The dietary modifications were more effective in reducing both SBP and DBP vs. control diet .
The Low-sodium , High-fiber , DASH , Low-fat , Low-protein and Vegan dietary approach were significantly more effective in reducing SBP compared to a control diet .
The High-fiber , Low-fat , Low-protein and Vegan diet were significantly more effective in reducing DBP .
The Low-sodium and High fiber diets had the greatest lowering effect on SBP and DBP in T2D patients .
CONCLUSIONS Adopting healthful dietary modifications were more effective in reducing both SBP and DBP vs. control .
The High-fiber and Low-sodium diets had the greatest lowering effect on SBP and DBP in T2D
AIMS We aim ed to investigate the effect of different dietary approaches on systolic and diastolic blood pressure ( SBP and DBP )  in Type II diabetes ( T2D ) .
Beneficial effects of a Paleolithic diet on cardiovascular risk factors in type 2 diabetes: a randomized cross-over pilot study
Background Our aim was to compare the effects of a Paleolithic ( ' Old Stone Age ' ) diet and a diabetes diet as generally recommended on risk factors for cardiovascular disease in patients with type 2 diabetes not treated with insulin . Methods In a r and omized cross-over study , 13 patients with type 2 diabetes , 3 women and 10 men , were instructed to eat a Paleolithic diet based on lean meat , fish , fruits , vegetables , root vegetables , eggs and nuts ; and a Diabetes diet design ed in accordance with dietary guidelines during two consecutive 3-month periods . Outcome variables included changes in weight , waist circumference , serum lipids , C-reactive protein , blood pressure , glycated haemoglobin ( HbA1c ) , and areas under the curve for plasma glucose and plasma insulin  in the 75 g oral glucose tolerance test . Dietary intake was evaluated by use of 4-day weighed food records . Results Study participants had on average a diabetes duration of 9 years , a mean HbA1c of 6,6 % units by Mono-S st and ard and were usually treated with metformin alone ( 3 subjects ) or metformin in combination with a sulfonylurea ( 3 subjects ) or a thiazolidinedione ( 3 subjects ) . Mean average dose of metformin was 1031 mg per day . Compared to the diabetes diet , the Paleolithic diet result ed in lower mean values of HbA1c ( -0.4 % units , p = 0.01 ) , triacylglycerol ( -0.4 mmol/L , p = 0.003 ) , diastolic blood pressure ( -4 mmHg , p = 0.03 ) , weight ( -3 kg , p = 0.01 ) , BMI ( -1 kg/m2 , p = 0.04 ) and waist circumference ( -4 cm , p = 0.02 ) , and higher mean values of high density lipoprotein cholesterol ( + 0.08 mmol/L , p = 0.03 ) . The Paleolithic diet was mainly lower in cereals and dairy products , and higher in fruits , vegetables , meat and eggs , as compared with the Diabetes diet . Further , the Paleolithic diet was lower in total energy , energy density , carbohydrate , dietary glycemic load , saturated fatty acids and calcium , and higher in unsaturated fatty acids , dietary cholesterol and several vitamins . Dietary GI was slightly lower in the Paleolithic diet ( GI = 50 ) than in the Diabetic diet ( GI = 55 ) . Conclusion Over a 3-month study period , a Paleolithic diet improved glycemic control and several cardiovascular risk factors compared to a Diabetes diet in patients with type 2 diabetes . Trial registration Clinical Trials.gov NCT00435240
The dietary modifications were more effective in reducing both SBP and DBP vs. control diet .
The Low-sodium , High-fiber , DASH , Low-fat , Low-protein and Vegan dietary approach were significantly more effective in reducing SBP compared to a control diet .
The High-fiber , Low-fat , Low-protein and Vegan diet were significantly more effective in reducing DBP .
The Low-sodium and High fiber diets had the greatest lowering effect on SBP and DBP in T2D patients .
CONCLUSIONS Adopting healthful dietary modifications were more effective in reducing both SBP and DBP vs. control .
The High-fiber and Low-sodium diets had the greatest lowering effect on SBP and DBP in T2D
AIMS We aim ed to investigate the effect of different dietary approaches on systolic and diastolic blood pressure ( SBP and DBP )  in Type II diabetes ( T2D ) .