Picking The Right Diet for Diabetics

The standard sort of recommendation for diets for diabetics is the “plate method”.

A 2017 new study compared the effectiveness of the “plate method” to a Very Low Carb diet (Laura R Saslow, PhD, et.al. An Online Intervention Comparing a Very Low-Carbohydrate Ketogenic Diet and Lifestyle Recommendations Versus a Plate Method Diet in Overweight Individuals With Type 2 Diabetes: A Randomized Controlled Trial. J Med Internet Res. 2017 Feb; 19(2): e36.). The results were:

At 32 weeks, participants in the intervention group reduced their HbA1c levels more (estimated marginal mean [EMM] –0.8%, 95% CI –1.1% to –0.6%) than participants in the control group (EMM –0.3%, 95% CI –0.6% to 0.0%; P=.002). More than half of the participants in the intervention group (6/11, 55%) lowered their HbA1c to less than 6.5% versus 0% (0/8) in the control group (P=.02).

Participants in the intervention group lost more weight (EMM –12.7 kg, 95% CI –16.1 to –9.2 kg) than participants in the control group (EMM –3.0 kg, 95% CI –7.3 to 1.3 kg; P<.001). A greater percentage of participants lost at least 5% of their body weight in the intervention (10/11, 90%) versus the control group (2/8, 29%; P=.01).

Participants in the intervention group lowered their triglyceride levels (EMM –60.1 mg/dL, 95% CI –91.3 to –28.9 mg/dL) more than participants in the control group (EMM –6.2 mg/dL, 95% CI –46.0 to 33.6 mg/dL; P=.01).

Dropout was 8% (1/12) and 46% (6/13) for the intervention and control groups, respectively (P=.07).

  • Lower HbA1c = VLC win
  • Weight Loss = VLC win
  • Triglyceride reduction = VLC win
  • Dropout rate = VLC win

Here’s the link to the “plate method” in case anyone still wants to try the ADA recommended diet (demonstrated as ineffective to reverse diabetes above).

A critique of this study (Andrew Nathan Reynolds, BSc, MSc, PhD, et.al. Comment on “An Online Intervention Comparing a Very Low-Carbohydrate Ketogenic Diet and Lifestyle Recommendations Versus a Plate Method Diet in Overweight Individuals With Type 2 Diabetes: A Randomized Controlled Trial”. J Med Internet Res. 2018 May; 20(5): e180.) was published which complained that the intervention counselled the Low Carb participants more than the ADA plate method. Since the ADA plate method was ineffective compared to the Low Carb diet, the correct critique of the study should not be against the Low Carb diet but against the ineffective4 plate method.

 

Author: Doug

I'm an Engineer who is also a science geek. I was pre-diabetic in 1996 and became a diabetic in 2003. I decided to figure out how to hack my diabetes and in 2016 found the ketogetic diet which reversed my diabetes.

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