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David M. Nathan, MD; John E. Godine, MD, PhD; Chris Gauthier-Kelley, RN; Debra Kawahara, RD; Maryanne Grinvalsky, RD

JAMA. 1984;251(21):2825-2827.

Abstract
We investigated the effect of ice cream ingestion on blood glucose control in conventionally treated and intensively treated insulin-dependent (type I) diabetic patients. After the ingestion of 100 g of ice cream, plasma glucose excursions as measured by the peak increment (90± 30 mg/dL) and area under the curve (166±59 mg/dL X hour) were modest and not significantly different between the subgroups of intensively treated and conventionally treated diabetics. A small dose (3 to 5 units) of rapid-acting insulin given 30 minutes before ingestion of ice cream reduced the modest plasma glucose excursion. A modest amount of ice cream may be included in weight-maintaining diets of insulin-dependent diabetics. Small doses of rapid-acting insulin prevent any adverse effect of the ice cream on blood glucose control.

(JAMA 1984;251:2825-2827)

Author Affiliations
From the Diabetes Unit and Medical Services (Drs Nathan and Godine and Ms Gauthier-Kelley), and Dietary Department (Mss Kawahara and Grinvalsky), Massachusetts General Hospital; and the Department of Medicine, Harvard Medical School (Drs Nathan and Godine), Boston.

Footnotes
Reprint requests to Diabetes Unit, Massachusetts General Hospital, Boston, MA 02114 (Dr Nathan).

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ABSTRACT