title: The dietary management of non-insulin-dependent diabetes mellitus in the obese patient.
abstract: This article reviews current research about the pathogenesis of obese NIDDM relevant to its dietary management. It summarizes the findings about four dietary interventions: fasting; very low-calorie diets; hypocaloric balanced-deficit diets; and variation of constituents within a diet. The review recommends a specific primary care strategy: induce an extended remission of NIDDM in the obese patient in the short-term; and treat the cause of NIDDM and the behaviors that promote obesity in the long-term with group competition programs.
authors.affiliation: Indian Health Service, Portland Area Diabetes Program, Bellingham, Washington.
authors.forename: W L
authors.initials: WL
authors.lastname: Freeman
mesh_terms: D003920:Diabetes Mellitus / Q000178:diet therapy*; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D003927:Diet, Diabetic; D006801:Humans; D009765:Obesity