Carbohydrate and monounsaturated fat together should provide 60-70% of energy intake. The metabolic profile of the patient and the need for weight loss should be considered when determining the proportion of carbohydrate and monoun-saturated fat intake. Indeed, high-carbohydrate diets increase postprandial levels of glucose and triglycerides and, in some studies, decrease plasma HDL cholesterol level when compared to isocaloric high-monounsaturated fat diets. On the other hand, high-monounsaturated fat diets may result in increased energy intake and weight gain. Therefore, when weight reduction is the major goal in a diabetic patient reducing monounsatu-rated fat intake is preferred, thus increasing the relative carbohydrate intake. When the metabolic profile of the diabetic patient is the major concern, reducing carbohydrate intake is recommended, increasing the relative monounsaturated fat intake.
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