Abraira C, de Bartolo M, Myscofski J W
Am J Clin Nutr. 1980 May;33(5):1064-70. doi: 10.1093/ajcn/33.5.1064.
Thirty insulin-treated adult diabetic outpatients, within normal weight for at least 5 years, were instructed either on an unmeasured diet with the single restriction of simple sugars, or on a weight maintenance, caloric defined, exchange type American Diabetes Association diet. During the next 2 years, both groups reported similar caloric intakes, food composition, and distribution, which were remarkably close to the calculated ideals. Both groups kept body weights within normal limits. There was no difference in insulin doses or serum cholesterol. Fasting glycemia was higher, triglycerides lower, and hypoglycemic reactions less frequent in the group on the unmeasured diet. These differences were not significant. It is suggested that normal weight diabetics spontaneously regulate their intake to maintain a constant weight regardless of precise degree of glycemia control or insulin dosage.
三十名接受胰岛素治疗的成年糖尿病门诊患者，体重正常至少五年，他们被指导采用仅限制单糖的未计量饮食，或者采用维持体重、热量限定的美国糖尿病协会交换型饮食。在接下来的两年里，两组报告的热量摄入、食物成分和分布相似，且都非常接近计算出的理想值。两组的体重均保持在正常范围内。胰岛素剂量或血清胆固醇没有差异。未计量饮食组的空腹血糖较高，甘油三酯较低，低血糖反应较少。这些差异不显著。研究表明，体重正常的糖尿病患者会自发调节摄入量以维持恒定体重，而不管血糖控制的精确程度或胰岛素剂量如何。
