Carrying on our conversation about what to do when a person is newly diagnosed as Type 2 DM and is overweight ( and is Italian!)
Diet alone can be the Treatment. Remember Italian diet is much closer to Mediterranean Diet than say Cambodian, but there must be a way to prove that Cambodian/East Indian/Malaysian food can be used as a treatment.
At least we know the part Food can play in the treatment. If after diagnosis you keep on eating the same kind of food you have been eating, the chances are that you will need Drug Therapy. If you make changes ( soon we will know what changes are necessary… when I read the full article) whether Mediterranean Diet or a Low Fat diet.. Chances are that 6/10 in the former group and 3/10 in the latter group did not need therapy after being followed up to 4 or more years! That is quite impressive, because most of the Doctors think that most people can’t stick to a Diet.. If Italians can, anyone can!
Effects of a Mediterranean-Style Diet on the Need for Antihyperglycemic Drug Therapy in Patients With Newly Diagnosed Type 2 Diabetes
Conclusion: Compared with a low-fat diet, a low-carbohydrate, Mediterranean-style diet led to more favorable changes in glycemic control and coronary risk factors and delayed the need for antihyperglycemic drug therapy in overweight patients with newly diagnosed type 2 diabetes.
Background: Low-carbohydrate and low-fat calorie-restricted diets are recommended for weight loss in overweight and obese people with type 2 diabetes.
Objective: To compare the effects of a low-carbohydrate Mediterranean-style or a low-fat diet on the need for antihyperglycemic drug therapy in patients with newly diagnosed type 2 diabetes.
Design: Single-center, randomized trial. Randomization was computer-generated and unstratified. Allocation was concealed in sealed study folders held in a central, secure location until participants gave informed consent. Participants and investigators were aware of treatment assignment, and assessors of the primary outcome were blinded.Setting: Teaching hospital in Naples , Italy