MON-PO442: 24-Week, Low GI Diet Decreases Truncal Fat Mass in South Indians with Type 2 Diabetes: A Randomized Study

Pavithran, Nivedita; Kumar, Hari; Menon, Anil S.; Ragasudha, P.; Pillai, Meenu . V.; Sundaram, K. R.

doi:10.1016/s0261-5614(19)32275-7

Cited by 2 publications

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“…Forty-two studies (involving 4809 participants and conducted between 1993 and 2022) were finally included in the network meta-analysis [ 44 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 ] ( Figure 1 ). We meant to compare the effects of 14 dietary patterns on the controlling of diabetes, as our searching strategies showed, yet 10 dietary patterns were finally included for a lack of such studies meeting our eligibility criteria of the other 4 dietary patterns (portfolio diet, Nordic diet, Paleolithic diet, and DASH).…”

Section: Resultsmentioning

confidence: 99%

“…In terms of outcome, 41 RCTs evaluated HbA1c (%; n patients = 4721) [ 44 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 ] while 28 RCTs evaluated fasting glucose (mmol/L; n patients = 3360) [ 44 , 54 , 56 , 58 , 60 , 61 , 63 , 65 , 66 , 67 , 68 , ...…”

Section: Resultsmentioning

confidence: 99%

“…Meanwhile, RCTs involving a control diet were also heterogeneous in terms of whether some dietary instruction was provided in the control condition. Therefore, it was decided before data analysis that these RCTs were further categorized into (i) recommended diets, in which a specific diet was recommended to patients in the control group (e.g., advice based on ADA guideline; 10 RCTs [ 57 , 60 , 66 , 71 , 72 , 76 , 86 , 88 , 94 ]), and (ii) for the control diet, no specific instruction was provided to patients (e.g., not changing usual diet; 13 RCTs [ 44 , 54 , 55 , 64 , 65 , 67 , 69 , 76 , 81 , 82 , 87 , 91 , 93 ]). This distinction further allows the comparison of intervention effects against different control conditions.…”

Section: Resultsmentioning

confidence: 99%

“…We have considered a drop-out rate of ≤10% as one of our criteria. Outcome measurement was considered lower in risk for most of the studies, as it was conducted by third-parties other than the researchers, except for one study [ 87 ], in which one resulted in limited information and the other did not describe the measurement. And two studies [ 73 , 87 ] were deemed medium risky in the selection of the reported result because of the absence of a prespecified trial protocol, so we assessed this domain as “some concerns”.…”

Section: Resultsmentioning

confidence: 99%

“…Outcome measurement was considered lower in risk for most of the studies, as it was conducted by third-parties other than the researchers, except for one study [ 87 ], in which one resulted in limited information and the other did not describe the measurement. And two studies [ 73 , 87 ] were deemed medium risky in the selection of the reported result because of the absence of a prespecified trial protocol, so we assessed this domain as “some concerns”. Finally, it was noteworthy that the overall risk of bias was adjusted for studies only deemed risky in blinding [ 60 , 67 , 69 , 74 , 75 , 76 , 86 ], as the dietary intervention was naturally difficult to keep blinded to both patients and care-givers.…”

Section: Resultsmentioning

confidence: 99%

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Effect of Dietary Approaches on Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review with Network Meta-Analysis of Randomized Trials

et al. 2023

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Background: Dietary patterns play a critical role in diabetes management, while the best dietary pattern for Type 2 diabetes (T2DM) patients is still unclear. The aim of this network meta-analysis was to compare the impacts of various dietary approaches on the glycemic control of T2DM patients. Methods: Relevant studies were retrieved from PubMed, Embase, Web of Knowledge, Cochrane Central Register of Controlled Trials (CENTRAL), and other additional records (1949 to 31 July 2022). Eligible RCTs were those comparing different dietary approaches against each other or a control diet in individuals with T2DM for at least 6 months. We assessed the risk of bias of included studies with the Cochrane risk of bias tool and confidence of estimates with the Grading of Recommendations Assessment, Development, and Evaluation approach for network meta-analyses. In order to determine the pooled effect of each dietary approach relative to each other, we performed a network meta-analysis (NMA) for interventions for both HbA1c and fasting glucose, which enabled us to estimate the relative intervention effects by combing both direct and indirect trial evidence. Results: Forty-two RCTs comprising 4809 patients with T2DM were included in the NMA, comparing 10 dietary approaches (low-carbohydrate, moderate-carbohydrate, ketogenic, low-fat, high-protein, Mediterranean, Vegetarian/Vegan, low glycemic index, recommended, and control diets). In total, 83.3% of the studies were at a lower risk of bias or had some concerns. Findings of the NMA revealed that the ketogenic, low-carbohydrate, and low-fat diets were significantly effective in reducing HbA1c (viz., −0.73 (−1.19, −0.28), −0.69 (−1.32, −0.06), and −1.82 (−2.93, −0.71)), while moderate-carbohydrate, low glycemic index, Mediterranean, high-protein, and low-fat diets were significantly effective in reducing fasting glucose (viz., −1.30 (−1.92, −0.67), −1.26 (−2.26, −0.27), −0.95 (−1.51, −0.38), −0.89 (−1.60, −0.18) and −0.75 (−1.24, −0.27)) compared to a control diet. The clustered ranking plot for combined outcomes indicated the ketogenic, Mediterranean, moderate-carbohydrate, and low glycemic index diets had promising effects for controlling HbA1c and fasting glucose. The univariate meta-regressions showed that the mean reductions of HbA1c and fasting glucose were only significantly related to the mean weight change of the subjects. Conclusions: For glycemic control in T2DM patients, the ketogenic diet, Mediterranean diet, moderate-carbohydrate diet, and low glycemic index diet were effective options. Although this study found the ketogenic diet superior, further high-quality and long-term studies are needed to strengthen its credibility.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effect of Dietary Approaches on Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review with Network Meta-Analysis of Randomized Trials

et al. 2023

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Research Progress on Different Dietary Patterns in the Control of Diabetes

Zhao

2024

HSET

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Diabetes is a group of metabolic diseases caused by genetic and environmental factors, which is characterized by chronic hyperglycemia. It is a common and frequent disease, and a worldwide public health problem that seriously threatens human health. As a chronic disease that requires long-term medication, diabetes and complications consume a lot of medical resources, seriously affecting people's quality of life and bringing a huge economic burden to the global health system. Therefore, more and more researchers have begun to study how to treat diabetes through diet. This article combines the three dietary methods of DASH diet, low GI diet and traditional Chinese medicine diet, analyzes their similarities and differences, advantages and disadvantages, and draws the following conclusions: eating more whole grains, drinking more low-fat or skim milk, and reducing the amount of fat in the diet will be conducive to the control of diabetes. Diabetes can be controlled through a reasonable diet, which brings hope to diabetics.

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MON-PO442: 24-Week, Low GI Diet Decreases Truncal Fat Mass in South Indians with Type 2 Diabetes: A Randomized Study

Cited by 2 publications

References 0 publications

Effect of Dietary Approaches on Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review with Network Meta-Analysis of Randomized Trials

Effect of Dietary Approaches on Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review with Network Meta-Analysis of Randomized Trials

Research Progress on Different Dietary Patterns in the Control of Diabetes

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