A Randomized Pilot Trial of a Moderate Carbohydrate Diet Compared to a Very Low Carbohydrate Diet in Overweight or Obese Individuals with Type 2 Diabetes Mellitus or Prediabetes

Post on April 8, 2014 by André Broussard, D.C.

Authors: Laura R. Saslow, Sarah Kim, Jennifer J. Daubenmier, Judith T. Moskowitz, Stephen D. Phinney, et al.

PLOSOne, April 2014

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0091027

BACKGROUND: Research has shown that cutting back on carbs may help control symptoms of diabetes.

METHODS: The authors compared the effects of moderate carbohydrate diet (MCD) and very low carbohydrate Diet (VLCD) on health-related outcomes in overweight or obese adults with type-2 diabetes or prediabetes. Participants were also taught diet information and psychological skills to promote behavior change and maintenance.

CONCLUSION: The VLCD participants had improved blood glucose biomarker (HbA1c), and 44% of them discontinued one or more diabetes medications. In the MCD group, 11% of participants discontinued one or more diabetes medications. The VLCD group also lost more weight than the MCD group.

What does this mean to you? These results suggest that a very-low-carbohydrate diet, plus learning skills to promote behavior change, may improve glycemic control in type-2 diabetes and decrease the use of diabetes medications.

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