Type 1 diabetes

The Role of Whole Food Plant-Based Food Intake on Postprandial Glycemia in Type 1 Diabetes

J Clin Endocrinol MetabPublished Secondary analysis of the Type 1 Diabetes Exercise Initiative

Primary result · TIRResult — go to the resultImprovement in TIR 4%

Authors' conclusion

Meal events with higher hPDI were associated with 4% postprandial TIR improvement. These benefits were seen primarily in WFPBD meals (captured by hPDI) and less pronounced plant-based meals (captured by PDI), emphasizing the benefit of increasing unprocessed food intake over limiting animal products alone.

Study context

Population
Individuals with T1D in the Type 1 Diabetes Exercise Initiative7,938 meals
Participants
367 individuals
Comparison
Meals with high vs low plant-based diet index scores
Primary endpoint
Glycemia (association of whole food plant-based diet (WFPBD) intake with glycemia)
Methodological detailsprospective meal-event data, mixed effects linear regression
  • Prospective meal-event data
  • Mixed effects linear regression

Primary result

TIR

Improvement in time in range (TIR)

4%

P < 0.001

By group

As reported in the abstract

Further findings

Glucose excursion

P < 0.001

Time >250 mg/dL

P < 0.001

OutcomeP value
TIR by PDIHigh PDI vs Low PDIP = 0.01
  • TIR by PDI: High PDI 74%
  • TIR by PDI: Low PDI 71%

Safety

No differences in time below 70 mg/dL and 54 mg/dL by PDI or hPDI

Original publication

The Role of Whole Food Plant-Based Food Intake on Postprandial Glycemia in Type 1 Diabetes. J Clin Endocrinol Metab. Published 18 October 2024. doi:10.1210/clinem/dgae725

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