Interní Med. 2007; 9(3): 110-113

Update on dietary guidelines for diabetic patients

doc. MUDr. Zdeněk Rušavý¹, MUDr. Silvie Lacigová Ph.D²

¹ I. interní klinika, FN Plzeň

² Diabetologické centrum, I. interní klinika, FN a LF UK Plzeň

The article presents update in the area of dietology in diabetes mellitus. It discusses in detail 3 pathologic entities of metabolic syndrome: obesity, hyperlipoproteinemia and type II diabetes mellitus, because in this disease dietary therapy plays a key role. „A healthy weight“is stressed in modern dietology that is why the basics of application of physical activity are briefly discussed. Life style change is essential, reduction diet at BMI over 25 kg/m2 and physical activity 3–5x weakly at least for 30 minutes. Dietary fiber is necessary to prefer, the most advantageous is soluble fiber (vegetable, legume, fruit) thanks to positive metabolic effect. More important than the total amount of fat is its composition. Saturated fatty acids are atherogenic and thrombogenic and possibly carcinogenic, mono and polyunsaturated fatty acids are on the other hand beneficial. Use of fytosterols in diet is an important option of dietary hypolipidemic therapy. The article shows dietary options for postprandial effect on blood glucose levels in diabetics and healthy individuals. Use of food with slow resorbtion of sugar low blood glucose index) leads not only to lowering postprandial blood sugar level, but also lowering of insulin resistance.

Keywords: Key words: diabetes mellitus, metabolic syndrome, fiber, fatty acids, fytosterols, blood glucose index.

Published: April 1, 2007  Show citation