Does the type and frequency of dietary advice provide a treatment for adults with type 2 diabetes?
From: The Cochrane Collaboration
- Moore, H., Summerbell, C., Hooper, L., Cruickshank, K., Vyas, A., Johnstone, P., Ashton, V., Kopelman, P., 1996. Dietary advice for treatment of type 2 diabetes mellitus in adults, in: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd.
- 36 articles reporting a total of eighteen trials following 1,467 participants.
- Dietary approaches assessed in the review were low-fat/high-carbohydrate diets, high-fat/low-carbohydrate diets, low-calorie (1000 kcal per day) and very-low-calorie (500 kcal per day) diets and modified fat diets.
- Two trials compared the American Diabetes Association exchange diet with a standard reduced fat diet and five studies assessed low-fat diets versus moderate fat or low-carbohydrate diets.
- Two studies assessed the effect of a very-low-calorie diet versus a low-calorie diet.
- Six studies compared dietary advice with dietary advice plus exercise and three other studies assessed dietary advice versus dietary advice plus behavioural approaches.
- The studies all measured weight and measures of glycaemic control although not all studies reported these in the articles published.
- It is difficult to draw reliable conclusions from the limited data that are presented in this review, however, the addition of exercise to dietary advice showed improvement of metabolic control after six- and twelve-month follow-up.