According to the network meta- analysis the Mediterranean diet is the most effective and efficacious dietary approach to improve glycaemic control in type 2 diabetes patients
The aim of the present study is to assess the comparative efficacy of different dietary approaches on glycaemic control in patients with type 2 diabetes mellitus using a systematic review of the literature .
High protein weight loss diets in obese subjects with type 2 diabetes mellitus.
BACKGROUND AND AIM Diets where carbohydrate has been partially exchanged for protein have shown beneficial changes in persons with type 2 diabetes but no studies have enrolled people with albuminuria . We aim to determine if a high protein to carbohydrate ratio ( HPD ) in an energy reduced diet has a beneficial effect on metabolic control and cardiovascular risk factors without negatively affecting renal function . METHOD AND RESULTS Adult , overweight participants with type 2 diabetes , with albuminuria ( 30 - 600 mg/24 h or an albumin-to-creatinine ratio of 3.0 - 60 mg/mmol ) , and estimated GFR of > 40 ml/min/1.73 m(2 ) were enrolled . Participants were r and omized to an HPD or an SPD . Protein : fat : carbohydrate ratio was 30:30:40 % of energy for the HPD and 20:30:50 % for the SPD . Main outcomes were renal function , weight loss , blood pressure , serum lipids and glycaemic control . We recruited 76 volunteers and 45 ( 35 men and 10 women ) finished . There were no overall changes in renal function at 12 months and no significant differences in weight loss between groups ( 9.7 ± 2.9 kg and 6.6 ± 1.4 kg HPD and SPD group respectively ; p = 0.32 ) . Fasting blood glucose decreased significantly with no treatment effect . The decrease in HbA1c differed between treatments at 6 months ( HPD -0.9 vs. SPD -0.3 % ; p = 0.039 ) but not at 12 months . HDL increased significantly with no treatment effects . There were no changes in LDL or blood pressure overall but DBP was lower in the HPD group ( p = 0.024 ) at 12 months . CONCLUSION Weight loss improved overall metabolic control in this group of well controlled participants with type 2 diabetes regardless of diet composition
According to the network meta- analysis the Mediterranean diet is the most effective and efficacious dietary approach to improve glycaemic control in type 2 diabetes patients
The aim of the present study is to assess the comparative efficacy of different dietary approaches on glycaemic control in patients with type 2 diabetes mellitus using a systematic review of the literature .