Diabetes Self-Management Support for Dietary Therapy with Knowing Inter-Individual Variations of Glycemic Responses to Carbohydrate RestrictionName : Dr. Yuji Aoki
Affliation : Director, Clinical Professor
University : Matsumoto Dental University Hospital
Country : Japan
Dietary therapy remains the foundation of any diabetes treatment program. Carbohydrate counting or restriction is a meal planning approach to help diabetic patients manage their carbohydrate intake, to maintain good glycemic control. However, carbohydrate restriction is easy in principle but difficult in practice. In addition to the amount of carbohydrate, the type or source of carbohydrate is recognized to affect postprandial glucose levels. In our previous study, effects of different 40 g carbohydrate-containing foods for breakfast (cooked rice, apple, and cereal with milk) on blood glucose levels measured by continuous glucose monitoring were assessed in 7 healthy and 8 diabetic individuals. The inter-individual variations of postprandial glucose levels were large in healthy and, especially, in diabetic individuals. Nevertheless, the average profiles of the glucose levels approximately accorded with those in other studies. A pattern of postprandial glucose levels after the apple ingestion in diabetes seemed to be linked to increased appetite and weight gain, and that after dairy meals in type 1 diabetes suggested their usefulness to prevent nocturnal hypoglycemia. In another study, the blood glucose levels were demonstrated to vary depending on the amount of cooked rice in diabetic inpatients. Decreasing the amount of cooked rice, but not exchanging for starchy foods or fruits was suggested to be more effective on HbA1c levels in diabetic outpatients. Medical staff including nurses should be aware of inter-individual variations of glycemic responses to carbohydrate restriction, to support individual diabetic patients for self-management of dietary therapy.
Biography: Dr. Yuji Aoki is the Director of the Outpatient Department, and head of the Lifestyle Disease Laboratory, National Hospital Organization Matsumoto Medical Center, and Matsumoto, Japan. He is a Visiting Clinical Professor of Internal Medicine, Matsumoto Dental University Hospital, Shiojiri, Japan. He got his Medical Doctor in 1981 and Ph.D. medicine in 1993 at Shinshu University School of Medicine, Matsumoto, Japan.