Cited by 485Food composition and propertiesDiabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and Lipoproteins

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Improved glycemic control and lipid profile and normalized fibrinolytic activity on a low-glycemic index diet in type 2 diabetic patients.

Järvi, A E, Karlström, B E, Granfeldt, Y E, Björck, I E, Asp, N G, Vessby, B O·1999·Diabetes Care

DOI 10.2337/diacare.22.1.10

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Abstract

OBJECTIVE: To evaluate the effects of varying the glycemic index (GI) of carbohydrate-rich foods on metabolic control in type 2 diabetic patients. RESEARCH DESIGN AND METHODS: In a randomized crossover study, 20 patients, 5 women and 15 men, were given preweighed diets with different GIs during two consecutive 24-day periods. Both diets were composed in accordance with dietary recommendations for people with diabetes. The macronutrient composition and type and amount of dietary fiber were identical. Differences in GI were achieved mainly by altering the structure of the starchy foods. RESULTS: Peripheral insulin sensitivity increased significantly and fasting plasma glucose decreased during both treatment periods. There was a significant difference in the changes of serum fructosamine concentrations between the diets (P < 0.05). The incremental area under the curve for both blood glucose and plasma insulin was approximately 30% lower after the low- than after the high-GI diet. LDL cholesterol was significantly lowered on both diets, with a significantly more pronounced reduction on the low-GI diet. Plasminogen activator inhibitor-1 activity was normalized on the low-GI diet, (-54%, P < 0.001), but remained unchanged on the high-GI diet. CONCLUSIONS: A diet characterized by low-GI starchy foods lowers the glucose and insulin responses throughout the day and improves the lipid profile and capacity for fibrinolysis, suggesting a therapeutic potential in diabetes.

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Some health benefits of low glycaemic index diets – a systematic review
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“2 mmol/l).(18-20,22,24,25,27-30) Two studies showed that mean TC concentrations of healthy subjects improved significantly on low-GI diets(18,24) while the studies of Frost et al.”
Background
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Marckmann, P. (2000) · Nutrition · doi:10.1016/s0899-9007(00)00443-3 · Cited by 2
Comparing effects of low glycemic index/high-fat, high-calorie diet and high-fat, high-calorie diet on cytokine levels of patients with cystic fibrosis: A randomized controlled clinical trial
Gorji, Z., Modaresi, M., Yekanni-Nejad, S., Rezaei, N., & Mahmoudi, M. (2020) · European Cytokine Network · doi:10.1684/ecn.2020.0442 · Cited by 2
“Low GI foods have shown to be potentially effective in improving glycemic control in other forms of diabetes [10-12], whereas high GI foods have been associated with increased oxidative stress and inflammation [13, 14].”
Background
Bioactives and Health Benefits of Lentils (Lens culinaris L.)
Ramdath, D. D., & Tsao, R. (2012) · Wiley eBooks · doi:10.1002/9781118229415.ch15 · Cited by 2
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Plantation crops and tree nuts
Singh, N., & Kaur, A. (2013) · Wiley eBooks · doi:10.1002/9781118464717.ch7 · Cited by 2
Effect of Variations in Amount and Kind of Dietary Fat and Carbohydrate in the Dietary Management of Type 2 Diabetes
Reaven, G. M. (2003) · doi:10.1002/0470869437.ch12 · Cited by 2
Glycaemic index: a meaningful measure?
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Twelve weeks low glycemic load diet reduced body weight, fat mass and hunger in overweight/obese children
Fajcsák, Z., Kovács, V., Gábor, A., Szamosi, T., & Martos, É. (2008) · Acta Alimentaria · doi:10.1556/aalim.2008.0019 · Cited by 2
Response to the Diabetes Nutrition Study Group of the European Association for the Study of Diabetes
Franz, M. J., & Bantle, J. P. (2002) · Diabetes Care · doi:10.2337/diacare.25.7.1258 · Cited by 2

Authors: Järvi, A. E., Karlström, B. E., Granfeldt, Y. E., Björck, I. E., Asp, N. G., & Vessby, B. O.
Affiliations: Uppsala University (SE)
ORCID: Järvi, A E
Granfeldt, Y E
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 1999-01-01
Volume: 22
Issue: 1
Pages: 10-18
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/diacare.22.1.10
OpenAlex: W2142340057
Cited by: 484
References: 0
Citations by year: 2026: 3 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 10 · 2019: 8 · 2018: 5 · 2017: 12 · 2016: 15 · 2015: 10 · 2014: 17 · 2013: 17 · 2012: 14
FWCI: 30.97
Type: journal article
Language: en
Open access: closed
Locations: Diabetes Care (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: glycemic index, type 2 diabetes, low glycemic index diet, glycemic control, insulin sensitivity, fructosamine, LDL cholesterol, lipid profile, fibrinolysis, plasminogen activator inhibitor-1, starchy foods, dietary fiber
MeSH terms: Aged, Apolipoproteins, Blood Glucose, Body Weight, Cholesterol, Diabetes Mellitus, Type 2, Diet, Diabetic, Dietary Carbohydrates, Female, Glycated Hemoglobin, Humans, Insulin, Lipids, Lipoproteins, Male, Middle Aged, Triglycerides, Cross-Over Studies

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Improved glycemic control and lipid profile and normalized fibrinolytic activity on a low-glycemic index diet in type 2 diabetic patients.

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