Document Detail

How enthusiastically should the use of monounsaturated fats be encouraged?
MedLine Citation:
PMID:  2627865     Owner:  NLM     Status:  MEDLINE    
The Garg study diet supplied 50% of the calories from fat (33% from monounsaturated fat), which eliminates much of the bulk from the diet. Substituting monounsaturates for carbohydrates in the diet translates into giving up 120 calories from a carbohydrate source (very large potato, 1 1/2 slices of bread, 1 cup of cereal, etc) for a tablespoon of olive oil. Somehow that doesn't seem like a good exchange. Abbott et al substituted complex carbohydrates for saturated fat in the diet and accomplished the same result as Coulston et al with a low-carbohydrate (40%), moderate-fat (40%) diet. The American Diabetes Association suggested that if diabetes was poorly controlled and hypertriglyceridemia a problem, monounsaturates might be useful to maintain caloric balance. However, in light of the high incidence of obesity in persons with NIDDM and recent studies on the ease of dietary fat storage in adipose tissue, should fat of any kind, including monounsaturated fats, be substituted for carbohydrates in the diet of persons with diabetes?
M J Franz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Diabetes educator     Volume:  15     ISSN:  0145-7217     ISO Abbreviation:  Diabetes Educ     Publication Date:    1989 Nov-Dec
Date Detail:
Created Date:  1990-04-19     Completed Date:  1990-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7701401     Medline TA:  Diabetes Educ     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  494-7     Citation Subset:  N    
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MeSH Terms
Diabetes Mellitus, Type 2 / diet therapy*
Dietary Fats / administration & dosage*,  pharmacology
Energy Intake
Fatty Acids, Monounsaturated*
Reg. No./Substance:
0/Dietary Fats; 0/Fatty Acids, Monounsaturated

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