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 .
Two diets with different haemoglobin A1c and antiglycaemic medication effects despite similar weight loss in type 2 diabetes.
We analysed participants with type 2 diabetes ( n = 46 ) within a larger weight loss trial ( n = 146 ) who were r and omized to 48 weeks of a low-carbohydrate diet ( LCD ; n = 22 ) or a low-fat diet + orlistat ( LFD + O ; n = 24 ) . At baseline , mean body mass index ( BMI ) was 39.5 kg/m(2 ) ( s.d . 6.5 ) and haemoglobin A1c ( HbA1c ) 7.6 % ( s.d . 1.3 ) . Although the interventions reduced BMI similarly ( LCD -2.4 kg/m(2 ) ; LFD + O -2.7 kg/m(2 ) , p = 0.7 ) , LCD led to a relative improvement in HbA1c : -0.7 % in LCD versus + 0.2 % in LFD + O [ difference -0.8 % , 95 % confidence interval ( CI ) = -1.6 , -0.02 ; p = 0.045 ] . LCD also led to a greater reduction in antiglycaemic medications using a novel medication effect score ( MES ) based on medication potency and total daily dose ; 70.6 % of LCD versus 30.4 % LFD + O decreased their MES by ≥50 % ( p = 0.01 ) . Lowering dietary carbohydrate intake demonstrated benefits on glycaemic control beyond its weight loss effects , while at the same time lowering antiglycaemic medication requirements
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 .