A Comprehensive Review of the Literature Supporting Recommendations From the Canadian Diabetes Association for the Use of a Plant-Based Diet for Management of Type 2 Diabetes

Rinaldi, Sylvia; Campbell, Emily E; Fournier, John; O’Connor, Colleen; Madill, Janet

doi:10.1016/j.jcjd.2016.02.011

Cited by 63 publications

(35 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ADA now endorses vegetarian diets as one option for patients with diabetes (1). In addition, the Canadian Diabetes Association has issued a statement in support of the use of plant-based diets for the management of type 2 diabetes (47). Because vegetarian diets improve glycemic control, patients adopting such a diet should have their medication and insulin doses adjusted to prevent hypoglycemia.…”

Section: Discussionmentioning

confidence: 99%

Vegetarian Diets in the Prevention and Management of Diabetes and Its Complications

Pawlak

2017

Diabetes Spectrum

View full text Add to dashboard Cite

IN BRIEF Epidemiological studies have found a lower prevalence of type 2 diabetes among vegetarians compared to nonvegetarians. This reduced risk is likely a function of improved weight status, higher intake of dietary fiber, and the absence of animal protein and heme iron in the diet. Interventional studies have shown that vegetarian diets, especially a vegan diet, are effective tools in glycemic control and that these diets control plasma glucose to a greater level than do control diets, including diets traditionally recommended for patients with diabetes (e.g., diets based on carbohydrate counting). Vegetarian diets are associated with improvement in secondary outcomes such as weight reduction, serum lipid profile, and blood pressure. Studies indicate that vegetarian diets can be universally used in type 2 diabetes prevention and as tools to improve blood glucose management.

show abstract

Section: Discussionmentioning

confidence: 99%

Vegetarian Diets in the Prevention and Management of Diabetes and Its Complications

Pawlak

2017

Diabetes Spectrum

View full text Add to dashboard Cite

show abstract

“…There has been much literature extolling the benefits of vegetarian meal patterns, and the Canadian Diabetes Association recently published a comprehensive review supporting the use of plant-based diets for the management of type 2 diabetes (14). All three of these articles include more detailed definitions of each dietary pattern (as there is often diverse interpretation of what each can mean), as well as practical strategies for diabetes educators and clinicians to apply in practice when counseling patients toward one of these healthful eating patterns.…”

mentioning

confidence: 99%

From Pyramids to Plates to Patterns: Perspectives on Meal Planning

Maryniuk

2017

Diabetes Spectrum

View full text Add to dashboard Cite

“…The ADA documents cite eight studies in support of a plant‐based diet (Table S7) for glycaemic control and CVD risk reduction. Of three RCTs, none found a significant improvement in HbA1c over the control diet, although, in all three, the test diet resulted in reductions from baseline for HbA1c as well as diabetes medication use, a significant factor in the diet's overall effectiveness.…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, the follow‐up to the 2006 RCT by Barnard et al, which tested an energy‐controlled diet compared to an ad libitum vegan diet and initially found within‐group but not between‐group advantages for both diets, found a substantial decline in benefits occurring between 22 and 74 weeks; however, when the data were analysed before medication changes, a significant between‐group reduction in HbA1c was observed in the vegan group . In a review by Rinaldi et al whose conclusions favoured plant‐based diets, six trials did not consistently show improvements in glycaemic control, weight loss or CVD risk factors . The ADA also cited a commentary based on a non‐systematic review, a cross‐sectional study, and an assessment of diets in Barnard et al 2006.…”

Section: Resultsmentioning

confidence: 99%

“…We would like to note several things in the ADA documents that could be interpreted as evidence of bias, one of which is the inclusion of opinion pieces or reviews favouring the DASH, plant-based and Mediterranean eating patterns that were not based on a systematic approach to the literature. 22,47,48 Further, there seemed to be inconsistency in the ADA's determination of what constitutes sufficiently ample and rigorous evidence for its recommendations. For example, regarding glycaemic control, the ADA recommends the DASH diet on the basis of a single trial in T2D.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Improving the scientific rigour of nutritional recommendations for adults with type 2 diabetes: A comprehensive review of the American Diabetes Association guideline‐recommended eating patterns

Hallberg

Dockter²,

Kushner³

et al. 2019

Diabetes Obesity Metabolism

View full text Add to dashboard Cite

Aims The global rate of type 2 diabetes (T2D) continues to rise. Guidelines that influence the worldwide treatment of this disease are central to changing this trajectory. We sought in this review to evaluate the appropriateness of sources cited in the American Diabetes Association's (ADA) guidelines on eating patterns for T2D management, identify additional relevant sources, and evaluate the evidence. Materials and Methods We reviewed the evidence behind the ADA's recommendations on eating patterns in the 2018 and 2019 ADA Standards of Care and the 2014 ADA Nutrition Therapy Recommendations for Adults with Diabetes. Additionally, we conducted a comprehensive search to identify any additional studies not included in the cited evidence. To determine appropriateness of inclusion in the guidelines, the following criteria were applied: 1) it was a clinical trial or systematic review/meta‐analysis of clinical trials; 2) it involved persons with T2D; 3) one of the study arms followed one of the eating patterns currently recommended; 4) its reported outcomes included glycaemic control; 5) outcomes were reported separately for persons with T2D. Results We found a wide variation in the evidence for each eating pattern. Issues that have hampered the guideline process include: lack of a rigorous literature review, resulting in the omission of pertinent studies; an overreliance on prospective cohort studies; inconsistent standards for evidence; inclusion of studies not on persons with T2D; and bias. Conclusions The ADA Guidelines recommended eating patterns fall short of rigorous standards of scientific review according to state‐of‐the‐art systematic review and guideline creation practices.

show abstract

A Comprehensive Review of the Literature Supporting Recommendations From the Canadian Diabetes Association for the Use of a Plant-Based Diet for Management of Type 2 Diabetes

Cited by 63 publications

References 16 publications

Vegetarian Diets in the Prevention and Management of Diabetes and Its Complications

Vegetarian Diets in the Prevention and Management of Diabetes and Its Complications

From Pyramids to Plates to Patterns: Perspectives on Meal Planning

Improving the scientific rigour of nutritional recommendations for adults with type 2 diabetes: A comprehensive review of the American Diabetes Association guideline‐recommended eating patterns

Contact Info

Product

Resources

About