Aslı BAYRAKTAR, Seçil Ünal EŞİNGEN, Gamze AKBULUT, Fatma Nur BİNGÖL

DİABETES MELLİTUS'UN TIBBİ BESLENME TEDAVİSİNE FARKLI BİR BAKIŞ: GLİSEMİK İNDEKS Mİ, GLİSEMİK YÜK MÜ DAHA ETKİNDİR?

Modern yaşam, beslenme alışkanlıklarını değiştirerek yüksek karbonhidratlı yiyecek tü- ketimine ve diyabet gibi kronik hastalıklara yakalanma riskinde artışa neden olmaktadır. Diyetle karbonhidrat alımı, glisemik kontrole en fazla etki eden diyetsel faktördür. Diyabe- tik bireylerle yapılan birçok çalışma, düşük glisemik indeksli diyetlerin kısa süreli glisemik kontrolün sağlanmasında yararlı olduğunu göstermektedir. Yapılan son çalışmalarda ise glisemik indeksin yanında glisemik yükün de değerlendirilmesi gerektiği vurgulanmakta- dır. Çalışmaların bir kısmı glisemik indeksin diyabet üzerindeki olumlu etkisini gösterirken, bir kısmı da glisemik yükün de değerlendirmeye katılması gerektiği sonucuna ulaşmıştır. Tüm bu veriler ışığında; glisemik indeks, glisemik yük ve diyabet arasındaki ilişki ile ilgili daha fazla çalışma yapılması gerektiği düşünülmektedir.

A Different Overview of the Medical Nutritional Therapy of Diabetes Mellitus: Glycemic Index or Glycemic Load, Which is More Effective in the Planning of the Dietary Therapy?

Modern life has changed individuals dietary habits and causes to rely more on the consumption of high starchy (carbohydrate) foods leading to increased risk of chronic diseases such as Diabetes Mellitus. The highest impact factor in the dietary intake of carbohydrates is glycemic control. Many studies conducted on diabetic subjects showed that low glycemic index diets are effective for short term of glycemic control. Recent studies, on the other hand, suggest that glycemic load should also be evaluated along with glycemic index. Some studies put forward positive impacts of glycemic index on diabetes mellitus while some others emphasise the need to consider glycemic load as well. Within the scope of all this data, it is concluded that more studies are needed to further elaborate on the relation between glycemic index, glycemic load and diabetes mellitus.

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