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[Diet in diabetes: strong opinions but poor knowledge]
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
2010 (Swedish)In: Läkartidningen, ISSN 0023-7205, Vol. 107, no 45, 2806-2809 p.Article in journal (Refereed) Published
Abstract [en]

A systematic review of the scientific support for dietary advice in diabetes has been performed. Primary outcomes were risk of cardiovascular and other diabetic complications and death (minimum follow-up 1 year) with weight and laboratory variables defined as secondary outcomes (minimum follow-up 24 weeks). In persons with impaired glucose intolerance, intense lifestyle intervention with a combination of low fat diet and physical activity reduces the risk of developing diabetes. In persons with diabetes, low fat (<30 E% from fat, 50-60 E% from carbohydrates) and moderate low carbohydrate (30-40 E% from carbohydrates) diets have similar beneficial effects on HbA1c and body weight. Studies of sufficient quality on long-term effects (including safety) of extreme low-carbohydrate diets (10-20 E% from carbohydrates) are lacking. Although there is some evidence of beneficial effects of vegetables, legumes and fish, there is no convincing evidence neither pro nor con a change of today's dietary recommendations in diabetes.

Place, publisher, year, edition, pages
2010. Vol. 107, no 45, 2806-2809 p.
Keyword [en]
Typ 2-diabetes, Diabeteskost, Evidensbaserad medicin, Hälsomedvetande, attityder, beteende, Patientinformation, principer, Behandlingsresultat, Uppföljningsstudier
URN: urn:nbn:se:umu:diva-41433PubMedID: 21179866OAI: diva2:406032
Available from: 2011-03-24 Created: 2011-03-24 Last updated: 2011-03-25Bibliographically approved

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