GLYCEMIC EFFECT AND SATIATING CAPACITY OF POTATO-CHIPS AND MILK CHOCOLATE BAR AS SNACKS IN TEENAGERS WITH DIABETES

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 an d 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 regula r diabetes snack, after the milk chocolate bar 2.9 (+/- 0.6) mmol/l, a nd 3.2 (+/- 0.6) mmol/l after the potato chips (P > 0.05). The mean in cremental area under the blood glucose curve was 450.3 (+/- 105.5) mmo l/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 e xchange of a regular diabetes afternoon snack for an isocaloric amount of milk chocolate bar or potato chips has no negative impact on the p ostprandial blood glucose.