Skip to main content
×
Home
    • Aa
    • Aa
  • Access
  • Cited by 9
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Steinsbekk, Aslak Rygg, Lisbeth Ø. Lisulo, Monde By Rise, Marit Fretheim, Atle and Steinsbekk, Aslak 2015. Cochrane Database of Systematic Reviews.


    Wang, Qiong Xia, Wei Zhao, Zhigang and Zhang, Huifeng 2015. Effects comparison between low glycemic index diets and high glycemic index diets on HbA1c and fructosamine for patients with diabetes: A systematic review and meta-analysis. Primary Care Diabetes, Vol. 9, Issue. 5, p. 362.


    Wang, Monica L. Gellar, Lauren Nathanson, Brian H. Pbert, Lori Ma, Yunsheng Ockene, Ira and Rosal, Milagros C. 2015. Decrease in Glycemic Index Associated with Improved Glycemic Control among Latinos with Type 2 Diabetes. Journal of the Academy of Nutrition and Dietetics, Vol. 115, Issue. 6, p. 898.


    Miller, Carla K. Kristeller, Jean L. Headings, Amy Nagaraja, Haikady and Miser, W. Fred 2012. Comparative Effectiveness of a Mindful Eating Intervention to a Diabetes Self-Management Intervention among Adults with Type 2 Diabetes: A Pilot Study. Journal of the Academy of Nutrition and Dietetics, Vol. 112, Issue. 11, p. 1835.


    Miller, Carla K. Headings, Amy Peyrot, Mark and Nagaraja, Haikady 2012. Goal difficulty and goal commitment affect adoption of a lower glycemic index diet in adults with type 2 diabetes. Patient Education and Counseling, Vol. 86, Issue. 1, p. 84.


    Waters, Lauren George, Alexis St Chey, Tien and Bauman, Adrian 2012. Weight change in control group participants in behavioural weight loss interventions: a systematic review and meta-regression study. BMC Medical Research Methodology, Vol. 12, Issue. 1,


    Grant, Shannan M. and Wolever, Thomas M. S. 2011. Perceived Barriers to Application of Glycaemic Index: Valid Concerns or Lost in Translation?. Nutrients, Vol. 3, Issue. 12, p. 330.


    Kellow, Nicole J. Savige, Gayle S. and Khalil, Hanan 2011. Predictors of poor glycaemic control during the initial five years post-diagnosis in rural adults with type 2 diabetes. Australian Journal of Rural Health, Vol. 19, Issue. 5, p. 267.


    Miller, Carla K Headings, Amy Peyrot, Mark and Nagaraja, Haikady 2011. A behavioural intervention incorporating specific glycaemic index goals improves dietary quality, weight control and glycaemic control in adults with type 2 diabetes. Public Health Nutrition, Vol. 14, Issue. 07, p. 1303.


    ×

A randomized behavioural trial targeting glycaemic index improves dietary, weight and metabolic outcomes in patients with type 2 diabetes

  • Melissa Davis Gutschall (a1), Carla K Miller (a2), Diane C Mitchell (a3) and Frank R Lawrence (a4)
  • DOI: http://dx.doi.org/10.1017/S1368980008004680
  • Published online: 01 October 2009
Abstract
AbstractObjective

Glycaemic index (GI) reflects the postprandial glucose response of carbohydrate-containing foods. A diet with lower GI may improve glycaemic control in people with diabetes. The purpose of the present study was to evaluate the change in outcomes following a behavioural intervention which promoted lower-GI foods among adults with diabetes.

Design

A pre-test–post-test control group design was used with participants randomly assigned to an immediate (experimental) or delayed (control) treatment group. The intervention included a 9-week, group-based intervention about carbohydrate and the glycaemic index. Dietary, anthropometric and metabolic measures were obtained pre/post-intervention in both groups and at 18-week follow-up for the immediate group.

Setting

The study was conducted in a rural community in the north-eastern USA.

Subjects

Adults having type 2 diabetes mellitus for ≥1 year, aged 40–70 years and not requiring insulin therapy (n 109) were recruited.

