The DASH dietary pattern may lead to an improvement in insulin sensitivity independent of weight loss .
The DASH diet may play an important role in glycemic control in long- term interventions .
OBJECTIVE Type 2 diabetes is a major public health problem .
The Dietary Approaches to Stop Hypertension ( DASH ) eating pattern may contribute to managing risk factors of type 2 diabetes .
The objective of this study was to conduct a systematic review and meta- analysis on r and omized controlled trials ( RCTs ) that examine the effects of DASH diet consumption on the indices of glycemic control such as fasting blood glucose ( FBG ) , serum fasting insulin level , and Homeostatic Model Assessment insulin resistance ( HOMA-IR ) .
Normotensive Women With Type 2 Diabetes and Microalbuminuria Are at High Risk for Macrovascular Disease A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances.
OBJECTIVE —The excess risk of macrovascular disease and death associated with diabetes seems higher in women than in men . The pathogenesis for this risk difference has not been fully eluci date d. We investigated whether female sex was associated with macrovascular disease and death , independently of known risk factors related to type 2 diabetes , nephropathy , or retinopathy in normotensive patients with type 2 diabetes and microalbuminuria . RESEARCH DESIGN AND METHODS —We conducted a prospect i ve , prolonged follow-up study of a subgroup of 67 diabetic patients ( 46 men and 21 women ) without established cardiovascular disease who participated in a larger clinical trial . Data were collected on current and past health , medication use , blood pressure , renal function , and HbA1c  during the follow-up period of 4.7 ± 0.8 ( means ± SE ) years . The end point was a composite of death , cardiovascular disease , cerebrovascular events , and peripheral artery disease . RESULTS —Of the women , eight ( 38.1 % ) met the end point compared with six ( 13.4 % ) of the men ( P = 0.02 for difference in event-free survival ) . The hazard ratio of women relative to men was 3.19 ( 95 % CI 1.11–9.21 ) , which further increased after adjusting for age , systolic blood pressure , BMI , smoking , total-to-HDL cholesterol ratio , urinary albumin excretion , and retinopathy . CONCLUSIONS —In our study population of normotensive patients with type 2 diabetes and microalbuminuria , female sex was associated with increased risk of fatal and nonfatal cardiovascular disease , independent of the classical cardiovascular risk factors , the severity of nephropathy or presence of retinopathy , or health care utilization
The DASH dietary pattern may lead to an improvement in insulin sensitivity independent of weight loss .
The DASH diet may play an important role in glycemic control in long- term interventions .
OBJECTIVE Type 2 diabetes is a major public health problem .
The Dietary Approaches to Stop Hypertension ( DASH ) eating pattern may contribute to managing risk factors of type 2 diabetes .
The objective of this study was to conduct a systematic review and meta- analysis on r and omized controlled trials ( RCTs ) that examine the effects of DASH diet consumption on the indices of glycemic control such as fasting blood glucose ( FBG ) , serum fasting insulin level , and Homeostatic Model Assessment insulin resistance ( HOMA-IR ) .