high-fiber, low-fat diet is of primary importance.

  • Copyright © 1982 by the American Diabetes Association

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July 1982, 5(4)
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Response of Non-insulin-dependent Diabetic Patients to an Intensive Program of Diet and Exercise
R James Barnard, Leza Lattimore, Robert G Holly, Samuel Cherny, Nathan Pritikin
Diabetes Care Jul 1982, 5 (4) 370-374; DOI: 10.2337/diacare.5.4.370

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Response of Non-insulin-dependent Diabetic Patients to an Intensive Program of Diet and Exercise
R James Barnard, Leza Lattimore, Robert G Holly, Samuel Cherny, Nathan Pritikin
Diabetes Care Jul 1982, 5 (4) 370-374; DOI: 10.2337/diacare.5.4.370
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© 2021 by the American Diabetes Association. Diabetes Care Print ISSN: 0149-5992, Online ISSN: 1935-5548.