Results

Following the intervention, mean dietary GI (P < 0·001), percentage of energy from total fat (P < 0·01) and total dietary fibre (P < 0·01) improved in the immediate compared with the delayed group. Mean BMI (P < 0·0001), fasting plasma glucose (P = 0·03), postprandial glucose (P = 0·02), fructosamine (P = 0·02) and insulin sensitivity factor (P = 0·04) also improved in the immediate group compared with the delayed group. Mean waist circumference among males (P < 0·01) and body weight among males and females (P < 0·01) were significantly different between treatment groups.

Conclusions

Educating clients about carbohydrate and the glycaemic index can improve dietary intake and health outcomes among adults with type 2 diabetes.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      A randomized behavioural trial targeting glycaemic index improves dietary, weight and metabolic outcomes in patients with type 2 diabetes
      Your Kindle email address
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      A randomized behavioural trial targeting glycaemic index improves dietary, weight and metabolic outcomes in patients with type 2 diabetes
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      A randomized behavioural trial targeting glycaemic index improves dietary, weight and metabolic outcomes in patients with type 2 diabetes
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email CMiller@ehe.osu.edu
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.KMV Narayan , JP Boyle , LS Geiss , JB Saaddine & TJ Thompson (2006) Impact of recent increase in incidence on future diabetes burden: US, 2005–2050. Diabetes Care 29, 21142116.

2.CC Cowie , KF Rust , DD Byrd-Holt , MS Eberhardt , KM Flegal , MM Engelgau , S Saydah , DE Williams , LS Geiss & EW Gregg (2006) Prevalence of diabetes and impaired fasting glucose in adults in the US population: National Health and Nutrition Examination Survey 1999–2002. Diabetes Care 29, 12631268.

3.G Roglic , N Unwin , PH Bennett , C Mathers , J Tuomilehto , S Nag , V Connolly & H King (2005) The burden of mortality attributable to diabetes: realistic estimates for the year 2000. Diabetes Care 28, 21302135.

6.NF Sheard , NG Clark , JC Brand-Miller , MJ Franz , FX Pi-Sunyer , E Mayer-Davis , K Kulkarni & P Geil (2004) Dietary carbohydrate (amount and type) in the prevention and treatment of diabetes. Diabetes Care 27, 22662271.

7.DS Ludwig (2003) Dietary glycemic index and the regulation of body weight. Lipids 38, 117121.

9.J Brand-Miller , S Hayne , P Petocz & S Colagiuri (2003) Low-glycemic index diets in the management of diabetes: a meta-analysis of randomized controlled trials. Diabetes Care 26, 22612267.

10.AE Jarvi , BE Karlstrom , YE Granfeldt , IE Bjorck , NL Asp & BOH Vessby (1999) Improved glycemic control and lipid profile and normalized fibrinolytic activity on a low-glycemic index diet in type 2 diabetic patients. Diabetes Care 22, 1018.

11.AD Liese , T Gilliard , M Schulz , RB D’Agostino Jr & TM Wolever (2007) Carbohydrate nutrition, glycaemic load, and plasma lipids: the Insulin Resistance Atherosclerosis Study. Eur Heart J 28, 8087.

12.Y Ma , Y Li , DE Chiriboga , BC Olendzki , JR Hebert , W Li , K Leung , AR Hafner & IS Ockene (2006) Association between carbohydrate intake and serum lipids. J Am Coll Nutr 25, 155163.

13.J Salmeron , A Ascherio , EB Rimm , GA Colditz , D Spiegelman , DJ Jenkins , MJ Stampfer , AL Wing & WC Willett (1997) Dietary fiber, glycemic load and risk of NIDDM in men. Diabetes Care 20, 545550.

14.J Salmeron , JE Manson , MJ Stampfer , GA Colditz , AL Wing & WC Willett (1997) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA 277, 472477.

16.L Qi & FB Hu (2007) Dietary glycemic load, whole grains, and systemic inflammation in diabetes: the epidemiological evidence. Curr Opin Lipidol 18, 38.

17.CB Ebbeling , MM Leidig , KB Sinclair , JP Hangen & DS Ludwig (2003) A reduced-glycemic load diet in the treatment of adolescent obesity. Arch Pediatr Adolesc Med 157, 773779.

