Nutritional guidelines for diabetes

The logo of Diabetes UK

Diabetes UK has produced comprehensive nutritional guidelines for the prevention and management of type 1 and type 2 diabetes. They contain important advice for adults in: Prevention of type 2 diabetes in high risk populations Management of type 1 and 2 diabetes Management of diabetic complications. Appraisal hints Users of this guidance should consider: Whether [read the full story…]

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Soy intake was associated with improved cholesterol in type 2 diabetes

Soya milk and beans

Clinical question: In patients with type 2 diabetes do soy supplements improve glycaemic control? Studies have shown that soy intake is associated with a lower risk of type 2 diabetes.  Does it also have benefits in treating people who already have the disease? The evidence: This is a systematic review of clinical trials.  The search [read the full story…]

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Lack of evidence on the effects of sweeteners in type 2 diabetes

A spoonful of sweeteners

Clinical question: In diabetes, do artificial sweeteners lead to improved glycaemic control or other outcomes? With dietary control a cornerstone of managing type 2 diabetes, what is the evidence for the role of artificial sweeteners, such as fructose, that have lesser calorific value than sucrose? The evidence: The reviewers found 53 trials with 1,153 participants.  [read the full story…]

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Guidance: diet and nutrition for adults with type 1 or type 2 diabetes

Fruit slices

New guidelines by Diabetes UK describe how adults with type 1 or type 2 diabetes and adults at high risk of developing type 2 diabetes should manage their diet. The guidelines are intended to: support appropriate food choices, reduce the risk of type 2 diabetes and diabetes-associated complications, achieve optimal glycaemic control and quality of [read the full story…]

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Dietary guidelines for diabetes prevention in south Asian patients

Fruit slices

People with Indian Asian ethnicity have a particularly high risk of getting diabetes and suffering ill health from its complications.  Any guidelines that can help prevent the disease are to be welcomed. The Indian National Dietary Guidelines Consensus Group has just published guidance on preventing diabetes through a healthy diet, particularly among those residing in [read the full story…]

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Treating pre-diabetes, particularly with diet and exercise, prevents progression to full diabetes

Photograph of a bowl of fruit

This systematic review and meta-analysis examined whether treating pre-diabetic states (impaired glucose tolerance and impaired fasting glucose) could prevent the development of diabetes and reduce subsequent complications. Bottom line No benefit was found for preventing mortality.  There was a marginally significant benefit in reducing stroke.  Progression to diabetes was reduced, with non-drug treatments performing better [read the full story…]

Herbal supplements may improve glycemic control in type 2 diabetes

Picture of a sweet potato, or Ipomoea batatas

This systematic review identified nine studies of the effects of various herbal supplement on glycemic control in type 2 diabetes.  The reviewers found significant benefits for Ipomoea batatas (sweet potato), Silybum marianum (milk thistle), and Trigonella foenum-graecum (fenugreek). The reviewers found nine randomised trials with a total of 487 patients that reported HbA1c after at [read the full story…]

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