Abstract
This study aims to investigate longitudinal associations between the dietary glycemic index (GI) and glycemic load (GL) and changes in glycemic and cardio-metabolic outcomes. A 28-month retrospective cohort study included 110 Vietnamese diabetic patients, collecting their dietary GI and GL values along with blood biochemical data from baseline 24-h dietary recall and medical records. Latent class growth modelling identified three distinct HbA1c trajectories during the follow-up period, with 51% of patients achieving good glycemic control. The adjusted linear mixed-effect model showed that 1 unit increase in logarithms in dietary GL was associated with a 0.14% increase in the log-HbA1c. Among poorly controlled diabetic patients, baseline GL values were positively correlated with increases in HbA1c; GI showed effects on changes in fasting plasma glucose and the triglyceride-glucose (TyG) index. No significant association was observed in patients with good glycemic control.
Original language | English |
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Pages (from-to) | 550-561 |
Number of pages | 12 |
Journal | International Journal of Food Sciences and Nutrition |
Volume | 75 |
Issue number | 6 |
DOIs | |
Publication status | Accepted/In press - 2024 |
Keywords
- cardio-metabolic parameters
- glycemic control
- Glycemic index
- glycemic load
- resource-poor country
ASJC Scopus subject areas
- Food Science