American Journal of Clinical Nutrition, Vol 45, 625-637, Copyright © 1987 by The American Society for Clinical Nutrition, Inc

ORIGINAL RESEARCH COMMUNICATIONS

A comparison of nutrient-based and exchange-group methods of diet instruction for patients with noninsulin-dependent diabetes

PA Kendall, CM Jansen, DD Sjogren and GR Jansen

This study compared effectiveness of nutrient-based (Diet Guide) vs food-group (Exchange Lists) methods of diabetic diet evaluation in improving dietary compliance, glycemic control, and biochemical indicators of heart disease risk. Eighty-three persons with noninsulin- dependent diabetes were taught one of two diet-planning methods in a 3- session workshop. Both methods led to reductions in energy intake and percent of calories from fat and saturated fatty acids in 6 mo postworkshop. Reductions in fat intake were greater and more long lasting for persons using Diet Guide than using Exchange Lists method of diet planning. Despite dietary changes, neither diet-planning method led to significant decreases in weight or skinfold thickness. Few differences were seen in clinical measurements pre- and 6 mo postworkshop. Total and LDL cholesterol values were lower than preworkshop values for men in both groups. Suggestions are given for improving effectiveness of both diet-planning methods.

This article has been cited by other articles:

				K. O. Lacey, D. A. Chyun, and M. Grey An Integrative Literature Review of Cardiac Risk Factor Management in Diabetes Education Interventions The Diabetes Educator, September 1, 2000; 26(5): 812 - 820. [Abstract] [PDF]