The diabetic dietary therapy is the primary strategy to control and prevent the progression of diabetes and its complications.
Energy counting based on diabetic food exchange lists, in which 1 exchange unit is equivalent to 80 kcal, has been used as the single absolute tool in dietary education in Japan for patients with diabetes for 1993 to 2013 by Japan Diabetes Society. And the 5th and 6th editions of this material had put emphasis on only energy intake and made light of the fact that the postprandial blood glucose levels depend on carbohydrate intake. This approach may have created a misunderstanding among Japanese people that postprandial blood glucose levels are dependent on energy intake.
We herein conducted a pilot survey to determine whether 19 diabetic patients undergoing maintenance hemodialysis were aware that “ the dietary intake of carbohydrates, not energy has a major effect on postprandial blood glucose levels, while dietary fat and protein have a minimal effect” just before starting carbohydrate counting education to these patients, and repeated the survey with 15 allied health professionals and 22 physicians nationwide who were qualified as Fellows of the Japanese Society for Dialysis Therapy.
Published on: May 23, 2015 Pages: 1-2