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Medical Forum / General / Nutrition / March 2007

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skewed logic or what?

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Tunderbar - 12 Mar 2007 21:56 GMT
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2
209326&dopt=Abstract


Effect of isocaloric substitution of chocolate cake for potato in type
I diabetic patients.Peters AL, Davidson MB, Eisenberg K.
Division of Endocrinology, Cedars-Sinai Medical Center, Los Angeles,
California 90048.

Traditional dietary advice given to people with diabetes includes
eliminating simple sugars (primarily sucrose) from the diet. Many
people have difficulty following this recommendation. Because patients
with type I (insulin-dependent) diabetes do not need overall calorie
restriction, there is no caloric reason to restrict sucrose. In this
study, we looked at the effect of the isocaloric substitution of a
piece of chocolate cake for a baked potato in a mixed meal to
determine whether this would increase the blood glucose in patients
with type I diabetes. The glucose response to a cake-added meal was
significantly greater than to a standard meal. The glucose response
was no different between a cake-substitution meal and a standard meal.
The reproducibility studies showed no difference between repeated
standard meals. The urinary glucose excretion was significantly
greater after a cake-added meal but was no different with the other
pairs. There were no significant differences in the counterregulatory
hormone responses at baseline between any of the paired studies. In
conclusion, patients with type I diabetes may substitute a sucrose-
containing dessert for another carbohydrate in their diet without
compromising their postprandial glucose response. These data suggest
that a dessert exchange may be helpful and not harmful in the
management of diabetic patients. There is an inherent variability (at
least 16%) in an insulin-requiring patient's response to a meal,
making self-monitoring of blood glucose and adjustment of insulin
doses necessary to achieve near euglycemia.

*****

Hey guys, cake was no worse than a potato in terms of postpriandal
response, therefore it, and other sugar containing crap food, must be
just as good for you as a potato.

Don't you just love these glass-half-full food industry cultist
researchers and their elegant and simple-minded logic.

I'd really like to know who funded this crap.

TC
Enrico C - 15 Mar 2007 18:28 GMT
> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2
209326&dopt=Abstract

>
> Effect of isocaloric substitution of chocolate cake for potato

Let me say: what a weird substitution!

> in type I diabetic patients.

> Peters AL, Davidson MB, Eisenberg K.
> Division of Endocrinology, Cedars-Sinai Medical Center, Los Angeles,
> California 90048.
>
> Traditional dietary advice given to people with diabetes includes
> eliminating simple sugars (primarily sucrose) from the diet.

Does it?

> Many people have difficulty following this recommendation.

A matter of habit, IMHO.

> Because patients
> with type I (insulin-dependent) diabetes do not need overall calorie
[quoted text clipped - 3 lines]
> determine whether this would increase the blood glucose in patients
> with type I diabetes.

I wouldn't expect much difference, as potatoes can have a glycemic index
even higher than sugar, AFAIK.
BTW, was it a baked potato with fat or without fat?

> The glucose response to a cake-added meal was
> significantly greater than to a standard meal.

That's the way real people have real meals: they *add* the cake to the
meal. :-/

> The glucose response
> was no different between a cake-substitution meal

A "cake-substitution meal" is not a real meal. It's just a snack. After
that, they'll still long for a real meal.

> and a standard meal.
> The reproducibility studies showed no difference between repeated
> standard meals. The urinary glucose excretion was significantly
> greater after a cake-added meal but was no different with the other
> pairs. There were no significant differences in the counterregulatory
> hormone responses at baseline between any of the paired studies.

No big surprise, IMHO.

> In
> conclusion, patients with type I diabetes may substitute a sucrose-
> containing dessert for another carbohydrate in their diet without
> compromising their postprandial glucose response.

Maybe, but they won't *substitute*. They'll just *add* an extra cake to
their diet.

> These data suggest that a dessert exchange may be helpful and not harmful
> in the management of diabetic patients. There is an inherent variability
[quoted text clipped - 12 lines]
>
> I'd really like to know who funded this crap.
 
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