Letters
References 1. Swai ABM, McLarty DG, Kitange HM, Kilima PM, Masuki G, Mtinangi BI, Chuwa L, Alberti KGMM: Study in Tanzania of impaired glucose tolerance: methodological myth? Diabetes 40: 516-20, 1991 2. World Health Organization: WHO Study Group on Diabetes Mellitus. Geneva, World Health Org., 1985 (Tech. Rep. Ser. 727) 3. Davies CE: The effect of regression to the mean in epidemiologic and clinical studies. Am] Epidemiol 104:493-98, 1976 4. McLarty DG, Swai ABM, Kitange HM, Masuki G, Mtinangi BL, Kilima PM, Makene WJ, Chuwa LM, Alberti KGMM: Prevalence of diabetes and impaired glucose tolerance in rural Tanzania. Lancet 1:871-74, 1989
D
uring the course of evaluating and counseling gestational diabetic patients (glucose tolerance test criteria or overtly diabetic), we have historically delineated an almost universal use of fruit juices of unlimited quantity. Apparently, this is in response to dietary advice omitting carbohydrate- and caffeine-containing beverages. The patients were unaware of the rapid absorption and carbohydrate content of the fruits in relationship to their daily dietary needs. This certainly is an historical and counseling feature that should be evaluated during the course of counseling gestational diabetic patients in regard to their standard caloric intake and distribution of foods.
Fruit Juices and Gestational Diabetes
FROM THE SEVEN CORNERS MEDICAL BUILDING, FALLS.CHURCH, VIRGINIA.
STEPHEN H . SCHACHNER, MD, FACP
SCHACHNER, MD, FACP, ENDOCRINOLOGY AND INTERNAL MEDICINE, FALLS
ADDRESS CORRESPONDENCE AND REPRINT REQUESTS TO STEPHEN
H.
CHURCH, VA 22044.
DIABETES CARE, VOLUME 15, NUMBER 8, AUGUST
1992
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