Summary
Exclusion of simple sugars from the diabetic diet is not always followed by patients and may not even be as crucial as was hitherto thought. We tested three types of mixed breakfasts (400 kcal, 50 g HCO) including an isoglucidic amount either of white bread (30 g), honey (20 g) or sucrose (15 g), at the critical morning period i.e. for breakfast, in a group of 21 Type 2 (non-insulin-dependent) diabetic patients (6 well- and 15 badly controlled). Mean plasma glucose and insulin levels were comparable on the three occasions: respectively with bread, sucrose and honey, peak glucose values were 18 mmol/l, 17.7 mmol/l and 17.5 mmol/l in the uncontrolled group versus 13.9 mmol/l, 12.8 mmol/l and 12.7 mmol/l in the well-controlled group. Peak insulin values were 33.6 mU/l,34.0 mU/l and 36.3 mU/l (p>0.05) in uncontrolled patients against 57.5 mU/l, 54.8 mU/l and 52.5 mU/l in well-controlled subjects (p>0.05). The mean increment in peak plasma glucose values for the three breakfasts was as follows: 6.9 mmol/l, 6.3 mmol/l and 6.2 mmol/l for the uncontrolled group against 7.2 mmol/l, 5.9 mmol/l and 6.2 mmol/l in well-controlled subjects; the mean increment in peak plasma insulin levels was 21.8 mU/l, 22.0 mU/l and 24.2 mU/l in the controlled group versus 38.2 mU/l, 32.0 mU/l and 34.7 mU/l in the well-controlled subjects, all values being non-significantly different (p>0.05). We conclude that, in acute conditions, simple sugars have no additional hyperglycaemic effect over an isoglucidic amount of bread in well- and in badly controlled Type 2 diabetic patients, even at breakfast.
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References
American Diabetes Association (1979) Principles of nutrition and dietary recommendations for individuals with diabetes mellitus. Diabetes 28: 1027–1030
Canadian Diabetes Association (1981) Guidelines for the nutritional management of diabetes mellitus: 1980. J Can Dietet Assoc 42: 110–118
The nutrition sub-committee of the Medical Advisory Committee of the British Diabetic Association (1981) Dietary recommendations for diabetics for the 1980s. In: Cudworth AG, Andreani D, Bodansky HJ, Squaduto G, eds. Diabetes and its late complications. John Libbey, London, pp 157–167
Dehlinger C, Laffitte A, Truffe P, Slama G, Costagliola D, Celanie E (1983) Goût sucré et consommation de sucres simples chez 88 diabétiques de type 1 et de type 2. Diabète Metab 9: 169
Crapo PA, Reaven G, Olefsky J (1976) Plasma glucose and insulin responses to orally administered simple and complex carbohydrates. Diabetes 25: 741–747
Jenkins DJA, Wolever TMS, Taylor RH, Barker H, Fielden H, Baldwin JM, Bowling AC, Newman HC, Jenkins AL, Goff DV (1981) Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr 34: 362–366
Spaethe R, Brinck UC, Sabin J, Wubbens D, Otto H (1972) Echange des hydrates de carbone d'après le principe des équivalents biologiques dans le régime pour diabétiques. In: Journées de Diabétologie de l'Hôtel-Dieu. Flammarion, Paris: 253–259
Ionescu-Tirgoviste C, Popa E, Sintu E, Mihalache N, Cheta D, Mincu I (1983) Blood glucose and plasma insulin responses to various carbohydrates in type 2 (non-insulin-dependent) diabetes. Diabetologia 24: 80–84
Bantle JP, Laine DC, Castle GW, Thomas GW, Hoogwerf BJ, Goetz FC (1983) Postprandial glucose and insulin response to meals containing different carbohydrates in normal and diabetic subjects. N Engl J Med 309: 7–12
Slama G, Klein JC, Delage A, Ardila E, Lemaignen H, Papoz L, Tchobroutsky G (1981) Correlation between the nature and amount of carbohydrate in meal intake and insulin delivery by the artificial pancreas in 24 insulin-dependent diabetics. Diabetes 30: 101–105
Mann JI (1980) Diet and diabetes. Diabetologia 18: 89–95
Slama G, Jean-Joseph P, Goicolea I, Elgrably F, Haardt MJ, Costagliola D, Bornet F, Tchobroutsky G (1984) Sucrose taken during a mixed meal has no additional hyperglycaemic action over isocaloric amounts of starch in well-controlled diabetics. Lancet 2: 122–125
Jersild M (1967) Postprandial blood sugar rise in diabetics. Acta Med Scand suppl 476: 101–107
Documenta Geigy (1972) Tables scientifiques, 7 edn. Ciba-Geigy SA, Basle
Meyer HU, Curchod B, Maeder E, Pahud P, Jequier E, Felber JP (1980) Modifications of glucose storage and oxidation in non obese diabetics, measured by continuous indirect calorimetry. Diabetes 29: 752–756
Pehling G, Tessari P, Gerich JE, Haymond MW, Service FJ, Rizza RA (1984) Abnormal meal carbohydrate disposition in insulin-dependent diabetes. Relative contributions of endogenous glucose production and initial splanchnic uptake and effect of intensive insulin therapy. J Clin Invest 74: 985–991
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Bornet, F., Haardt, M.J., Costagliola, D. et al. Sucrose or honey at breakfast have no additional acute hyperglycaemic effect over an isoglucidic amount of bread in Type 2 diabetic patients. Diabetologia 28, 213–217 (1985). https://doi.org/10.1007/BF00282235
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DOI: https://doi.org/10.1007/BF00282235