Effect of a high carbohydrate, low @entity1372 and low fat diet in type 2 diabetics with moderate XXXX .

@entity1 @entity101 @entity6 @entity1372 @entity551
The effect of an intended diet, high in cereal fibre, low in fat and @entity1372 was assessed over a 3-month period in 13 type 2 @entity6 @entity1 with moderate @entity101 (diastolic blood pressure greater than 105 and less than 115 mmHg without antihypertension drug therapy). Eleven @entity1 completed the study and two @entity1 were withdrawn owing to an increase of blood pressure above initial values after 1 month. Using a compliance scoring system by an observer unaware of blood pressure response, @entity1 were divided into those compliant to the dietary regimen (n = 7; group A) and those who were not, and therefore were considered controls (n = 4; group B). Group A demonstrated significant reductions in systolic (190.4 +/- 18 to 166.6 +/- 22.4 mmHg; P less than 0.02) and diastolic blood pressure (113.1 +/- 3.7 to 103.3 +/- 9.1 mmHg; P less than 0.01), weight (78.5 +/- 5.6 to 74.3 +/- 6.8 kg; P less than 0.02), daily urinary @entity1372 excretion (210.3 +/- 79.9 to 120.3 +/- 56.1 mmol; P less than 0.02) and serum LDL levels (P less than 0.02). A reduction in glycosylated haemoglobin of 2.2 per cent was also noted. Three @entity1 achieved a diastolic blood pressure level below 100 mmHg. In contrast, no significant changes occurred in group B. In @entity551 (111.0 +/- 2.2 to 110.3 +/- 8.9 mmHg) remained unchanged. We conclude that the modified diet may have a @entity551 effect in @entity6 subjects with moderate @entity101 . However, the degree of blood pressure reduction suggests that this diet could, at best, only be considered an adjunct to conventional antihypertensive drug therapy.
