CRDA: Blood Pressure Outcomes (2023)
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Intervention
In adults with type 2 diabetes, what is the effect of carbohydrate (CHO) restriction compared to higher CHO diets on blood pressure?
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Conclusion
Evidence suggests that intake of a low- or moderate-carbohydrate (CHO) diet compared to a higher CHO intake may have little or no effect on blood pressure in adults with type 2 diabetes mellitus.
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Grade: Very Low (D)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Evidence Summary: In adults with type 2 diabetes, what is the effect of carbohydrate (CHO) restriction compared to higher CHO diets on blood pressure?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Chen C, Huang W, Chen H, Chang C, Lee L, Chen H, Kang Y, Chie W, Jan C, Wang W, Tsai J. Effect of a 90 g/day low-carbohydrate diet on glycaemic control, small, dense low-density lipoprotein and carotid intima-media thickness in type 2 diabetic patients: An 18-month randomised controlled trial. PloS One 2020; 15:e0240158
- Esposito K, Maiorino M, Petrizzo M, Bellastella G, Giugliano D. The effects of a Mediterranean diet on the need for diabetes drugs and remission of newly diagnosed type 2 diabetes: follow-up of a randomized trial. Diabetes Care 2014; 37:1824-1830
- Fabricatore A, Wadden T, Ebbeling C, Thomas J, Stallings V, Schwartz S, Ludwig D. Targeting dietary fat or glycemic load in the treatment of obesity and type 2 diabetes: a randomized controlled trial. Diabetes Research and Clinical Practice 2011; 92:37-45
- Guldbrand H, Dizdar B, Bunjaku B, Lindström T, Bachrach-Lindström M, Fredrikson M, Ostgren C, Nystrom F. In type 2 diabetes, randomisation to advice to follow a low-carbohydrate diet transiently improves glycaemic control compared with advice to follow a low-fat diet producing a similar weight loss. Diabetologia 2012; 55:2118-2127
- Jesudason D, Pedersen E, Clifton P. Weight-loss diets in people with type 2 diabetes and renal disease: a randomized controlled trial of the effect of different dietary protein amounts. The American Journal of Clinical Nutrition 2013; 98:494-501
- Larsen R, Mann N, Maclean E, Shaw J. The effect of high-protein, low-carbohydrate diets in the treatment of type 2 diabetes: a 12 month randomised controlled trial. Diabetologia 2011; 54:731-740
- Watson N, Dyer K, Buckley J, Brinkworth G, Coates A, Parfitt G, Howe P, Noakes M, Murphy K. Effects of Low-Fat Diets Differing in Protein and Carbohydrate Content on Cardiometabolic Risk Factors during Weight Loss and Weight Maintenance in Obese Adults with Type 2 Diabetes. Nutrients 2016; 8:
- Detail
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Search Plan and Results: CRDA: Overweight or Obesity and Type 2 Diabetes Mellitus 2023
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Conclusion