It is well known that diabetes is listed as one of the most serious provoking causes of some blood vessel troubles such as macroangiopathy and microangiopathies. Recently, deaths due to these cardiovascular diseases mentioned above are increasing.
The author noted the relation between abnormal metabolism, especially fat metabolism, and foods taken by the diabetic, and intended to prepare food exchange systems for diabetics accompanied with atherosclerosis.
From February to May in 1974, thirty cases of diabetes were reported in Kochi Medical Examination Clinic, of which sixteen were accompanied with cardiovascular diseases such as angina pectoris, atherosclerosis, hypertension and renal diseases. Among these cases, those complicated with atherosclerosis belong to IIa and IIb ranks in the K. W. Classification, meaning that they require dietary control.
The tentative food exchange systems were therefore, concretely prepared with special reference to lipids and carbohydrates based on “the food exchange systems for the diabetic” arranged by the Nippon Tônyôbyô Gakkai.
Moreover, local foods used seasonally in Kôchi Prefecture were investigated in regard to their nutrients and then added to the food exchange systems.
These food exchange systems have not yet been put into practical use. More detailed clinical research are, therefore, required for a future study.
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