Comparison of low- and high-carbohydrate diets for type 2 diabetes management: a randomized trial

Tay, Jeannie; Luscombe-Marsh, Natalie D.; Thompson, Campbell; Noakes, Manny; Buckley, Jonathan D.; Wittert, Gary; Yancy, William S.; Brinkworth, Grant D.

doi:10.3945/ajcn.115.112581

Cited by 262 publications

(358 citation statements)

References 55 publications

Supporting

Mentioning

310

Contrasting

Unclassified

Order By: Relevance

“…Part of the confusion is due to the wide range of definitions for a low-carbohydrate diet (73,74). While benefits to low-carbohydrate diets have been described, improvements tend to be in the short term and, over time, these effects are not maintained (74)(75)(76)(77). While some studies have shown modest benefits of very low-carbohydrate or ketogenic diets (less than 50-g carbohydrate per day) (78,79), this approach may only be appropriate for short-term implementation (up to 3-4 months) if desired by the patient, as there is little longterm research citing benefits or harm.…”

Section: Carbohydratesmentioning

confidence: 99%

4. Lifestyle Management:Standards of Medical Care in Diabetes—2018

2017

Diabetes Care

497

232

View full text Add to dashboard Cite

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations, please refer to the Standards of Care Introduction. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

show abstract

Section: Carbohydratesmentioning

confidence: 99%

4. Lifestyle Management:Standards of Medical Care in Diabetes—2018

2017

Diabetes Care

497

232

View full text Add to dashboard Cite

show abstract

“…In addition, these diets have been shown with highest quality and clinically relevant research methods to work better than the more traditional higher-carbohydrate, higher-fiber diets for metabolic conditions like diabetes, heart disease [34][35][36][37][38][39][40][41][42] (Figure). Expanding lifestyle modifications for increasing microbiota diversity, recommendation is to connect with nature like walking in a forest or by the sea.…”

Section: How To Create a Healthy Environment For A Healthy Microbiotamentioning

confidence: 99%

Do You Really Want a Hunter-gatherer Microbiota? Perils and Pitfalls for Your Gut

Ruscio¹

2017

jevohealth

View full text Add to dashboard Cite

show abstract

“…43 Recently, Tay et al reported on a randomized controlled study investigating hypocaloric low carbohydrate versus high carbohydrate diets over 24 weeks and 1 year, respectively, in obese adults with T2DM. 44,45 Saturated fat intake was limited to ,10% despite total fat intake being 58% and carbohydrate 14% of the total energy intake in the low carbohydrate group. Intensive dietary counseling and a physical activity plan were included.…”

Section: Glycemic Controlmentioning

confidence: 99%

“…Tay et al demonstrated that maintaining saturated fat to the recommended level below 10% prevents increases in LDL cholesterol seen with traditional low carbohydrate high fat diets. 45 Intensive dietary counseling was required to sustain the study diets but this study suggests that VLCD's may be possible in T2DM without worsening cardiovascular risk. Some of these factors are present in the "paleolithic diet", which is discussed later.…”

mentioning

confidence: 93%

Importance of low carbohydrate diets in diabetes management

Hall¹,

Parry‐Strong²,

Krebs³

2016

NDS

View full text Add to dashboard Cite

Dietary strategies are fundamental in the management of diabetes. Historically, strict dietary control with a low carbohydrate diet was the only treatment option. With increasingly effective medications, the importance of dietary change decreased. Recommendations focused on reducing dietary fat to prevent atherosclerotic disease, with decreasing emphasis on the amount and quality of carbohydrate. As the prevalence of obesity and diabetes escalates, attention has returned to the macronutrient composition of the diet. Very low carbohydrate diets (VLCD's) have demonstrated effective initial weight loss and improvement in glycemic control, but difficult long-term acceptability and worsening lipid profile. Modifications to the very low carbohydrate (VLC) have included limiting saturated fat and increasing carbohydrate (CHO) and protein.Reducing saturated fat appears pivotal in reducing low-density lipoprotein (LDL) cholesterol and may mitigate adverse effects of traditional VLCD's. Increased dietary protein enhances satiety, reduces energy intake, and improves glycemic homeostasis, but without sustained improvements in glycemic control or cardiovascular risk over and above the effect of weight loss. Additionally, recent studies in type 1 diabetes mellitus suggest promising benefits to diabetes control with low carbohydrate diets, without concerning effects on ketosis or hypoglycemia. Dietary patterns may highlight pertinent associations. For example, Mediterranean-style and paleolithic-type diets, low in fat and carbohydrate, are associated with reduced body weight and improved glycemic and cardiovascular outcomes in type 2 diabetes mellitus (T2DM). A feature of these dietary patterns is low refined CHO and sugar and higher fiber, and it is possible that increasing sugar consumption is having a substantial effect on global escalations in obesity and T2DM. Dietary recommendations in type 1 diabetes and T2DM are changing. Dietary CHO is unquestionably important, but long-term acceptability of any diet is critical to sustain improvements in health benefits. Personalized dietary management, using a variety of dietary approaches, may be the key to optimal diabetes outcomes.

show abstract

Comparison of low- and high-carbohydrate diets for type 2 diabetes management: a randomized trial

Cited by 262 publications

References 55 publications

4. Lifestyle Management:Standards of Medical Care in Diabetes—2018

4. Lifestyle Management:Standards of Medical Care in Diabetes—2018

Do You Really Want a Hunter-gatherer Microbiota? Perils and Pitfalls for Your Gut

Importance of low carbohydrate diets in diabetes management

Contact Info

Product

Resources

About