Low carbohydrate diets and diabetes control

[摘要] Dr Morrison, in her letter, promotes the benefit of low carbohydrate diets for people with diabetes.1 However, there is no clear consensus of evidence for this.2,3 There is no defined low carbohydrate diet. The studies are predominantly in type 2 diabetes (a different disease and population than type 1). There is the confounding factor of weight loss, which is of established benefit in glycaemic control. Unfortunately, the studies reviewed in the articles referenced by Dr Morrison have only a short follow-up period. One review concentrates on using these diets in the short to medium term for weight loss.2 There are concerns about the possible adverse effects of these diets in terms of cardiovascular risk (dyslipidaemias), renal function, cardiomyopathy and osteoporosis.3,4 Most of these studies have the confounding factor of increased input and support, which are likely to be of benefit to people with any chronic disease.

[学科分类] 卫生学