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Prevention and management of type 2 diabetes: dietary components and nutritional strategies.

Abstract

In the past couple of decades, evidence from prospective observational studies and clinical trials has converged to support the importance of individual nutrients, foods, and dietary patterns in the prevention and management of type 2 diabetes. The quality of dietary fats and carbohydrates consumed is more crucial than is the quantity of these macronutrients. Diets rich in wholegrains, fruits, vegetables, legumes, and nuts; moderate in alcohol consumption; and lower in refined grains, red or processed meats, and sugar-sweetened beverages have been shown to reduce the risk of diabetes and improve glycaemic control and blood lipids in patients with diabetes. With an emphasis on overall diet quality, several dietary patterns such as Mediterranean, low glycaemic index, moderately low carbohydrate, and vegetarian diets can be tailored to personal and cultural food preferences and appropriate calorie needs for weight control and diabetes prevention and management. Although much progress has been made in development and implementation of evidence-based nutrition recommendations in developed countries, concerted worldwide efforts and policies are warranted to alleviate regional disparities.

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  • Authors+Show Affiliations

    ,

    Department of Nutrition, Harvard School of Public Health, Boston, MA, USA.

    ,

    Joslin Diabetes Center, Boston, MA, USA.

    ,

    Dr Mohan's Diabetes Specialities Centre & Madras Diabetes Research Foundation, Chennai, India.

    Department of Nutrition, Harvard School of Public Health, Boston, MA, USA; Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA. Electronic address: frank.hu@channing.harvard.edu.

    Source

    Lancet (London, England) 383:9933 2014 Jun 07 pg 1999-2007

    MeSH

    Adiposity
    Adult
    Alcohol Drinking
    Beverages
    Diabetes Mellitus, Type 2
    Diet
    Dietary Carbohydrates
    Dietary Fats
    Dietary Proteins
    Energy Intake
    Feeding Behavior
    Food
    Humans
    Minerals
    Nutritional Status
    Vitamins
    Weight Loss

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't
    Review

    Language

    eng

    PubMed ID

    24910231

    Citation

    Ley, Sylvia H., et al. "Prevention and Management of Type 2 Diabetes: Dietary Components and Nutritional Strategies." Lancet (London, England), vol. 383, no. 9933, 2014, pp. 1999-2007.
    Ley SH, Hamdy O, Mohan V, et al. Prevention and management of type 2 diabetes: dietary components and nutritional strategies. Lancet. 2014;383(9933):1999-2007.
    Ley, S. H., Hamdy, O., Mohan, V., & Hu, F. B. (2014). Prevention and management of type 2 diabetes: dietary components and nutritional strategies. Lancet (London, England), 383(9933), pp. 1999-2007. doi:10.1016/S0140-6736(14)60613-9.
    Ley SH, et al. Prevention and Management of Type 2 Diabetes: Dietary Components and Nutritional Strategies. Lancet. 2014 Jun 7;383(9933):1999-2007. PubMed PMID: 24910231.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Prevention and management of type 2 diabetes: dietary components and nutritional strategies. AU - Ley,Sylvia H, AU - Hamdy,Osama, AU - Mohan,Viswanathan, AU - Hu,Frank B, PY - 2014/6/10/entrez PY - 2014/6/10/pubmed PY - 2014/7/24/medline SP - 1999 EP - 2007 JF - Lancet (London, England) JO - Lancet VL - 383 IS - 9933 N2 - In the past couple of decades, evidence from prospective observational studies and clinical trials has converged to support the importance of individual nutrients, foods, and dietary patterns in the prevention and management of type 2 diabetes. The quality of dietary fats and carbohydrates consumed is more crucial than is the quantity of these macronutrients. Diets rich in wholegrains, fruits, vegetables, legumes, and nuts; moderate in alcohol consumption; and lower in refined grains, red or processed meats, and sugar-sweetened beverages have been shown to reduce the risk of diabetes and improve glycaemic control and blood lipids in patients with diabetes. With an emphasis on overall diet quality, several dietary patterns such as Mediterranean, low glycaemic index, moderately low carbohydrate, and vegetarian diets can be tailored to personal and cultural food preferences and appropriate calorie needs for weight control and diabetes prevention and management. Although much progress has been made in development and implementation of evidence-based nutrition recommendations in developed countries, concerted worldwide efforts and policies are warranted to alleviate regional disparities. SN - 1474-547X UR - https://www.unboundmedicine.com/medline/citation/24910231/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(14)60613-9 DB - PRIME DP - Unbound Medicine ER -