[DIET THERAPY OF ACUTE HEMORRHAGIC ULCER].
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The effects of 12 wk of physical training in addition to hypocaloric diet (DPT group, N = 10) on body composition, carbohydrate (CHO) tolerance, and insulin secretion and action were compared with the effects of diet therapy alone (D group, N = 8) in CHO-intolerant and non-insulin-dependent diabetic subjects. Fat mass, fat-free mass (FFM), mean fasting plasma glucose, serum C-peptide, and insulin concentrations decreased similarly in both groups. The mean plasma glucose response to a mixed meal decreased approximately 20% in both treatment groups, and, after i.v. glucose, decreased 12% in the D group (P less than 0.05), but did not change in the DPT group (NS between groups). The acute serum insulin response (0-6 min) after IG increased significantly in the DPT group only (NS between groups). The mean basal endogenous glucose production (BEGP) decreased 17% (P less than 0.025) in the DPT group and by 31% (P less than 0.01) in the D group (NS between groups). Hepatic sensitivity to insulin, estimated by BEGP suppression during the euglycemic clamp, increased significantly by 25% in both groups. Total glucose disposal during the euglycemic clamp increased from 3.51 +/- 0.04 milligrams of glucose per kilogram of fat-free mass per minute (mg/kg-FFM/min) to 4.45 +/- 0.54 mg/kg-FFM/min (P less than 0.05) in the DPT group, but no change occurred in the D group (NS between groups).(ABSTRACT TRUNCATED AT 250 WORDS)
With more Americans adopting vegetarian lifestyles, health-care professionals will encounter more patients whose vegetarian dietary practices must be reconciled with the therapeutic diets required by a variety of disease conditions. The development of a quick reference guide was undertaken to address several areas of concern unique to vegetarian patients and provide an expandable clinical resource. For the disease conditions examined, nutrition care goals were found to be met without compromising vegetarian practices.
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Dissimilar immunochemical, protein and vitamin parameters were found in blood of patients with gastroenterological diseases at the initial step of impairments under conditions of routine and special diets. Specific alterations in content of transferrin, haptoglobin, tocopherol as well as in glutathione peroxidase and glucose-6-phosphate dehydrogenase activities showed that compensatory mechanisms were maintained better under conditions of the special diet therapy.
A classification of hyperlipidemias (HLP) in children has been presented in which the main types and forms of the disease are described. The general principles of the diet therapy in children with HLP have been formulated. It is stressed that the ration should include the products containing lipotropic substances, and possessing anticholesterol properties. A special attention is paid to chick-pea (Cicer arietinum) that contains essential amino acids and polyunsaturated fatty acids with antisclerotic and anticholesterol properties. The characteristics of the nutrition regimen for the HLP patients and the food intake frequency have been determined.
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There is an increasing incidence of diabetes among children in the Philippines where the adult prevalence rate is 4%. The approach to treatment follows conventionally accepted principles of diet, exercise, orals/insulin, education and rehabilitation. Attempts at standardizing diet for these juvenile diabetics is plagued by variables that keep on influencing the diet of people who come from many islands with different ethnic backgrounds. These variables include (i) Parentage, (ii) Age, (iii) Height/frame/weight, (iv) Activities, (v) Socio/economic/cultural, (vi) Diagnosis/control/complications, (vii) Who treats the patient, (viii) Drugs in use, (ix) Educational resources, (x) Motivation/compliance/morale, (xi) Monitoring capabilities, (xii) Team support. Camp exemplifies the ideal insofar as the handling of diet therapy is concerned. But this has to be effectively translated into the everyday life of the diabetic youngster if it is to be of any help at all. The aims are (i) to get the overweights down to normal weight (ii) the underweights up to normal weight (iii) the normal weights to keep within the range of normal weight--all with the least changes in their established lifestyle, hopefully maintaining healthy metabolic balance and providing for proper growth and development. We propose that diet was made for diabetics and not diabetics for diet.
The effectiveness of caloric restriction and weight reduction in lowering the blood sugar level in obese diabetics has been rediscovered. The twin goals of attaining and maintaining ideal body weight and normoglycemia can be achieved through diet therapy in about 80% of patients who are intensively educated and continuously monitored by a well informed, highly motivated team of physician, dietitian, and nurse. It appears that chronic insulin therapy should be reserved for hyperglycemic individuals who are pregnant or who are at or below ideal body weight, for persons with juvenile onset diabetes who are obviously insulin-dependent, and for acutely decompensated diabetics.
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