Summary
The aim of the study was to investigate the effects of regularly eating a moderate amount of sucrose (30 g/day) in 12 type 1 (insulin-dependent, IDDM) diabetic outpatients in fair blood glucose and lipid control. Two diets, each lasting two month, were compared in a randomized cross-over study. The former was a high-carbohydrate high-fiber diet for diabetic patients with Italian alimentary habits, the latter had the same composition except that 30 g of sucrose replaced 30 g of complex carbohydrates with high glycemic index (bread). The two diets contained equal amounts of carbohydrates, proteins and lipids; the only difference being the contribution of oligosaccharides to total carbodhydrates (22%vs 34%) and cholesterol amount. During the control diet, glycosylated hemoglobin was substantially unchanged in both control and sucrose diet periods (control diet: 6.91±0.29 (SE)vs 6.80±0.25%; sucrose diet: 6.75±0.31vs 6.91±0.36%). This was true also for fructosamine (control diet: 3.92±0.21vs 3.76±0.18%; sucrose diet: 3.50±0.14vs 3.64±0.20 mmol/l). Circulating blood lipid levels, body weight and daily insulin dose did not show any significant variations during the study. Moderate amounts of sucrose may be allowed to IDDM patients with Italian alimentary habits without worsening diabetic control.
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References
American Diabetes Association: Nutritional recommendations and principles for individuals with diabetes mellitus — Diabet. Care10, 126, 1987.
Bantle J. P., Laine D. C., Castle G. W., Thomas J. W., Hoogwerf B. J., Goetz F. C.: Postprandial glucose and insulin response to meals containing different carbohydrates in normal and diabetic subjects — New Engl. J. Med.309, 7, 1983.
Bantle J. P., Laine D. C., Thomas J. W.: Metabolic effects of dietary fructose and sucrose in type 1 and 2 diabetic subjects — J. Amer. med. Ass.256, 3241, 1986.
Chantelau E. A., Gosseringger G., Sonnenberg G. E., Berger M.: Moderate intake of sucrose does not impair metabolic control in pump treated diabetic outpatients — Diabetologia28, 204, 1985.
Foriani G., Galuppi V., Santacroce G., Braione A. F., Giangiulio S., Ciavarella A., Vannini P.: Hyperglycemic effect of sucrose, taken during a mixed meal, in type 1 diabetic patients controlled by the artificial pancreas — Diabet. Care12, 296, 1989.
Hollenbeck C. B., Coulston A. M., Reaven G.: Glycemic effects of carbohydrates: a different perspective — Diabet. Care9, 641, 1986.
Jenkins D. J. A., Wolever T. M. S., Jenkins A. L., Thorne M. J., Lee R., Kalmusky J., Reichert R., Wong G. S.: The glycemic index of food tested in diabetic patients: a new basis for carbohydrate exchange favouring the use of legumes — Diabetologia24, 257, 1983.
Mann J. I.: Diet and diabetes: some agreement, but controversies continue. In:Alberti K. G. M. M., Krall L. P. (Eds): The Diabetes Annual. Vol. 3. Elsevier Sci. Publ., Amsterdam, 1987; pp. 55–71.
Peterson D. B., Lambert J., Gerring S., Darling P., Carter R. D., Jelfs R., Mann J. I.: Sucrose in the diet of diabetic patients — just another carbohydrate? — Diabetologia29, 216, 1986.
Slama G., Haardt M. J., Jean-Joseph P., Costagliola D., Goicolea I., Bornet F., Elgralby F., Tchobroutsky G.: Sucrose taken during mixed meal has no additional hyperglycaemic action over isocaloric amounts of starch in well controlled diabetics — Lancetii, 122, 1984.
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Santacroce, G., Forlani, G., Giangiulio, S. et al. Long-term effects of eating sucrose on metabolic control of type 1 (insulin-dependent) diabetic outpatients. Acta diabet. lat 27, 365–370 (1990). https://doi.org/10.1007/BF02580942
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DOI: https://doi.org/10.1007/BF02580942