title: [Treatment of type 2 (non-insulin dependent) diabetes and the metabolic syndrome with diet].
abstract: Insulin resistance appears as the pathophysiological basis of metabolic syndrome and NIDDM. In type 2 diabetics additionally we observe a delayed and prolonged postprandial insulin response. These both processes represent a pathophysiological and pathogenetic unity of disturbances. The prevention and therapy of insulin resistance, metabolic syndrome and type 2-diabetes with diet involves 3 main issues: reduction of energy uptake and of body weight in obese; Composition of meals concerning the principles of fat reduced lactovegetabile nutrition; guaranteeing of longer postabsorptive phases (between meals), to avoid a permanent postprandial hyperinsulinemia and development of insulin resistance. Anti-insulin resistance diet is therefore a carbohydrate enriched, fat-reduced (lactovegetabile) nutrition with not too frequent meals (longer meal-free phases) and mainly reduced energy intake in overweight.
authors.affiliation: Bergfried-Klinik, Reha-Klinik für Diabetes und Stoffwechselkrankheiten, Saalfeld und Löhma.
authors.forename: W
authors.initials: W
authors.lastname: Bruns
mesh_terms: D001161:Arteriosclerosis / Q000097:blood / Q000178:diet therapy*; D001786:Blood Glucose / Q000378:metabolism; D002940:Circadian Rhythm / Q000502:physiology; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000178:diet therapy*; D003927:Diet, Diabetic; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology*; D013577:Syndrome
chemical_list: D001786:Blood Glucose
vernacular_title: Zur Behandlung des Typ 2(non-insulin-dependent) Diabetes und des metabolischen Syndroms mit Diät.