What dietary interventions reduce morbidity and mortality in diabetes mellitus type 2?
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A carbohydrate-restricted, low-iron, and polyphenol-enriched diet appears to decrease the incidence of end-stage renal disease (ESRD) and death in patients with type 2 diabetes compared with a low-protein diet (strength of recommendation [SOR]: B, single RCT). The Mediterranean diet lowers HbA1c modestly more than a low-fat diet or the American Diabetes Association (ADA) diet, but it is unknown whether this translates to a reduction in morbidity or mortality (SOR: C, systematic review of a disease-oriented outcome). Low-protein diets and diets with a low glycemic index do not alter outcomes (SOR: A, meta-analyses).
Evidence Based Practice 15(11): 01-02.