A low-carbohydrate diet may help diabetics achieve better weight loss and glucose control compared to a low-fat diet.
Patients achieved greater weight loss and glycemic control with a 6-month intervention on a low-carbohydrate, high-fat, non-calorie-restricted diet compared to a high-carbohydrate, low-fat diet. This is according to a randomized controlled trial of over 100 of her type 2 diabetes patients. This change was not sustained 3 months after the intervention, suggesting that long-term dietary changes are required to maintain meaningful health benefits. The survey results are Annals of internal medicine December 13th.
More than 480 million people worldwide have type 2 diabetes. In the United States alone, he has diabetes in more than 37 million people, according to the American Diabetes Association. More than half of people with diabetes have nonalcoholic fatty liver disease (NAFLD), which can progress to cirrhosis and impair liver function. Previous studies suggest that weight loss improves both diabetes control and his NAFLD, and that restricting carbohydrate intake improves blood sugar control.
Scientists at the University of Southern Denmark in Odense, Denmark, randomly assigned 165 people with type 2 diabetes to a low-carb high-fat (LCHF) diet or a high-carbohydrate low-fat (HCLF) diet for six months. Participants in both groups were asked to eat the same number of calories as their energy expenditure. participants on the low-fat diet ate about half of their calories from carbohydrates, with the rest split evenly between fat and protein. I was asked to
The authors found that those following a low-carbohydrate diet had a 0.59% reduction in hemoglobin A1c than those on a low-fat diet and lost 3.8 kg (8.4 pounds) more weight than the low-fat group. Low-carb dieters also lost more body fat and reduced waist circumference.Both groups had higher high-density lipoprotein cholesterol and lower triglycerides at six months.
However, the changes were not sustained 3 months after the intervention, suggesting that dietary changes need to be sustained over the long term to maintain efficacy. The liver was not affected by the high-fat intake in the low-carbohydrate group.The researchers found no difference in liver fat content or inflammation between the two groups.
See: “Effects of an unlimited calorie low-carbohydrate, high-fat vs. high-carbohydrate, low-fat diet for type 2 diabetes and non-alcoholic fatty liver disease: A randomized controlled trial,” Camilla Dalby Hansen, MD, Eva-Marie Gram-Kampmann , MD, Johanne Kragh Hansen, MD, Mie Balle Hugger, MD, Bjørn Stæhr Madsen, MD, PhD, Jane Møller Jensen, RD, Sara Olesen, MD, Nikolaj Torp, MD, Ditlev Nytoft Rasmussen, MD, PhD, Maria Kjærgaard, MD, Stine Johansen, MBBS, Katrine Prier Lindvig, MD, Peter Andersen, MSc, Katrine Holtz Thorhauge, MD, Jan Christian Brønd, cand.scient, PhD, Pernille Hermann, MD, PhD, Henning Beck-Nielsen, MD , DMSc, Sönke Detlefsen, MD, PhD, Torben Hansen, MD, PhD, Kurt Højlund, MD, DMSc, Maja Sofie Thiele, MD, PhD, Mads Israelsen, MD, PhD and Aleksander Krag, MD, PhD, 13 December 2022, Annals of internal medicine.
DOI: 10.7326/M22-1787
