There is low to high ( majority moderate ) certainty for small improvements of unclear clinical importance in plasma glucose , triglycerides , and HDL concentrations favoring low-carbohydrate food at half of the prespecified time points .
There was little to no difference in LDL concentration or any of the secondary outcomes ( body weight , waist circumference , blood pressure , quality of life ) in response to either of the diets ( very-low- to high-certainty evidence ) .
Conclusions Currently available data provide low- to moderate-certainty evidence that dietary carbohydrate restriction to a maximum of 40 % yields slightly better metabolic control of uncertain clinical importance than reduction in fat to a maximum of 30 % in people with T2D .
Background It remains uncertain which diet is best for people with type 2 diabetes ( T2D ) .
Objective We compared the effects of dietary carbohydrate restriction with fat restriction on markers of metabolic syndrome and quality of life in people with T2D .
A HIGH CARBOHYDRATE LEGUMINOUS FIBRE DIET IMPROVES ALL ASPECTS OF DIABETIC CONTROL
In a r and omised cross-over study 18 nondependent ( NIDDM ) and 9 insulin-dependent ( IDDM ) diabetics were put on to a high carbohydrate diet containing leguminous fibre ( HL ) for 6 weeks , and also a st and ard low carbohydrate diet ( LC ) for 6 weeks . During two identical 24 h metabolic profiles mean prepr and ial and mean 2 hour postpr and ial blood glucoses were significantly lower on HL in both groups , as were also several overall measures of diabetic control , including the degree of glycosuria . Total cholesterol was reduced significantly on HL in both groups , and the HDL/LDL cholesterol ratio increased significantly on HL in the NIDDM group . A diet high in complex carbohydrate and leguminous fibre improves all aspects of diabetic control , and continued use of a low carbohydrate diet no longer appears justified
There is low to high ( majority moderate ) certainty for small improvements of unclear clinical importance in plasma glucose , triglycerides , and HDL concentrations favoring low-carbohydrate food at half of the prespecified time points .
There was little to no difference in LDL concentration or any of the secondary outcomes ( body weight , waist circumference , blood pressure , quality of life ) in response to either of the diets ( very-low- to high-certainty evidence ) .
Conclusions Currently available data provide low- to moderate-certainty evidence that dietary carbohydrate restriction to a maximum of 40 % yields slightly better metabolic control of uncertain clinical importance than reduction in fat to a maximum of 30 % in people with T2D .
Background It remains uncertain which diet is best for people with type 2 diabetes ( T2D ) .
Objective We compared the effects of dietary carbohydrate restriction with fat restriction on markers of metabolic syndrome and quality of life in people with T2D .