Abstract
In 14 adolescents with diabetes, the postprandial blood glucose, after ingestion of two popular snacks, milk chocolate bar and potato chips, was compared to a prescribed mid-afternoon snack that was isocaloric with the comparison snacks. The prescribed diabetes snack consisted of wholemeal wheat bread, margarine, cheese and apple (1533 kJ/365 kcal): 14% protein, 32% fat and 54% carbohydrate. The milk chocolate bar and the potato chips contained 4% protein, 55% fat and 41% carbohydrate. The mean blood glucose peak was 4.7 (+/- 0.8) mmol/l after the regular diabetes snack, after the milk chocolate bar 2.9 (+/- 0.6) mmol/l, and 3.2 (+/- 0.6) mmol/l after the potato chips (P > 0.05). The mean incremental area under the blood glucose curve was 450.3 (+/- 105.5) mmol/l x 180 min for the regular diabetes snack, 269.5 (+/- 96.7) mmol/l x 180 min for the milk chocolate bar and 191.7 (+/- 95.0) mmol/l x 180 min for the potato chips (P > 0.05). We conclude that an occasional exchange of a regular diabetes afternoon snack for an isocaloric amount of milk chocolate bar or potato chips has no negative impact on the postprandial blood glucose.
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