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[IP] FW: pizza and hyperglycemia
I just started "surfing" newsgroups and came across this article regarding
pizza. Since there has been a lot of discussion about iŻ recently, I
thought I would forward it.
I am involved in a study with the University of Iowa "to determine whether
or not the in-home availability of an internet-based diabetes education
program will be used by patients with diabetes and whether or not such a
program can help a patient to understand more about their diabetes and to
help them improve their diabetes blood sugar conrol." Although I am an avid
internet user before starting the study, I feel I am learning more. I had
been thinking about an insulin pump and this group, plus my diabetic
educator have convinced me that I should pursue it further. So I will be
seeing an internal medicine doctor next week about the pump.
This group is a big help even though right now I don't undersand a lot of
the technical suff. But that will come with "education." Thanks for
helping in my learning process.
From: Doug Skrecky <email @ redacted>
Organization: Vancouver CommunityNet
Date: 6 Jan 2000 01:00:05 GMT
Subject: pizza and hyperglycemia
Tatti P. Di Mauro P. Guarisco R.
An unsuspected factor contributing to pizza
hyperglycemia [letter; comment].
Comment on: Diabetes Care 1993 Apr;16(4):578-80
Diabetes Care. 16(10):1409-10, 1993 Oct.
Ahern JA. Gatcomb PM. Held NA. Petit WA Jr. Tamborlane WV.
Department of Nursing, Yale-New Haven Hospital, New Haven, Connecticut.
Exaggerated hyperglycemia after a pizza
meal in well-controlled diabetes [see comments].
Comment in: Diabetes Care 1993 Oct;16(10):1409-10, Comment in: Diabetes
Diabetes Care. 16(4):578-80, 1993 Apr.
OBJECTIVE--To examine whether the postprandial hyperglycemic effect of
pizza in well-controlled IDDM patients is related to
overeating or to unique properties of this popular food. RESEARCH DESIGN
METHODS--On two evenings, each patient (n = 8) consumed a meal that was
similar in macronutrient composition except that one consisted of
pizza and the other was a control meal that included high
glycemic index foods. The insulin regimen was held constant.
RESULTS--Postprandial glucose levels were within the target range (< or =
mM) after the control meal. Although the initial glucose increase was
for the two meals, plasma glucose continued to rise and was significantly
increased from 4 to 9 h after ingestion of pizza compared
with the control meal (P < 0.05). This increase occurred even though free
insulin, glucagon, and free fatty acid levels did not differ
CONCLUSIONS--Our data suggest that pizza has properties that
accentuate and sustain postprandial hyperglycemia.
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