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 Randomized Controlled Trial of a Mini Low-Carbohydrate Diet and an Energy-Controlled Diet Among Japanese Patients With Type 2 Diabetes
Background Low-carbohydrate diets have been shown to effectively improve the metabolic status of patients with type 2 diabetes mellitus . However , patients may find it challenging to maintain a strict low-carbohydrate diet . The objective of this study was to determine if a one-meal , low-carbohydrate diet is as effective in improving metabolic status as a conventional , energy-restricted diet among patients with type 2 diabetes mellitus . Methods In this 12-week r and omized controlled study , the primary endpoint was differences in the changes of plasma glycosylated hemoglobin ( HbA1c ) levels between the two experimental groups . Since the two groups had differences in body weight , body mass index , and waist circumference , propensity score matching was used to assess HbA1c outcomes via cohort pairs according to age , sex , body weight , HbA1c level , and waist circumference . Results There were no differences in the changes in HbA1c between the two groups ( P = 0.95 ) . In addition , there were no differences in the changes in glycated albumin , 1,5-anhydroglucitol , lipid profile , body weight , waist circumference , and fat mass between the two groups . The mini low-carbohydrate diet group had an increased protein intake ( P = 0.0085 ) , as compared with the control group . However , neither group showed changes in their Diabetes Treatment Satisfaction Question naire score . Conclusion Either diet would be effective for improving the metabolic status of this study population
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 .