Efficacy of Low-Carbohydrate Diets Versus Low-Fat Diets in Glycemic Control Among Patients With Type 2 Diabetes: A Systematic Review
Cureus,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 6, 2025
This
systematic
review
evaluates
the
comparative
efficacy
of
low-carbohydrate
diets
(LCDs)
versus
low-fat
(LFDs)
in
improving
glycemic
control,
weight
management,
and
lipid
profiles
individuals
with
type
2
diabetes
mellitus
(T2DM)
or
prediabetes.
Seven
randomized
controlled
trials
involving
diverse
populations
were
included,
dietary
interventions
ranging
from
very
ketogenic
(LCK)
(typically
<10%
total
caloric
intake
carbohydrates,
higher
fat
moderate
protein)
to
carbohydrate
regimens
(30-45%
calories).
LFDs,
contrast,
prioritized
(50-60%
calories),
reduced
(<20-30%)
protein
(15-20%).
Across
studies,
LCDs
consistently
demonstrated
greater
reductions
HbA1c,
fasting
glucose,
triglycerides,
alongside
superior
loss
increased
high-density
lipoprotein
cholesterol
compared
LFDs.
Additionally,
associated
significant
medication
use,
highlighting
their
potential
decrease
pharmacological
dependency
improve
metabolic
outcomes,
including
enhanced
insulin
sensitivity
inflammation.
Despite
variability
long-term
outcomes
adherence,
emerged
as
a
promising
alternative
traditional
approaches
for
managing
T2DM.
Further
research
is
warranted
explore
strategies
such
behavioral
technological
support,
evaluate
sustainability,
effects
on
cardiovascular
health
quality
life.
These
findings
underscore
transformative
management
highlight
need
personalized
approaches.
Язык: Английский
Effectiveness of Calorie Restriction for Weight Loss in Type 2 Diabetes Mellitus: A Systematic Review
Cureus,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 1, 2025
The
effectiveness
of
calorie
restriction
(CR)
for
weight
loss
in
type
2
diabetes
mellitus
(T2DM)
has
not
been
thoroughly
studied.
This
review
aims
to
evaluate
CR's
short-
and
long-term
its
impact
on
cardiometabolic
parameters
T2DM.
Following
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
(PRISMA)
guidelines,
Medline
Complete,
Embase,
Cumulative
Index
Nursing
Allied
Health
Literature
(CINAHL),
Cochrane
Library
databases
were
searched
identify
studies
up
June
7,
2024.
Furthermore,
a
reference
search
was
conducted.
Randomized
controlled
trials
involving
adults
with
T2DM
examining
CR
reporting
changes
included.
revised
risk-of-bias
tool
used
assess
the
study's
quality.
A
narrative
synthesis
analyze
findings.
Eleven
studies,
1,554
participants,
included;
all
had
low
risk
bias.
intervention
group
participants'
mean
baseline
Body
Mass
93.3
kg
32.7
kg/m²,
respectively.
Interventions
included
total
diet
replacement
(TDR)
very
low-
low-calorie
diets
lasting
12
weeks
two
years.
TDR
resulted
>12%
loss.
Additionally,
improved
parameters;
glycated
hemoglobin
(HbA1c)
decreased
≤6.5%;
remission
achieved
19%
83%;
high-density
lipoprotein
significantly
increased;
triglyceride,
systolic,
diastolic
blood
pressure
decreased.
In
conclusion,
effectively
reduces
improves
markers
However,
large
addressing
are
lacking,
which
challenges
drawing
firm
conclusions.
highlights
need
further
research
address
this
gap.
is
registered
International
Prospective
Register
(PROSPERO)
under
registration
number
CRD42024573505.
Язык: Английский
Comparative effects of different macronutrient compositions for type 2 diabetes management: a systematic review and network meta-analysis of randomized trials
Journal of Health Population and Nutrition,
Год журнала:
2025,
Номер
44(1)
Опубликована: Апрель 8, 2025
Язык: Английский
Low‐carbohydrate diets in East Asians with type 2 diabetes: A systematic review and meta‐analysis of randomized controlled trials
Journal of Diabetes Investigation,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 3, 2024
ABSTRACT
Aims
Despite
the
reported
success
of
low‐carbohydrate
diets
in
improving
glycemic
control
Western
countries,
no
studies
have
investigated
effects
such
Asians.
We
aimed
to
conduct
a
systematic
review
and
meta‐analysis
randomized
controlled
trials
examine
on
East
Asian
adults.
Materials
Methods
systematically
searched
PubMed,
Cochrane
Library,
Embase
databases
from
inception
June
28,
2023,
identify
examining
efficacy
patients
with
type
2
diabetes
(PROSPERO
number
CRD
42023453007).
The
primary
outcome
was
difference
glycated
hemoglobin
levels
between
diet
groups.
secondary
body
mass
index,
fasting
blood
glucose
level,
pressure,
lipid
profile.
Results
Six
met
eligibility
criteria.
study
duration
ranged
3
18
months,
five
conducted
within
6
months.
results
showed
that
were
more
beneficial
lowering
index
than
diets.
risk
bias
for
six
minimal
two
moderate
four.
heterogeneity
among
low.
Conclusions
Low‐carbohydrate
improved
Asians
compared
Therefore,
carbohydrate
restriction
may
be
effective
management
at
least
Язык: Английский
Prevention of cardiometabolic diseases through dietary modifications
Lourdes Chávez-Alfaro,
Víctor Silveira-Sanguino,
Carmen Piernas
и другие.
Current Opinion in Lipidology,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 7, 2024
Cardiometabolic
diseases
(CMDs)
increasingly
contribute
to
the
cumulative
burden
of
morbidity
and
mortality
worldwide.
Here,
we
reviewed
intervention
studies
using
a
randomized
controlled
trial
(RCT)
design
as
well
meta-analyses
RCTs
aimed
at
testing
effectiveness
different
dietary
approaches
for
CMD
prevention.
Язык: Английский