Abstract：Diabetes mellitus (DM) has become a global public health problem seriously affecting the health of human beings, and places a heavy burden on individuals, society and the economy. The dramatic rise in the prevalence rate of type 2 diabetes mellitus (T2DM) is fueled mainly by the continuing global obesity epidemic. Lifestyle and medical nutrition therapy (MNT) are considered to be the focus of prevention and management of T2DM. However, there is no consensus on certain lifestyle and MNT recommendations on T2DM. This review aims to evaluate the evidence on the effects of five popular dietary patterns geared towards diabetes management and provide references for MNT of T2DM.
[1] International Diabetes Federation. IDF Diabetes Atlas[M] 9th ed. International Diabetes Federation, 2019. [2] 周岳琴, 周新荣, 张付生, 等. 300例2型糖尿病患者膳食摄入情况调查[J].实用预防医学, 2017, 24(10):1227-1229. [3] Ley SH, Ardisson Korat AV, Sun Q, et al. Contribution of the nurses' health studies to uncovering risk factors for type 2 diabetes: diet, lifestyle, biomarkers, and genetics[J]. Am J Public Health, 2016, 106(9):1624-1630. [4] 刘爽, 李骏, 龚晨睿, 等. 湖北省居民膳食模式与2型糖尿病关系的研究[J].实用预防医学, 2017, 24(12):1427-1431. [5] American Diabetes Association. Foundations of care and comprehensive medical evaluation[J]. Diabetes Care, 2016, 39(Suppl 1):S23-S35. [6] Davies MJ,D'Alessio DA,Fradkin J,et al. Management of hyperglycemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the study of diabetes (EASD)[J]. Diabetes Care, 2018, 41(12):2669-2701. [7] American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes-2019[J]. Diabetes Care, 2019, 42(Suppl 1):513-528. [8] Pastors JG, Warshaw H, Daly A, et al. The evidence for the effectiveness of medical nutrition therapy in diabetes management[J]. Diabetes Care, 2002, 25(3):608-613. [9] Westman EC,Yancy WS,Humphreys M. Dietary treatment of diabetes mellitus in the pre-insulin era (1914-1922)[J]. Perspect Biol Med, 2006, 49(1):77-83. [10] Bisschop PH, De Sain-Van Der Velden MG, Stellaard F, et al. Dietary carbohydrate deprivation increases 24-hour nitrogen excretion without affecting postabsorptive hepatic or whole body protein metabolism in healthy men[J]. J Clin Endocrinol Metab, 2003, 88(8):3801-3805. [11] Mansoor N,Vinknes KJ,Veierød MB,et al. Effects of low-carbohydrate diets v. low-fat diets on body weight and cardiovascular risk factors: a meta-analysis of randomised controlled trials[J]. Br J Nutr, 2016, 115(3):466-479. [12] Foster GD,Wyatt HR,Hill JO,et al. Weight and metabolic outcomes after 2 years on a low-carbohydrate versus low-fat diet: a randomized trial[J]. Ann Intern Med, 2010, 153(3):147-157. [13] Robertson RP,Harmon J,Tran PO,et al. Glucose toxicity in beta-cells: type 2 diabetes, good radicals gone bad, and the glutathione connection[J]. Diabetes, 2003, 52(3):581-587. [14] Noakes M, Foster PR, Keogh JB, et al. Comparison of isocaloric very low carbohydrate/high saturated fat and high carbohydrate/low saturated fat diets on body composition and cardiovascular risk[J]. Nutr Metab (Lond), 2006, 3:7. [15] Feinman RD, Pogozelski WK, Astrup A, et al. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base[J]. Nutrition, 2015, 31(1):1-13. [16] Wheeler ML, Dunbar SA, Jaacks LM, et al. Macronutrients, food groups, and eating patterns in the management of diabetes: a systematic review of the literature, 2010[J]. Diabetes Care, 2012, 35(2):434-445. [17] White AM, Johnston CS, Swan PD, et al. Blood ketones are directly related to fatigue and perceived effort during exercise in overweight adults adhering to low-carbohydrate diets for weight loss: a pilot study[J]. J Am Diet Assoc, 2007, 107(10):1792-1796. [18] Zubrzycki A, Cierpka-Kmiec K, Kmiec Z, et al. The role of low-calorie diets and intermittent fasting in the treatment of obesity and type-2 diabetes[J]. J Physiol Pharmacol, 2018, 69(5):663-683. [19] Golbidi S, Daiber A, Korac B, et al. Health benefits of fasting and caloric restriction[J]. Curr Diab Rep, 2017, 17(12):123. [20] Sutton EF,Beyl R,Early KS,et al. Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes[J]. Cell Metab, 2018, 27(6):1212-1221. [21] Cheng CW,Villani V,Buono R,et al. Fasting-mimicking diet promotes ngn3-driven β-cell regeneration to reverse diabetes[J]. Cell, 2017, 168(5):775-788. [22] Lichtash C,Fung J,Ostoich KC,et al. Therapeutic use of intermittent fasting and ketogenic diet as an alternative treatment for type 2 diabetes in a normal weight woman: a 14-month case study[J]. BMJ Case Rep, 2020, 13(7):e234223. [23] Müller P. Vegan diet in young children[J]. Nestle Nutr Inst Workshop Ser, 2020, 93:103-110. [24] Snowdon DA,Phillips RL. Does a vegetarian diet reduce the occurrence of diabetes?[J]. Am J Public Health, 1985, 75(5):507-512. [25] Tonstad S,Stewart K,Oda K,et al. Vegetarian diets and incidence of diabetes in the Adventist Health Study-2[J]. Nutr Metab Cardiovasc Dis, 2013, 23(4):292-299. [26] Barnard ND,Cohen J,Jenkins DJ,et al. A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes[J]. Diabetes Care, 2006, 29(8):1777-1783. [27] Salas-Salvadó J, Becerra-Tomás N, Papandreou C, et al. Dietary patterns emphasizing the consumption of plant foods in the management of type 2 diabetes: a narrative review[J]. Adv Nutr, 2019, 10(Suppl 4):S320-S331. [28] Barnard ND, Katcher HI, Jenkins DJ, et al. Vegetarian and vegan diets in type 2 diabetes management[J]. Nutr Rev, 2009, 67(5):255-263. [29] Yamada S. Paradigm shifts in nutrition therapy for type 2 diabetes[J]. Keio J Med, 2017, 66(3):33-43. [30] Trichopoulou A,Martínez-González MA,Tong TY,et al. Definitions and potential health benefits of the Mediterranean diet:views from experts around the world[J]. BMC Med, 2014, 12:112. [31] Papamichou D, Panagiotakos DB, Itsiopoulos C. Dietary patterns and management of type 2 diabetes: a systematic review of randomised clinical trials[J]. Nutr Metab Cardiovasc Dis, 2019, 29(6):531-543. [32] Casas R, Sacanella E, Estruch R. The immune protective effect of the Mediterranean diet against chronic low-grade inflammatory diseases[J]. Endocr Metab Immune Disord Drug Targets, 2014, 14(4):245-254. [33] Kastorini CM,Milionis HJ,Esposito K,et al. The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals[J]. J Am Coll Cardiol, 2011, 57(11):1299-1313. [34] Dregan A,Charlton J,Chowienczyk P,et al. Chronic inflammatory disorders and risk of type 2 diabetes mellitus, coronary heart disease, and stroke: a population-based cohort study[J]. Circulation, 2014, 130(10):837-844. [35] Esposito K,Maiorino MI,Bellastella G,et al. A journey into a Mediterranean diet and type 2 diabetes: a systematic review with meta-analyses[J]. BMJ Open, 2015, 5(8):e008222. [36] Panagiotakos DB, Georgousopoulou EN, Pitsavos C, et al. Exploring the path of Mediterranean diet on 10-year incidence of cardiovascular disease: the ATTICA study (2002-2012)[J]. Nutr Metab Cardiovasc Dis, 2015, 25(3):327-335. [37] Esposito K, Maiorino MI, Ciotola M, et al. Effects of a Mediterranean-style diet on the need for antihyperglycemic drug therapy in patients with newly diagnosed type 2 diabetes: a randomized trial[J]. Ann Intern Med, 2009, 151(5):306-314. [38] Toobert DJ, Glasgow RE, Strycker LA, et al. Biologic and quality-of-life outcomes from the Mediterranean Lifestyle Program: a randomized clinical trial[J]. Diabetes Care, 2003, 26(8):2288-2293. [39] Archundia Herrera MC, Subhan FB, Chan CB. Dietary patterns and cardiovascular disease risk in people with type 2 diabetes[J]. Curr Obes Rep, 2017, 6(4):405-413. [40] Summer SS, Couch SC, Shah AS, et al. Evaluating a dietary pattern in adolescents with type 1 diabetes mellitus: the dash-d approach[J]. Diabetes Manag (Lond), 2019, 9(1):28-38. [41] Akhlaghi M. Dietary approaches to stop hypertension (DASH): potential mechanisms of action against risk factors of the metabolic syndrome[J]. Nutr Res Rev, 2020,33(1):1-18. [42] Saneei P, Salehi-Abargouei A, Esmaillzadeh A, et al. Influence of Dietary Approaches to Stop Hypertension (DASH) diet on blood pressure: a systematic review and meta-analysis on randomized controlled trials[J]. Nutr Metab Cardiovasc Dis, 2014, 24(12):1253-1261. [43] 潘金国, 方京徽, 陆培培, 等. 改良的限盐DASH饮食对高血压和(或)糖尿病患者血压及血糖的影响[J].中国实用医药, 2019, 14(31):15-18. [44] 王梅仙. 中式得舒饮食在社区高血压糖尿病患者中应用的效果初探[D]. 重庆:重庆医科大学, 2020.
2021, Vol. 28 
