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 .
Five year results of a prospective very low calorie diet or conventional weight loss programme in type 2 diabetes.
AIMS To complete 5-year follow-up of an intensive weight loss programme in established type 2 diabetic subjects . METHODS Forty-five obese type 2 diabetic subjects , Body mass index ( BMI ) > 30 , expressed interest in an intensive weight loss programme . Group 1 comprised 15 who selected very low calorie diet ( VLCD ) , Group 2 , 15 selected intensive conventional diet and exercise ( ICD ) , 15 failed to follow either programme .  Group sessions of eight to 15 subjects continued weekly for 6 months , then monthly for 12 months with prospect i ve recording at 3 , 6 and 12 months and then annually of quality of life , BMI , waist/hip ratio , blood pressure , fasting blood glucose , serum fructosamine and serum lipids . RESULTS Weight loss was slower in the intensive conventional diet group than in the VLCD group , but better maintained at 5 years : group 1 , 4.8 + /- 6 kg ; group 2 , 8.9 + /- 4 kg . In the intensive conventional diet group , 5 year high-density lipoprotein cholesterol was increased 1.78 + /- 0.26 mmol L-1 vs. 1.10 + /- 0.32 mmol L-1 at baseline , and diastolic blood pressure reduced 74.5 + /- 13.3 vs. 85.5 + /- 13.3 at baseline , both P < 0.05 . CONCLUSIONS Out-patient VLCD treatment proved safe and effective in overweight diabetic subjects but those who chose conventional diet and exercise had a slower but more sustained weight loss .  Diabetic patients willing to attempt VLCD may safely lose sufficient weight to allow major surgery , but weight regain is inevitable . Patients willing to undertake a long-term group programme of conventional diet can sustain significant weight loss for 5 years , but still require antidiabetic medication
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 .