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Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review

Although carbohydrate restriction is not a new approach for the management of Type 2 diabetes, interest in its safety and efficacy has increased significantly in recent years. The purpose of the current narrative review is to summarise the key relevant research and practical considerations in this a...

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Autores principales: Wheatley, Sean D., Deakin, Trudi A., Arjomandkhah, Nicola C., Hollinrake, Paul B., Reeves, Trudi E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319397/
https://www.ncbi.nlm.nih.gov/pubmed/34336909
http://dx.doi.org/10.3389/fnut.2021.687658
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author Wheatley, Sean D.
Deakin, Trudi A.
Arjomandkhah, Nicola C.
Hollinrake, Paul B.
Reeves, Trudi E.
author_facet Wheatley, Sean D.
Deakin, Trudi A.
Arjomandkhah, Nicola C.
Hollinrake, Paul B.
Reeves, Trudi E.
author_sort Wheatley, Sean D.
collection PubMed
description Although carbohydrate restriction is not a new approach for the management of Type 2 diabetes, interest in its safety and efficacy has increased significantly in recent years. The purpose of the current narrative review is to summarise the key relevant research and practical considerations in this area, as well as to explore some of the common concerns expressed in relation to the use of such approaches. There is a strong physiological rationale supporting the role of carbohydrate restriction for the management of Type 2 diabetes, and available evidence suggests that low carbohydrate dietary approaches (LCDs) are as effective as, or superior to, other dietary approaches for its management. Importantly, LCDs appear to be more effective than other dietary approaches for facilitating a reduction in the requirement for certain medications, which leads to their effects on other health markers being underestimated. LCDs have also been demonstrated to be an effective method for achieving remission of Type 2 diabetes for some people. The available evidence does not support concerns that LCDs increase the risk of cardiovascular disease, that such approaches increase the risk of nutrient deficiencies, or that they are more difficult to adhere to than other dietary approaches. A growing number of organisations support the use of LCDs as a suitable choice for individuals with Type 2 diabetes.
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spelling pubmed-83193972021-07-30 Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review Wheatley, Sean D. Deakin, Trudi A. Arjomandkhah, Nicola C. Hollinrake, Paul B. Reeves, Trudi E. Front Nutr Nutrition Although carbohydrate restriction is not a new approach for the management of Type 2 diabetes, interest in its safety and efficacy has increased significantly in recent years. The purpose of the current narrative review is to summarise the key relevant research and practical considerations in this area, as well as to explore some of the common concerns expressed in relation to the use of such approaches. There is a strong physiological rationale supporting the role of carbohydrate restriction for the management of Type 2 diabetes, and available evidence suggests that low carbohydrate dietary approaches (LCDs) are as effective as, or superior to, other dietary approaches for its management. Importantly, LCDs appear to be more effective than other dietary approaches for facilitating a reduction in the requirement for certain medications, which leads to their effects on other health markers being underestimated. LCDs have also been demonstrated to be an effective method for achieving remission of Type 2 diabetes for some people. The available evidence does not support concerns that LCDs increase the risk of cardiovascular disease, that such approaches increase the risk of nutrient deficiencies, or that they are more difficult to adhere to than other dietary approaches. A growing number of organisations support the use of LCDs as a suitable choice for individuals with Type 2 diabetes. Frontiers Media S.A. 2021-07-15 /pmc/articles/PMC8319397/ /pubmed/34336909 http://dx.doi.org/10.3389/fnut.2021.687658 Text en Copyright © 2021 Wheatley, Deakin, Arjomandkhah, Hollinrake and Reeves. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Wheatley, Sean D.
Deakin, Trudi A.
Arjomandkhah, Nicola C.
Hollinrake, Paul B.
Reeves, Trudi E.
Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review
title Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review
title_full Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review
title_fullStr Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review
title_full_unstemmed Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review
title_short Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review
title_sort low carbohydrate dietary approaches for people with type 2 diabetes—a narrative review
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319397/
https://www.ncbi.nlm.nih.gov/pubmed/34336909
http://dx.doi.org/10.3389/fnut.2021.687658
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