Diabetes & Metabolism Journal

Original Articles

Total Energy Intake May Be More Associated with Glycemic Control Compared to Each Proportion of Macronutrients in the Korean Diabetic Population: Hye Mi Kang, Dong-Jun Kim; Diabetes Metab J. 2012;36(4):300-306. Published online August 20, 2012; DOI: https://doi.org/10.4093/dmj.2012.36.4.300

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Background

Major macronutrients for energy intake vary among countries and cultures. Carbohydrates, including rice, are the major component of daily energy intake in Korea. The aim of this study was to examine the association of daily energy intake or each proportion of macronutrients, especially carbohydrates, with glycemic control in diabetic Koreans.

Methods

A total of 334 individuals with diabetes (175 men, age 57.4±0.8 years; 159 women, age 60.9±0.9 years) who participated in the 2005 Korean National Health and Nutrition Examination Survey were examined. Glycemic control was categorized based on concentration of glycated hemoglobin (HbA1c; HbA1c ≤6.5%; 6.6% to 8.0%; ≥8.1%). Dietary intake was assessed by using a 24-recall item questionnaire.

Results

High total energy intake was associated with poor glycemic control (HbA1c ≤6.5%, 1,824±75 kcal; 6.6% to 8.0%, 1,990±57 kcal; ≥8.1%, 2,144±73 kcal; P value for trend=0.002). Each proportion of protein, fat, or carbohydrate was not associated with glycemic control. Even after adjusting for several parameters, the association of daily energy intake with glycemic control still persisted.

Conclusion

Total energy intake may be more closely related to glycemic control than each proportionof macronutrients in Korean diabetics.

Citations

Citations to this article as recorded by

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Shakil Ahmed, Md Sajjadul Haque Ripon, Mohammad Farhan Islam, Ahmad Ullah, Safayet Sultan, Mohammad Sajid, Tanjina Rahman
Endocrine and Metabolic Science.2024; 14: 100156. CrossRef
The effect of mindful eating on dietary behaviour and fasting blood glucose in type 2 diabetes mellitus patients
Rizki Andriani, Aghnia Kamila, Roofi Asma Putri, Arif Fadhillah, Sabrina Helmi, Delia Septiani
Healthcare in Low-resource Settings.2024;[Epub] CrossRef
The association between multiple trajectories of macronutrient intake and the risk of new‐onset diabetes in Chinese adults
Sizhe Wang, Guo Ruirui, Xiaotong Li, Fengdan Wang, Zibo Wu, Yan Liu, Yibo Dong, Bo Li
Journal of Diabetes.2024;[Epub] CrossRef
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A Nutritional Strategy Based on Multiple Components for Glycemic Control in Type 2 Diabetes: A Multicenter Randomized Controlled Clinical Trial
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Achiraya Ruangchaisiwawet, Narumit Bankhum, Krittai Tanasombatkul, Phichayut Phinyo, Nalinee Yingchankul, Shairyzah Ahmad Hisham
PLOS ONE.2023; 18(11): e0294810. CrossRef
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Yu An, Yinhui Li, Nannan Bian, Xiaoyu Ding, Xiaona Chang, Jia Liu, Guang Wang
Frontiers in Nutrition.2022;[Epub] CrossRef
FAKTOR YANG MEMPENGARUHI KADAR GLUKOSA DARAH PENDERITA DIABETES MELITUS TIPE II USIA 46-65 TAHUN DI KABUPATEN WAKATOBI
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Liyuan Zhou, Mingqun Deng, Xiao Zhai, Ruiqi Yu, Jieying Liu, Miao Yu, Yuxiu Li, Xinhua Xiao
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Nutrients.2021; 13(5): 1488. CrossRef
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Cheng-Chieh Lin, Chiu-Shong Liu, Chia-Ing Li, Chih-Hsueh Lin, Wen-Yuan Lin, Mu-Cyun Wang, Shing-Yu Yang, Tsai-Chung Li
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The Association of Plasma HDL-Cholesterol Level with Cardiovascular Disease Related Factors in Korean Type 2 Diabetic Patients.: Hye Sook Hong, Jong Suk Park, Han Kyoung Ryu, Wha Young Kim; Korean Diabetes J. 2008;32(3):215-223. Published online June 1, 2008; DOI: https://doi.org/10.4093/kdj.2008.32.3.215

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40 Download
4 Crossref

Abstract PDF

BACKGROUND
Cardiovascular disease (CVD) is the major cause of death in type 2 diabetic patients. The purpose of this study was to investigate the characteristics of Korean type 2 diabetes mellitus (DM) patients according to plasma high density lipoprotein (HDL) cholesterol level and to document the effect of diet on HDL-cholesterol. METHODS: The subjects were 252 (male: 134, female: 118) Korean type 2 DM patients recruited from a general hospital's DM clinic and divided into low HDL-cholesterol group (male < 40 mg/dL, female < 50 mg/dL) and control group (male > or = 40 mg/dL, female > or = 50 mg/dL). Anthropometric and hematological variables and dietary intake were assessed by the groups. RESULTS: The subject's mean age was 60.2 +/- 1.1 years and duration of diabetes was 9.5 +/- 1.0 years. Anthropometric measurements (body fat mass, % body fat, WHR, fat free mass, and muscle mass) and BMI were not significantly different between two groups. The male subjects with low HDL-cholesterolemia showed higher Atherogenic Index (AI, P < 0.001) and higher % carbohydrate from energy than control group (P < 0.01). The female subjects with low HDL-cholesterolemia showed higher AI (P < 0.001) and a tendency of higher triglyceride level and lower intake of energy, protein, lipid, vitamin B1 and vitamin E (P < 0.05) than control group. CONCLUSION: The subject with low HDL-cholesterolemia showed significantly higher AI. Male subject with low HDL-cholesterolemia consumed higher carbohydrate and female subject with low HDL-cholesterolemia showed lower intakes of many nutrients. This result suggests the importance of an adequate and balanced diet to manage type 2 DM patients to prevent CVD complications.

Citations

Citations to this article as recorded by

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Journal of Life Science.2012; 22(12): 1697. CrossRef
The Prevalence, Awareness and Treatment of High Low Density Lipoprotein-Cholesterol in Korean Adults Without Coronary Heart Diseases - The Third Korea National Health and Nutrition Examination Survey, 2005 -
Sun-Ja Choi, Sung-Hee Park, Kwang-Soo Lee, Hyun-Young Park
Korean Circulation Journal.2012; 42(2): 86. CrossRef
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Sun-Hee Lee, Sung-Won Lim, Nguyen Van Mihn, Jung-Mu Hur, Bong-Joon Song, Young-Mi Lee, Hoi-Seon Lee, Dae-Ki Kim
Journal of the Korean Society of Food Science and Nutrition.2011; 40(3): 401. CrossRef
Effects of Namhae Specialized Crops Water Extract on Lipid Metabolism in Rats Fed a Cholesterol Diet
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Korean journal of food and cookery science.2011; 27(5): 599. CrossRef

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