Should obese patients be counselled to follow a low‐glycaemic index diet? Yes

  title={Should obese patients be counselled to follow a low‐glycaemic index diet? Yes},
  author={Dorota B. Pawlak and Cara B. Ebbeling and David S. Ludwig},
  journal={Obesity Reviews},
A reduction in dietary fat has been widely advocated for the prevention and treatment of obesity and related complications. However, the efficacy of low‐fat diets has been questioned in recent years. One potential adverse effect of reduced dietary fat is a compensatory increase in the consumption of high glycaemic index (GI) carbohydrate, principally refined starchy foods and concentrated sugar. Such foods can be rapidly digested or transformed into glucose, causing a large increase in post… 
Low glycemic index diets and body weight
It is found that there is convincing evidence in the existing literature to suggest that a low GI diet is superior in achieving improvement in cardiovascular health and in reducing body weight in healthy overweight subjects, when compared to official dietary advice recommending a diet high in vegetables, fruit and fiber, and low in sugar and fat.
Glycaemic index and metabolic disease risk
  • L. Aston
  • Medicine
    Proceedings of the Nutrition Society
  • 2006
There is growing evidence that the type of carbohydrate consumed is important in relation to metabolic disease risk, and there is currently particular interest in the role of low-glycaemic-index (GI)
The role of the glycaemic index of foods in body weight regulation and obesity. Is more evidence needed?
  • A. Astrup
  • Medicine
    Obesity reviews : an official journal of the International Association for the Study of Obesity
  • 2002
It is now up to the reader to judge whether the overall evidence is solid enough to advise the public to revise their current view of a healthy diet and replace high-GI Foods with low-GI foods.
Low-glycaemic diets and health: implications for obesity
  • G. Livesey
  • Medicine, Biology
    The Proceedings of the Nutrition Society
  • 2005
Among the studies reviewed, GL offers a better or stronger explanation than GI in various observations including body weight, T2DM in nurses, CHD, plasma triacylglycerols, HDL-cholesterol, high-sensitivity C-reactive protein and protein glycation.
The Glycemic Index: Physiological Significance
Enough positive evidence is suggested that the glycemic index may have a role to play in the treatment and prevention of chronic diseases, especially with respect to renewed interest in postprandial events.
Effect of glycaemic index on body weight
These studies, ranging from 5 to 16 weeks, have not been able to show improved satiation or lower energy intake or body weight, however, in one study the interesting observation was made that total fat mass was decreased.
Dietary approaches to the treatment of obesity.
Metabolic effects of low glycaemic index diets
The persistence of an epidemic of obesity and type 2 diabetes suggests that new nutritional strategies are needed if the epidemic is to be overcome and a promising nutritional approach is metabolic effect of low glycaemic-index diet.
Body weight regulation and obesity: dietary strategies to improve the metabolic profile.
A growing body of evidence suggests that dietary strategies with the aim to reduce postprandial insulin response and increase fat oxidation, and that tend to restore metabolic flexibility, have a place in the prevention and treatment of obesity and associated metabolic disorders.
Use of the glycemic index for weight loss and glycemic control: A review of recent evidence
This article summarizes current findings regarding the use of low-glycemic index (GI) diets for weight loss and type 2 diabetes control and adds to the controversy regarding the effectiveness of consuming low-GI diets for glycemic control and weight reduction.


Dietary Advice Based on the Glycaemic Index Improves Dietary Profile and Metabolic Control in Type 2 Diabetic Patients
Subjects given advice to lower the glycaemic index of the carbohydrate in their diet achieve a lower calculated dietary glycaemia intake than those who do not, and this appears to have a beneficial effect on the intake of other nutrients and results in an improvement in metabolic control.
Treating obesity in youth: should dietary glycemic load be a consideration?
This chapter provides an overview of the available evidence suggesting that dietary glycemic load, and its related factor, the glycemic index, should be taken into consideration in the design of weight loss interventions.
Beneficial Effect of a Low Glycaemic Index Diet in Type 2 Diabetes
It is suggested that low glycaemic index starchy foods may be beneficial in the treatment of Type 2 diabetes.
Low-Glycemic Index Foods Improve Long-Term Glycemic Control in NIDDM
A low-GI diet gives a modest improvement in long-term glycemic control but not plasma lipids in normolipidemic well-controlled subjects with NIDDM.
Advice on low-fat diets for obesity.
This review focused primarily on participants who were overweight or clinically obese and were dieting for the purpose of weight reduction, focusing on studies of 'free living' men and women who were given dietary advice rather than provision of food or money to purchase food.
Effect of a low-glycaemic index–low-fat–high protein diet on the atherogenic metabolic risk profile of abdominally obese men
Favourable changes in the metabolic risk profile noted with the ad libitum consumption of the low-glycaemic index–low-fat–high-protein diet (decreases in triacyglycerols, lack of increase in cholesterol:HDL-cholesterol ratio, increase in LDL particle size) were significantly different from the response of these variables to the AHA diet.
Beneficial Effect of Low-Glycemic Index Diet in Overweight NIDDM Subjects
Reducing diet GI improves overall blood glucose and lipid control in overweight patients with non-insulin-dependent diabetes mellitus by 8% and 7% respectively.
Do high carbohydrate diets prevent the development or attenuate the manifestations (or both) of syndrome X? A viewpoint strongly against
  • G. Reaven
  • Medicine
    Current opinion in lipidology
  • 1997
It is concluded that low fat/high carbohydrate diets should be avoided in the treatment of syndrome X and substitution of monounsaturated or polyunsaturated fat, or both, for saturated fat results in the same fall in LDL-cholesterol concentration as seen with low fats/high carbs.
Low glycemic index carbohydrate foods in the management of hyperlipidemia.
Reduction in the mean glycemic index (GI) of diets of 12 hyperlipidemic patients from 82 +/- 1 to 69 +/- 2 units (p less than 0.001) for a 1 mo period resulted in a significant reduction in total and
Improved glycemic control and lipid profile and normalized fibrinolytic activity on a low-glycemic index diet in type 2 diabetic patients.
A diet characterized by low-GI starchy foods lowers the glucose and insulin responses throughout the day and improves the lipid profile and capacity for fibrinolysis, suggesting a therapeutic potential in diabetes.