Type 2 & other diabetes

The acute effects of a DASH diet and whole food, plant-based diet on insulin requirements and related cardiometabolic markers in individuals with insulin-treated type 2 diabetes

Diabetes Res Clin PractPublished Nonrandomized crossover trial

Authors' conclusion

Adopting a DASH or WFPB diet can result in significant, rapid changes in insulin requirements, insulin sensitivity, and related markers among individuals with insulin-treated type 2 diabetes, with larger dietary changes producing larger benefits.

Study context

Population
Individuals with insulin-treated T2D
Participants
15 individuals
Comparison
DASH and WFPB diets vs baseline
Outcome
Acute changes in insulin requirements
Methodological detailssequential one-week phases, ad libitum, meals provided, 4-week trial with sequential one-week phases: Baseline, DASH 1, WFPB, DASH 2
  • Sequential one-week phases
  • Ad libitum
  • Meals provided
  • 4-week trial with sequential one-week phases: Baseline, DASH 1, WFPB, DASH 2

Main finding

As reported in the abstract

Daily insulin usage, lower vs baseline · after each one-week phase

% lower

24%

P < 0.01

DASH 1 vs Baseline · lower with DASH 1

% lower

39%

P < 0.01

WFPB vs Baseline · lower with WFPB

% lower

30%

P < 0.01

DASH 2 vs Baseline · lower with DASH 2

Further findings

OutcomeEstimateP value
Insulin resistance (HOMA-IR) · end of WFPB weekWFPB vs Baseline · lower with WFPB% lower 49%P < 0.01
Insulin sensitivity index · end of WFPB weekWFPB vs Baseline · higher with WFPB% higher 38%P < 0.01

Insulin resistance (HOMA-IR) · end of WFPB week

Regressed toward baseline during DASH 2

Insulin sensitivity index · end of WFPB week

Regressed toward baseline during DASH 2

Total, LDL and HDL cholesterol, leptin, urinary glucose, hsCRP

Decreased to a nadir at end of WFPB week before increasing during DASH 2

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The acute effects of a DASH diet and whole food, plant-based diet on insulin requirements and related cardiometabolic markers in individuals with insulin-treated type 2 diabetes. Diabetes Res Clin Pract. Published 5 July 2023. doi:10.1016/j.diabres.2023.110814

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