Även en japansk studie konkluderar nu att lågkolhydratkost är bättre än kalorirestriktion mot diabetes typ 2.
I studien använde man en väldigt liberal lågkolhydratkost på 130 gram kolhydrater per dag och utan kaloribegränsning, och fick ändå fina resultat i typ 2-diabetiker. Man mätte flera parametrar, men långtidssockret HbA1c, var det man var ute efter att jämföra.
Långtidssockret förbättrades i lågkolhydratgruppen, men förblev oförändrat i kaloribegränsningsgruppen. Lågkolhydratgruppen gick också ner mest i vikt.
“This prospective, randomized, open-label, comparative study included 66 T2DM patients with HbA1c >7.5% even after receiving repeated education programs on CRD. They were randomly allocated to either the 130g/day LCD group (n = 33) or CRD group (n = 33). Patients received personal nutrition education of CRD or LCD for 30 min at baseline, 1, 2, 4, and 6 months. Patients of the CRD group were advised to maintain the intake of calories and balance of macronutrients (28× ideal body weight calories per day). Patients of the LCD group were advised to maintain the intake of 130 g/day carbohydrate without other specific restrictions. Several parameters were assessed at baseline and 6 months after each intervention. The primary endpoint was a change in HbA1c level from baseline to the end of the study.”
“At the end of the study, HbA1c decreased by −0.65 (−1.53 to −0.10) % in the LCD group, compared with 0.00 (−0.68 to 0.40) % in the CRD group (p < 0.01). Also, the decrease in BMI in the LCD group [−0.58 (−1.51 to −0.16) kg/m2] exceeded that observed in the CRD group (p = 0.03).”
“Our study demonstrated that 6-month 130 g/day LCD reduced HbA1c and BMI in poorly controlled Japanese patients with T2DM.”
http://www.sciencedirect.com/science/article/pii/S0261561416301698
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