Abstract
Morbidity and mortality from coronary artery disease are increased in patients with non-insulin-dependent diabetes mellitus (NIDDM). As a consequence, the Nutrition Committee of the American Diabetes Association has recommended1 that patients with NIDDM be encouraged to change their diets to prevent such outcomes. The majority are overweight, and weight loss is extremely effective in normalizing the metabolic abnormalities of NIDDM. Therefore, the primary goal of diet treatment should be weight loss. It has also been recommended that patients replace the saturated fat in their diets with complex carbohydrates. The goal of this maneuver is presumably to increase the ratio of . . .