Abstract
Pulses are highly nutritious foods that are included as part of Canada's Food Guide
to promote healthful eating, and they have established health benefits that can contribute
to the dietary management of diabetes. A review of studies that have examined the
effects of pulse consumption on health outcomes, integral to the management of diabetes,
provides credible evidence for improvements in glycemic control, reduction of blood
lipids and regulation of body weight. Results from acute feeding trials suggest that
postprandial blood glucose response is significantly attenuated by a single pulse
serving of between three-quarters and 1 cup. At lower doses, pulses attenuate postprandial
blood glucose response more than similar amounts of starchy foods. Long-term pulse
consumption of 5 cups per week appears to result consistently in improvements in glycemic
control. There is high-quality evidence that supports a role for pulse consumption
in the reduction of risk for cardiovascular disease; this provides a sound rationale
for the regular incorporation of pulses at about two-thirds of a cup daily in the
management of hyperlipidemia in persons with type 2 diabetes. Pulse consumption can
contribute to improving satiety, reducing food intake and regulating body weight,
which can reduce obesity risk and, in turn, improve diabetes management. Collectively,
available evidence provides very good support for a role of regular pulse consumption
in the prevention and management of diabetes.
Résumé
Les légumineuses sont des aliments à haute valeur nutritive qui font partie du Guide
alimentaire canadien visant à promouvoir la saine alimentation et ont des bienfaits
établis sur la santé qui peuvent contribuer à la prise en charge nutritionnelle du
diabète. Une revue d'études qui portaient sur les effets de la consommation de légumineuses
sur les résultats cliniques, partie intégrante de la prise en charge du diabète, fournit
des données probantes crédibles sur les améliorations de la régulation de la glycémie,
la réduction des lipides dans le sang et la régulation du poids corporel. Les résultats
provenant d'essais à court terme sur l'alimentation suggèrent que la réponse glycémique
postprandiale est significativement atténuée par une seule portion de légumineuses
de 3/4 à 1 tasse. À de plus petites portions, les légumineuses atténuent la réponse
glycémique postprandiale plus que des quantités similaires de féculents. La consommation
à long terme de 5 tasses de légumineuses par semaine semble invariablement entraîner
des améliorations dans la régulation de la glycémie. Il existe des données probantes
de qualité supérieure qui appuient le rôle de la consommation de légumineuses dans
la réduction du risque de maladies cardiovasculaires. Ceci donne une raison valable
à l'incorporation régulière d'environ 2/3 à 1 tasse de légumineuses par jour lors
de la prise en charge de l'hyperlipidémie chez les personnes atteintes du diabète
de type 2. La consommation de légumineuses peut contribuer à l'augmentation de la
satiété, la réduction de l'apport alimentaire et la régulation du poids corporel,
lesquelles peuvent réduire le risque d'obésité et, en contrepartie, améliorer la prise
en charge du diabète. Collectivement, les données probantes disponibles apportent
un très bon soutien au rôle de la consommation régulière de légumineuses dans la prévention
et la prise en charge du diabète.
Keywords
Mots clés
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Article info
Publication history
Accepted:
May 22,
2016
Received in revised form:
May 4,
2016
Received:
April 14,
2016
Identification
Copyright
Crown Copyright © 2016
