Could Dietary Modification Independent of Energy Balance Influence the Underlying Pathophysiology of Type 2 Diabetes? Implications for Type 2 Diabetes Remission.
Carbohydrate
Fibre
Glucose
Ketogenic
Plant-based
Protein
Type 2 diabetes
Journal
Diabetes therapy : research, treatment and education of diabetes and related disorders
ISSN: 1869-6953
Titre abrégé: Diabetes Ther
Pays: United States
ID NLM: 101539025
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
29
11
2021
accepted:
01
02
2022
pubmed:
11
3
2022
medline:
11
3
2022
entrez:
10
3
2022
Statut:
ppublish
Résumé
High-quality clinical trial data demonstrate that remission is possible for people living with type 2 diabetes (T2D) if they lose a large amount of weight (≥ 10 kg). Durable remission appears predicated on the long-term maintenance of weight loss. Unfortunately, long-term follow-up data from lifestyle-based weight loss programmes show that, on average, most people regain at least some of the weight lost. In addition, restoration of a diminished first-phase insulin response also appears necessary for durable remission, and this becomes less likely as T2D progresses. A pragmatic approach to enhance the effects of weight loss on durable remission is to consider whether dietary components could help control blood glucose, independent of caloric balance. This manuscript reviews current evidence on weight-neutral effects of diet on blood glucose, including high-protein, low-carbohydrate, high-fibre and plant-based diets, with a particular focus on the effect of nutrition on the underlying pathophysiology of T2D, including the first-phase insulin response. The importance of mechanistic data in enhancing our understanding of dietary strategies in T2D remission is described, and suggestions are made for future advances in remission research.
Identifiants
pubmed: 35266093
doi: 10.1007/s13300-022-01220-4
pii: 10.1007/s13300-022-01220-4
pmc: PMC8991239
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
603-617Informations de copyright
© 2022. The Author(s).
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