Use of low-carbohydrate diets in patients with type 2 diabetes
Journal Title: Annales Academiae Medicae Silesiensis - Year 2018, Vol 72, Issue
Abstract
The treatment of type 2 diabetes should be supported with a proper diet paired with physical activity at every stage of therapy. Carbohydrates are key macronutrients with a direct effect on the level of postprandial glycaemia. For the past several decades, dietary intervention studies investigating and comparing the effects of limiting carbohydrate intake in favour of other macronutrients have been carried out. A low-carbohydrate diet has been and still is suggested by some experts as well as patient organizations as the most effective option that is associated with the smallest risk of side effects. The recommendations, however, have not been supported with evidence from high quality randomized control trials. The aim of this work is to review the published meta-analyses of randomized control trials, which compared the parameters relevant for the treatment of diabetes, including fasting plasma glucose, glycated haemoglobin, the lipid profile and weight loss. Currently, there is insufficient scientific evidence allowing a uniform recommendation to be made regarding the optimum amount of carbohydrates in the daily diet, hence the relevant recommendations should be tailored to each patient. In dietary interventions among type 2 diabetes, lowering the patient’s diet energy content is of primary importance, as well as the quality of ingested macronutrients, especially carbohydrates and fats.
Authors and Affiliations
Agnieszka Oleszko, Elżbieta Szczepańska, Jadwiga Jośko-Ochojska
Keywords
Related Articles
- EP ID EP429593
- DOI 10.18794/aams/91316
- Views 90
- Downloads 0
Hippotherapy – an effective multi-profile treatment?
INTRODUCTION: Hippotherapy is a form of psychomotor therapy aided by a horse. Aim of the paper: The aim of the paper is to characterize hippotherapy as an effective method supporting rehabilitation of disabled people in...
Potential of e- and m-health tools and gender-tailored approach in modern model of education and prevention of cardiovascular disease in women
Cardiovascular disease (CVD) is a leading cause of death worldwide. Only in 2012 it accounted for 17.5 million deaths. Although it affects both sexes, every year more women die due to CVD, more than due to all cancers, t...
Nutritional status of children and youth in Poland on basis of literature from last ten years (2005–2015)
The article presents a review of a study on the nutritional status of children and youth in Poland, including division by gender, age and place of residence, and the methods used, the accepted criteria and cut-off points...
Olbrzymi guz kąta mostowo-móżdżkowego u ciężarnej – opis przypadku
Olbrzymi guz kąta mostowo-móżdżkowego rozpoznany u ciężarnej jest rzadkim schorzeniem, stanowiącym wyzwanie dla neurochirurgów, położników oraz anestezjologów. Wykonane w trybie pilnym neurochirurgiczne zaopatrzenie zagr...
Acyl-CoA type 5 gene polymorphism and inappropriate body mass occurrence related to waist circumference and insulin resistance index among the population living in southern Poland
INTRODUCTION: Lipid metabolism disorders and the obesity connected with them are problems which occur increasingly more frequently in highly-developed countries. Acyl-CoA synthetase (ACSL) is an important enzyme in lipi...