EFFECTS OF LOW CARBOHYDRATE DIETS IN INDIVIDUALSWITH TYPE 2 DIABETES MELITUS: THE SYSTEMATIC REVIEW
Keywords:
Blood Glucose, Carbohidrate, Diabetes Mellitus, DietsAbstract
People who have type 2 diabetes have been known to use low carbohydrate dietary (LCDs) approaches for some time now, but the standard of care in many parts of the worldhas been centered on the utilization of a low fat, calorie
controlled diet in line with that which is typically recommended for the general population — for the better part of the last few decades. This has been the case even though it has been known for some timenow that people who have type 2 diabetes use low carbohydrate dietary (LC Patients who have been diagnosed with diabetes are often given the recommendation to participate in some kind of food intervention program; however, several authoritative organizations have varying recommendations in this area. Before insulin was discovered, the most common method for managing diabetes was via the use of restricted diets that focused onlimiting carbohydrate intake. However, in recent years, there has been a shift away from favoring these diets as an effective technique for managing diabetes. Because insulin resistance is a key underlying mechanism of type 2 diabetes, which is driven in part by chronic hyperglycemia, it has been suggested that lowering dietary intake of carbohydrates, the majority of which is absorbed as glucose or fructose, will improve blood glucose control and outcomes of type 2 diabetes. This is because chronic hyperglycemia is one of the factors that contributes to the development of insulin resistance. This article demonstrates that LCD may reliably reduce HbA1c levels; however, the reduction in HbA1c that takes place once a patient has a HbA1c level of less than 8 is not considered to be meaningful.
References
Fauci AS, Jameson JL, Kasper D, et al. Harrison’s Principles of Internal Medicine 19th Edition. New York: McGraw-Hill Education; 2018.
Sawyer L, Gale EAM. Diet, delusion and diabetes. Vol. 52, Diabetologia. Germany; 2009. hal. 1–7.
Ahrén B. Type 2 diabetes, insulin secretion and beta-cell mass. Curr Mol Med. Mei2005;5(3):275–86.
American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2016;62–9.
DeFronzo RA, Tripathy D. Skeletal muscle insulin resistance is the primary defectin type 2 diabetes. Diabetes Care. November 2009;32 Suppl 2(Suppl 2):S157-63.
Feinman RD, Pogozelski WK, Astrup A, Bernstein RK, Fine EJ, Westman EC, et al. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. Nutrition. Januari
;31(1):1–13.
Wheatley SD, Deakin TA, Arjomandkhah NC, Hollinrake PB, Reeves TE. Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes-A Narrative Review. Front Nutr. 2021;8:687658.
Dyson P. Low Carbohydrate Diets and Type 2 Diabetes: What is the Latest Evidence? Diabetes Ther Res Treat Educ diabetes Relat Disord. Desember 2015;6(4):411–24.
Krebs JD, Bell D, Hall R, Parry-Strong A, Docherty PD, Clarke K, et al. Improvements in Glucose Metabolism and Insulin Sensitivity with a Low- Carbohydrate Diet in Obese Patients with Type 2 Diabetes. J Am Coll Nutr
[Internet] 1 Februari 2013;32(1):11–7. Tersedia pada: https://doi.org/10.1080/07315724.2013.767630
Guldbrand H, Dizdar B, Bunjaku B, Lindström T, Bachrach-Lindström M, Fredrikson M, et al. In type 2 diabetes, randomisation to advice to follow a low- carbohydrate diet transiently improves glycaemic control compared with advice to follow a low-fat diet producing a similar weight loss. Diabetologia [Internet] 2012;55(8):2118–27. Tersedia pada: https://doi.org/10.1007/s00125-012-2567-4
Mayer SB, Jeffreys AS, Olsen MK, McDuffie JR, Feinglos MN, Yancy Jr WS. Two diets with different haemoglobin A1c and antiglycaemic medication effects despite similar weight loss in type 2 diabetes. Diabetes, Obes Metab [Internet] 1 Januari 2014;16(1):90–3. Tersedia pada: https://doi.org/10.1111/dom.12191
Yamada Y, Uchida J, Izumi H, Tsukamoto Y, Inoue G, Watanabe Y, et al. A Non- calorie-restricted Lowcarbohydrate Diet is Effective as an Alternative Therapy for Patients with Type 2 Diabetes. Intern Med.
;53(1):13–9.
Ajala O, English P, Pinkney J. Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. Am J Clin Nutr. Maret2013;97(3):505–16.
Adam-Perrot A, Clifton P, Brouns F. Low-carbohydrate diets: nutritional and physiological aspects. Obes Rev an Off J Int Assoc Study Obes. Februari 2006;7(1):49–58.
Atkins CDC. Dr. Atkins’ new diet revolution. Government Institutes; 2002.
Leosdottir M, Nilsson PM, NILSSON J, Månsson H, Berglund G. Dietary fat intake and early mortality patterns– data from The Malmö Diet and Cancer Study.J Intern Med. 2005;258(2):153–65.
Leosdottir M, Nilsson PM, Nilsson J-Å, Berglund G. Cardiovascular event risk inrelation to dietary fat intake in middle-aged individuals: data from The Malmö Dietand Cancer Study. Eur J Prev Cardiol. 2007;14(5):701–6.
Evert AB, Dennison M, Gardner CD, Garvey WT, Lau KHK, MacLeod J, et al. Nutrition therapy for adults with diabetes or prediabetes: a consensus report. Diabetes Care. 2019;42(5):731–54.
Westman EC, Vernon MC. Has carbohydrate-restriction been forgotten as atreatment for diabetes mellitus? A perspective on the ACCORD studydesign. Vol.5, Nutrition & metabolism. England; 2008. hal. 10.
Goldenberg JZ, Day A, Brinkworth GD, Sato J, Yamada S, Jönsson T, et al. Efficacy and safety of low and very low carbohydrate diets for type 2 diabetes remission: systematic review and meta-analysis of published and unpublished randomized trial data. BMJ [Internet] 13 Januari 2021;372:m4743. Tersedia pada: http://www.bmj.com/content/372/bmj.m4743.abstract
Tay J, de Bock MI, Mayer-Davis EJ. Low-carbohydrate diets in type 2 diabetes. Lancet Diabetes Endocrinol [Internet] 1 Mei 2019;7(5):331–3. Tersedia pada: https://doi.org/10.1016/S2213-8587(18)30368-1
Davis NJ, Tomuta N, Schechter C, Isasi CR, Segal-Isaacson CJ, Stein D, et al. Comparative study of the effects of a 1-year dietary intervention of a low- carbohydrate diet versus a low-fat diet on weight and glycemic control in type 2 diabetes. Diabetes Care. Juli 2009;32(7):1147–52.
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