18.CB Ebbeling , MM Leidig , HA Feldman , MM Lovesky & DS Ludwig (2007) Effects of a low-glycemic load vs low-fat diet in obese young adults: a randomized trial. JAMA 297, 20922102.

19.HR Gilbertson , JC Brand-Miller , AW Thorburn , S Evans , P Chondros & GA Werther (2001) The effect of flexible low glycemic index dietary advice versus measured carbohydrate exchange diets on glycemic control in children with type 1 diabetes. Diabetes Care 24, 11371143.

20.GS Frost , AE Brynes , C Bovill-Taylor & A Dornhorst (2004) A prospective randomized trial to determine the efficacy of a low glycaemic index diet given in addition to healthy eating and weight loss advice in patients with coronary heart disease. Eur J Clin Nutr 58, 121127.

21.G Frost , J Wilding & J Beecham (1994) Dietary advice based on the glycaemic index improves dietary profile and metabolic control in type 2 diabetic patients. Diabet Med 11, 397401.

22.JC Brand , S Colagiuri , S Crossman , A Allen , DCK Roberts & AS Truswell (1991) Low-glycemic index foods improve long-term glycemic control in NIDDM. Diabetes Care 14, 95101.

23.A Katz , SS Nambi , K Mather , AD Baron , DA Follmann , G Sullivan & MJ Quon (2000) Quantitative insulin sensitivity check index: a simple, accurate method for assessing insulin sensitivity in humans. J Clin Endocrinol Metab 85, 24022410.

27.A Flood , AF Subar , SG Hull , TP Zimmerman , DJA Jenkins & A Schatzkin (2006) Methodology for adding glycemic load values to the National Cancer Institute Diet History Questionnaire database. J Am Diet Assoc 106, 393402.

28.BC Olendzki , Y Ma , AL Culver , IS Ockene , JA Griffith , AR Hafner & JR Hebert (2006) Methodology for adding glycemic index and glycemic load values to 24-hour recall database. Nutrition 22, 10871095.

29.JC Brand-Miller , TMS Wolever , K Foster-Powell & S Colagiuri (2003) The New Glucose Revolution. New York: Marlowe and Company.

30.J Cohen (1988) Statistical Power Analysis for the Behavioral Sciences, 2nd ed. Hillsdale, NJ: Lawrence Earlbaum Associates.

32.Y Amano , M Sugiyama , JS Lee , K Kawakubo , K Mori , AC Tang & A Akabayashi (2007) Glycemic index-based nutritional education improves blood glucose control in Japanese adults: a randomized controlled trial. Diabetes Care 30, 18741876.

33.PD Mullen , DG Simons-Morton , G Ramirez , RF Frankowski , LW Green & DA Mains (1997) A meta-analysis of trials evaluating patient education and counseling for three groups of preventive health behaviors. Patient Educ Couns 32, 157173.

34.BA Yon , RK Johnson , J Harvey-Berino , BC Gold & AB Howard (2007) Personal digital assistants are comparable to traditional diaries for dietary self-monitoring during a weight loss program. J Behav Med 30, 165175.

35.A Jimenez-Cruz , M Bacardi-Gascon , WH Turnbull , P Rosales-Garay & I Severino-Lugo (2003) A flexible, low-glycemic index Mexican-style diet in overweight and obese subjects with type 2 diabetes improves metabolic parameters during a 6-week treatment period. Diabetes Care 26, 19671970.

37.American Diabetes Association (2008) Executive summary: standards of medical care in diabetes – 2008. Diabetes Care 31, Suppl. 1, S5S11.

38.CL Rohlfing , HM Wiedmeyer , RR Little , JD England , A Tennill & DE Goldstein (2002) Defining the relationship between plasma glucose and HbA1c. Diabetes Care 25, 275278.

39.SL Norris , X Zhang , A Avenell , E Gregg , B Bowman , M Serdula , TJ Brown , CH Schmid & J Lau (2004) Long-term effectiveness of lifestyle and behavioral weight loss interventions in adults with type 2 diabetes: a meta-analysis. Am J Med 117, 762774.

40.LP Svetkey , VJ Stevens , PJ Brantley (2008) Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial. JAMA 299, 11391148.

41.SL Norris , J Lau , SJ Smith , CH Schmid & MM Engelgau (2002) Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care 25, 11591171.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: