Diabetes education is more effective if it’s culturally sensitive

Asian couple

Another one to file under “stating the obvious”, you might think. Sadly, it’s not that obvious, as many patients would attest. This is also evidenced by the recent randomised controlled trial (RCT) on giving diet and lifestyle advice to try to prevent diabetes.  The paper in the Lancet reported a reduction in body weight in [read the full story…]

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A diet containing low fat dairy may reduce the risk of type 2 diabetes

A cow

It has been suggested that dairy products might have a preventive effect against type 2 diabetes.  However, the results of observational studies looking at the correlation between the consumption of dairy and incidence of type 2 have been inconclusive. A new systematic review set out to combine the evidence from these different studies into an [read the full story…]

Mediterranean diet may improve glycaemic control in type 2 diabetes

The oft-cited “Mediterranean diet” – rich in olive oil, fruit and vegetables, enlivened with dairy, fish and, of course, a little wine – is held up as a paragon of virtue.  But there is no lack of dietary advice out there.  Low-GI, low-carb, high-protein?  American Diabetes Association (ADA) or European Association for the Study of Diabetes [read the full story…]

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Eating disorders are common and problematic in adolescents with type 1 diabetes.

Young people with diabetes often struggle with diet in their teens.  A new systematic review looks at how common problems with eating are in adolescents with type 1 diabetes, in comparison with their non-diabetic peers. Clinical question: In young adults with type 1 diabetes, what is the prevalence of eating problems? The review differentiated between [read the full story…]

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Greater whole grain intake is associated with a lower risk of type 2 diabetes

Whole Grain

This systematic review set out to establish whether whole grains specifically contribute to a reduction in the risk of developing type 2 diabetes. Clinical question: In healthy indivduals, is consumption of whole grains associated with a reduced risk of type 2 diabetes. The reviewers were also interested in the effects on cardiovascular disease and weight. [read the full story…]

Review: some evidence that lifestyle education can help diabetics with schizophrenia

Fruit slices

For many different reasons, people with schizophrenia and schizoaffective disorders have a greater risk of type 2 diabetes.  This review looked for evidence of the efficacy of interventions to help them manage their diabetes. Clinical question: In people with type 2 diabetse and schizophrenia or schizo-affective disorder, what lifestyle interventions improve self-management? The scope included [read the full story…]

In type 2 diabetes, sustained weight loss with an intensive lifestyle intervention.

The Look AHEAD (Action for Health in Diabetes) study is an ongoing randomised trial examining the consequences of weight loss in overweight and obese people with type 2 diabetes.  This publication reports on factors influencing sustained weight loss after four years of an intensive lifestyle intervention focusing on diet and exercise. Clinical question: In overweight [read the full story…]

White rice was associated with type 2 diabetes in Chinese and Japanese populations.

A systematic review of observational studies reported that Chinese and Japanese people who eat more white rice were more likely to develop type 2 diabetes. Clinical question: Is consumption of white rice associated with the risk of developing type 2 diabetes? The reviewers looked for prospective observational studies that recruited non-diabetic participants and followed them [read the full story…]

Lack of clear evidence for low carb diets in type 2 diabetes

Picture of red meat

This systematic review set out to establish whether low-carbohydrate diets, which are known to be effective for short-term weight loss in non-diabetic obese people, work in people with type 2 diabetes. Clinical question: In type 2 diabetes, do low-carbohydrate diets, as compared to alternative dietary advice, lead to improved glycaemic control or increased weight loss? [read the full story…]

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Healthy lifestyle is better than drugs for reversing metabolic syndrome

This systematic review addressed methods of preventing progression from metabolic syndrome or pre-diabetes to full type 2 diabetes or cardiovascular disease. Clinical question In people with metabolic syndrome, what interventions exist that can prevent progression to type 2 diabetes? The evidence The reviewers only included randomised trials in their review.  The trials did not provide [read the full story…]