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Current Diabetes Reviews

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ISSN (Online): 1875-6417

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Review Article

Current Evidence Regarding Low-carb Diets for The Metabolic Control of Type-2 Diabetes

Author(s): Adriana Andrade Sousa, Guilherme Renke, Aluysio Leal Jr, Marcela Mascarenhas Braga Rassi, Cristianne Serafim Feuser, Heber Cunha, Flávia Moraes Silva and Alberto Arbex*

Volume 17, Issue 7, 2021

Published on: 23 November, 2020

Article ID: e112220188254 Pages: 15

DOI: 10.2174/1573399816666201123104358

Price: $65

Abstract

The management of diabetes requires a medical nutrition therapy as an essential part of this treatment. There should be no “one-size-fits-all” eating pattern for different patient´s profiles with diabetes. It is clinically complex to suggest an ideal percentage of calories from carbohydrates, protein and lipids recommended for all patients with diabetes. Among the eating patterns that have shown beneficial effects on metabolic control of patients with type 2 diabetes is the lowcarb diet, since the carbohydrate ingestion is viewed as the most important determinant of postprandial glucose and insulin response. In this context, theoretically, it could make sense to reduce the daily amount of carbohydrates ingested, to achieve lower levels of HbA1c. There could be risks associated to this approach. The adherence to a low-carb diet is here also discussed. This narrative review shows on the current evidence for answering these questions regarding low-carb diet as a possible alternative eating pattern for type 2 diabetes.

Keywords: Type 2 diabetes, diet, medical nutrition therapy, low-carbohydrate diet, glycemic control, pre-diabetes.

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