Navigating the Spectrum of 4 Evidence-Based Nutrition Options for Type 2 Diabetes Management

被引:0
|
作者
Baskin, Revital Gorodeski [1 ]
Karp, Kimberly A. [2 ]
机构
[1] Case Western Reserve Univ, Univ Hosp Cleveland, Sch Med, Cleveland, OH 44106 USA
[2] Univ Hosp Cleveland, Endocrinol, Cleveland, OH 44106 USA
关键词
Mediterranean diet; plant-based diet; low-carbohydrate diet; ketogenic diet; dietary patterns; CARDIOVASCULAR RISK-FACTORS; MEDITERRANEAN DIET; GLYCEMIC CONTROL; KETOGENIC DIET; KETONE-BODIES; ADULTS; MELLITUS; THERAPY; WEIGHT; PREVENTION;
D O I
10.1210/clinem/dgae646
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Context Type 2 diabetes mellitus is a complex, pervasive disease that creates a health and financial burden. The goal is to head off progression to insulin requirement, and dietary changes have been recognized as a first-line intervention in the treatment protocol. Four evidence-based nutritional options are reviewed and their benefits for metabolic consequences.Evidence Acquisition We conducted a comprehensive search of relevant literature using the PubMed database for recent systematic reviews, meta-analyses, and original research articles.Evidence Synthesis The Mediterranean and plant-based diets have demonstrated benefits for the prevention and treatment of diabetes, weight reduction, lipid improvements, and overall cardiovascular risk reduction. A low carbohydrate diet is another viable option for hemoglobin A1c (HbA1c) reduction, though it is not as uniformly defined and is difficult to maintain long term. The ketogenic diet is similarly very restrictive and produces significant HbA1c reductions.Conclusion Type 2 diabetes prevention and treatment is crucial in this widespread disease. The first-line treatment is lifestyle modifications with dietary interventions being at the forefront. With a unique clinical model and a variety of dietary options, our program strives for individualized evidence-based care. Nutritional modifications are the best initial approaches to overcoming insulin resistance and hyperinsulinemia. All dietary modifications, like any medical intervention, require education on benefits vs risks.
引用
收藏
页码:S112 / S117
页数:6
相关论文
共 50 条
  • [31] Stakeholder Perspective Evidence-Based Diabetes Management
    McCarter, Thomas
    AMERICAN HEALTH AND DRUG BENEFITS, 2008, 1 (08): : 44 - 44
  • [32] Nutrition Evidence-Based Guidelines for Treating Hyperlipidemia in Children With Type 1 Diabetes A Case Presentation
    Robinson, Megan Thomas
    DIABETES EDUCATOR, 2009, 35 (03): : 408 - 419
  • [33] Outcomes Monitoring and Implementing Evidence-Based Nutrition Practice Guidelines for Type 2 Diabetes Mellitus in 2 Middle Eastern Countries
    Trostler, Naomi
    Myers, Esther
    Alphan, Emel
    Endvelt, Ronit
    Voet, Hillary
    TOPICS IN CLINICAL NUTRITION, 2013, 28 (03) : 233 - 248
  • [34] Evidence-based recommendations to nutrition therapy and the prevention of diabetes mellitus
    Toeller, M
    ERNAHRUNGS-UMSCHAU, 2005, 52 (06): : 216 - +
  • [35] Evidence-based therapy for type 2 diabetes - The best and worst of times
    Flemmer, MC
    Vinik, AI
    POSTGRADUATE MEDICINE, 2000, 107 (05) : 27 - +
  • [36] Antipsychotic drugs and risk of type 2 diabetes: An evidence-based approach
    Bellantuono, C
    Tentoni, L
    Donda, P
    HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND EXPERIMENTAL, 2004, 19 (08) : 549 - 558
  • [37] Exploring the understanding of evidence-based concepts in people with type 2 diabetes
    Hoffmann, Tammy C.
    Del Mar, Chris B.
    INTERNATIONAL JOURNAL OF GENERAL MEDICINE, 2012, 5 : 781 - 787
  • [38] Evidence-based diabetes care for older people with Type 2 diabetes: a critical review
    Sinclair, A. J.
    Abdelhafiz, A. H.
    Forbes, A.
    Munshi, M.
    DIABETIC MEDICINE, 2019, 36 (04) : 399 - 413
  • [39] Gender and nutrition management in type 2 diabetes
    Wong, M
    Gucciardi, E
    Li, L
    Grace, SL
    CANADIAN JOURNAL OF DIETETIC PRACTICE AND RESEARCH, 2005, 66 (04) : 215 - 220
  • [40] Navigating the evidence-based practice maze
    Hudson, Kathy
    Duke, Gloria
    Haas, Barbara
    Varnell, Gayle
    JOURNAL OF NURSING MANAGEMENT, 2008, 16 (04) : 409 - 416