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Clinical Group

Archives of Renal Diseases and Management

ISSN: 2455-5495



Abstract Open Access
Research Article PTZAID: ARDM-1-101

The Lack of the Knowledge about the Postprandial Blood Glucose by the Education using the Single Absolute Tool for the Diabetic Dietary Therapy in Japan

Toru Hyodo*, Yukie Kitajima, Noriko Mikami, Haruki Wakai, Fumitaka Nakajima, Nobuhisa Shibahara, Miho Hida, Yasuhisa Kurata, Yim Sovannbophea, Som Leakhena, Sovandy Chan, Sabo Ojano and Hideki Kawanishi

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

Full Text PDF Full Text HTML DOI: 10.17352/2455-5495.000001