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Optimal Dietary Strategies for Prevention of Atherosclerotic Cardiovascular Disease in Diabetes: Evidence and Recommendations

  • Diabetes and Cardiovascular Disease (ND Wong, Section Editor)
  • Published:
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Abstract

Purpose of Review

This review presents the current available evidence of the effects of several dietary patterns on atherosclerotic cardiovascular disease (ASCVD) risk in patients with type 2 diabetes (T2D).

Recent Findings

Evidence demonstrates improvements in cardiovascular risk factors with some dietary patterns in the general population. However, evidence is limited for glycemic control and cardiovascular benefit in patients with T2D for Dietary Approaches to Stop Hypertension and plant-based dietary patterns. Evidence suggests that carbohydrate-restricted dietary patterns improve glycemic control and decrease the use of anti-hyperglycemic medications. The Mediterranean dietary pattern has the most evidence for glycemic control and decreased ASCVD risk in patients with T2D. There is no evidence on ASCVD outcomes in patients with T2D for any other dietary pattern.

Summary

The Mediterranean dietary pattern has the most evidence for cardiovascular benefit in patients with T2D. Future research should examine the effect of dietary patterns on ASCVD outcomes.

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  1. College of Pharmacy, Idaho State University, 921 S. 8th Ave, Stop 8333, Pocatello, ID, 83209-8333, USA

    Cara Liday

  2. Wellness Center, Idaho State University, 921 S. 8th Ave, Stop 8134, Pocatello, ID, 83209-8134, USA

    Carol Kirkpatrick

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Liday, C., Kirkpatrick, C. Optimal Dietary Strategies for Prevention of Atherosclerotic Cardiovascular Disease in Diabetes: Evidence and Recommendations. Curr Cardiol Rep 21, 132 (2019). https://doi.org/10.1007/s11886-019-1232-7

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