Maturity onset diabetes mellitus: response to intensive dietary management.
Open accessAbstract
Analysis of the first six months of intensive dietary management of 57 maturity onset diabetics showed that a large proportion of such patients could be satisfactorily controlled without the need of either oral hypoglycaemic agents or insulin. A dietitian's assessment of the patient's adherence to the prescribed diet allowed groups of good and poor dieters to be selected. Among the poor dieters the plasma insulin and triglyceride levels were significantly increased though plasma glucose levels were not significantly higher. Dietary adherence may thus be an prognostic risk factor in this group of diabetic patients.
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Weight loss and exercise improve coincident cardiovascular disease risk factors, such as blood pressure and atherogenic lipid profiles, and ameliorate other consequences of obesity.
“In addition to the beneficial effects of weight loss on glycemia, weight loss and exercise improve coincident CVD risk factors, such as blood pressure and atherogenic lipid profiles, and ameliorate other consequences of obesity (41,46,47).”
From Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy (2009) · cites this paper as [47]
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Cites
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Cited by
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- Authors
- Hadden, D. R., Montgomery, D. A., Skelly, R. J., Trimble, E. R., Weaver, J. A., Wilson, E. A., & Buchanan, K. D.
- Affiliations
- Queen's University Belfast (GB)
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1975-08-02
- Volume
- 3
- Issue
- 5978
- Pages
- 276-278
- ISSN
- 0007-1447 (ISSN-L)
- 1468-5833
- OpenAlex
- W2064827357
- Cited by
- 102
- References
- 12
- Citations by year
- 2021: 1 · 2017: 1 · 2016: 1 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- maturity-onset diabetes, type 2 diabetes, dietary management, dietary adherence, insulin requirement, triglycerides, plasma glucose, oral antidiabetic drugs, insulin therapy, prognosis
- MeSH terms
- Adult, Aged, Blood Glucose, Body Weight, Cholesterol, Diabetes Mellitus, Diet, Diabetic, Female, Glucose Tolerance Test, Humans, Insulin, Male, Middle Aged, Patient Compliance, Prognosis, Triglycerides
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