Whole, plant-based diet best for remission of type 2 diabetes: ACLM consensus statement
USA: Dietary modification by emphasizing whole, plant-based foods are most effective for achieving remission in adults with type 2 diabetes, according to an expert consensus statement released by the American College of Lifestyle Medicine.
The objective of the Expert Consensus Statement, published in the American Journal of Lifestyle Medicine, was to assist clinicians in the remission of type 2 diabetes (T2D) in adults by using diet as a primary intervention. A multi-disciplinary panel of expert healthcare professionals agreed upon the 69 consensus evidence-informed statements.
"Diet as a primary intervention can achieve remission for many with type 2 diabetes and should focus on plant-based foods with minimal consumption of meat and other animal products," a multidisciplinary panel of health care professionals with expertise in diabetes treatment, research, and remission wrote in their document that was developed using a modified Delphi process.
The panel reached a consensus on a number of issues, including the following:
The authors however noted that the consensus statement was limited by gaps and uncertainties in the relevant medical literature. Regarding potential conflicts of interest, panelists self-reported that their diets, on average, consisted of 89% plant-based foods, ranging from 50% to 100%, with most food choices described as whole or minimally processed.
"This high prevalence of healthy, plant-based eating, as well as our discussion focused on plant-forward dietary patterns, may have introduced bias in favor of this approach that impacted responses to the iterative Delphi surveys," the authors wrote. "We have therefore disclosed this information so the reader can draw their own conclusions."
Reference:
Rosenfeld RM, Kelly JH, Agarwal M, et al. Dietary Interventions to Treat Type 2 Diabetes in Adults with a Goal of Remission: An Expert Consensus Statement from the American College of Lifestyle Medicine. American Journal of Lifestyle Medicine. 2022;16(3):342-362. doi:10.1177/15598276221087624
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