The Journal of Pediatrics
Volume 119, Issue 4 , Pages 531-537 , October 1991

Glycemic response to sucrose-containing mixed meals in diets of children with insulin-dependent diabetes mellitus

    RD, MS, CDE
  • Emily Loghmani

      Affiliations

    • Department of Nutrition and Dietetics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Medicine, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Diabetes Research and Training Center, Indianapolis, Indiana, USA
    • , RD, PhD
  • Karyl Rickard

      Affiliations

    • Corresponding Author InformationReprint requests: Karyl Rickard, RD, PhD, Department of Nutrition and Dietetics, Indiana University School of Medicine, James Whitcomb Riley Hospital for Children, 702 Barnhill Dr., Indianapolis, IN 46202-5200.
    • Department of Nutrition and Dietetics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Medicine, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Diabetes Research and Training Center, Indianapolis, Indiana, USA
    • , RD, MS
  • Lynne Washburne

      Affiliations

    • Department of Nutrition and Dietetics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Medicine, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Diabetes Research and Training Center, Indianapolis, Indiana, USA
    • , RN, MS
  • Julie Vandagriff

      Affiliations

    • Department of Nutrition and Dietetics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Medicine, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Diabetes Research and Training Center, Indianapolis, Indiana, USA
    • , PhD
  • Naomi Fineberg

      Affiliations

    • Department of Nutrition and Dietetics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Medicine, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Diabetes Research and Training Center, Indianapolis, Indiana, USA
    • , MD
  • Michael Golden

      Affiliations

    • Department of Nutrition and Dietetics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Department of Medicine, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana, USA
    • Diabetes Research and Training Center, Indianapolis, Indiana, USA
    • Now at the Department of Psychiatry, University of Washington, Seattle.

Received 6 November 1990 ,Accepted 7 May 1991.

References 

  1. Bantle JP, Laine DC, Castle GW, Thomas JW, Hoogwerf BJ, Goetz FC. Postprandial glucose and insulin responses to meals containing different carbohydrates in normal and diabetic subjects. N Engl J Med. 1983;309:7–12
  2. Steel JM, Mitchell D, Prescott RL. Comparison of the glycemic effect of fructose, sucrose, and starch-containing midmorning snacks in insulin dependent diabetes. Hum Nutr Appl Nutr. 1983;37A:3–8
  3. Slama G, Haardt MJ, Jean-Joseph P, et al. Sucrose taken during mixed meal has no additional hyperglycemic action over isocaloric amounts of starch in well-controlled diabetics. Lancet. 1984;2:122–125
  4. Forlani G, Galuppi V, Santacroce G, et al. Hyperglycemic effect of sucrose ingestion in IDDM patients controlled by artificial pancreas. Diabetes Care. 1989;12:296–298
  5. Peters AL, Davidson MB, Eisenberg K. Effect of isocaloric substitution of chocolate cake for potato in type 1 diabetic patients. Diabetes Care. 1990;13:888–892
  6. Peterson DB, Lambert J, Gerring S, et al. Sucrose in the diet of diabetic patients: just another carbohydrate?. Diabetologia. 1986;29:216–220
  7. Bantle JP, Laine DC, Thomas JW. Metabolic effects of dietary fructose and sucrose in types I and II diabetic subjects. JAMA. 1986;256:3241–3246
  8. Wise JE, Keim KS, Huisinga JL, Willmann PA. Effect of sucrose-containing snacks on blood glucose control. Diabetes Care. 1989;12:423–426
  9. Jellish WS, Emanuele MA, Abraira C. Graded sucrose/carbohydrate diets in overtly hypertriglyeridemic diabetic patients. Am J Med. 1984;77:1015–1022
  10. Coulston AM, Hollenbeck CB, Donner CC, Williams R, Chiou YM, Reaven GM. Metabolic effects of added dietary sucrose in individuals with non-insulin-dependent diabetes mellitus (NIDDM). Metabolism. 1985;34:962–966
  11. Coulston AM, Hollenbeck CB, Swislocki ALM, Chen YD, Reaven GM. Deleterious metabolic effects of high-carbohydrate, sucrose-containing diets in patients with non-insulin-dependent diabetes mellitus. Am J Med. 1987;82:213–220
  12. American Diabetes Association. Nutritional recommendations and principles for individuals with diabetes mellitus: 1986. Diabetes Care. 1987;10:126–132
  13. Kovacs M, Brent D, Steinberg TF, Paulauskas S, Reid J. Children's self-reports of psychologic adjustment and coping strategies during first year of insulin-dependent diabetes mellitus. Diabetes Care. 1986;9:472–479
  14. Abraham EC, Huff TA, Cope ND, Wilson JR, Bransome Ed, Huisman THJ. Determination of the glycosylated hemoglobins (HbA1) with a new microcolumn procedure: suitability of the technique for assessing the clinical management of diabetes mellitus. Diabetes. 1978;27:931–937
  15. Hamill PVV, Drizd TA, Johnson CL, Reed RB, Roche AF, Moore WM. Physical growth: National Center for Health Statistics percentiles. Am J Clin Nutr. 1979;32:607–629
  16. Fomon SJ. Nutrition disorders of children: prevention, screening and follow-up. In: Rockville, Md.: U.S. Department of Health, Education and Welfare; 1976;p. 33–44
  17. Schakel SG, Sievert YA, Buzzard IM. Sources of data for developing and maintaining a nutrient database. J Am Dietet Assoc. 1988;88:1268–1271
  18. Somogyi M. Notes on sugar determination. J Biol Chem. 1952;195:19–23
  19. LeFloch J, Escuyer P, Baudin E, Baudon D, Perlemuter L. Blood glucose area under the curve: methodological aspects. Diabetes Care. 1990;13:172–175
  20. Paganus A, Maenpaa J, Akerblom HK, Stenman UH, Knip M, Simell O. Beneficial effects of palatable guar and guar plus fructose diets in diabetic children. Acta Paediatr Scand. 1987;76:76–81
  21. Dietary Guidelines for Healthy American Adults . A statement for physicians and health professionals by the Nutrition Committee, American Heart Association. Circulation. 1986;74:1465A–1467A
  22. Report of the National Cholesterol Education Program Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults. Arch Intern Med. 1988;148:36–39

† Supported in part by General Clinical Research Center U.S. Public Health Service grant No. M01-750, Diabetes Research and Training Center grant No. P60-DK-20542, and Hershey Foods Corp. Hershey, Pa.

PII: S0022-3476(05)82400-X

The Journal of Pediatrics
Volume 119, Issue 4 , Pages 531-537 , October 1991

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