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Paradigm Shifts in Nutrition Therapy for Type 2 Diabetes.

The Keio journal of medicine
January 1, 1970
Satoru Yamada
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore the potential shift in diabetes nutrition therapy, including the role of low-carbohydrate diets, based on evolving scientific evidence and patient narratives.

Results Summary

The abstract suggests that low-carbohydrate diets are among several emerging nutritional approaches for diabetes management, challenging traditional methods like low-fat and low-protein diets. It highlights the need for dynamic, evidence-based changes in nutrition therapy tailored to individual patient needs.

Population

Not specified (general discussion of diabetes management)

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-energy diet
no change
type 2 diabetes
Japan
-
is the only recognized nutrition therapy
#1
low-carbohydrate diet
no change
diabetes
-
-
accepted
#2
Mediterranean diet
no change
diabetes
-
-
accepted
#3
diet approaches to stop hypertension (DASH)
no change
diabetes
-
-
accepted
#4
vegetarian diet
no change
diabetes
-
-
accepted
#5
low-fat diet
no change
prevention of cardiovascular disease
-
-
called into question
#6
low-protein diet
no change
prevention of diabetic kidney disease
-
-
called into question
#7
Abstract

Currently, the low-energy diet is the only recognized nutrition therapy for type 2 diabetes in Japan. However, in recent decades, many foreign scientific organizations have accepted various nutritional approaches to manage diabetes, such as the low-carbohydrate diet, the Mediterranean diet, diet approaches to stop hypertension (DASH), and the vegetarian diet. Moreover, growing evidence has called into question classical nutritional approaches such as the low-fat diet for the prevention of cardiovascular disease and the low-protein diet for the prevention of diabetic kidney disease. Similarly, the recommended nutrition therapy for diabetes may change in near future. Such changes in nutrition therapy must be dynamic and based on not only scientific evidence but also each patient's narrative.

Medical Subject Headings (MeSH)
Caloric RestrictionCardiovascular DiseasesDiabetes Mellitus, Type 2Diabetic NephropathiesDiet, Carbohydrate-RestrictedDiet, Fat-RestrictedDiet, MediterraneanDiet, Protein-RestrictedDiet, VegetarianHumansNutrition Therapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality60/10
Citation Metrics
Total Citations6
Citations/Year0.8
Relative Citation Ratio0.30
NIH Percentile15.8%
Research Impact Scores
APT Score0.25
Weight Score1.35
Normalized Score0.62
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