Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case Report

Background: diabetes has become a major public health concern with an estimated 180 million cases worldwide. Nutritional changes are one of the key aspects in the management of type 2 diabetes mellitus. Previous studies have suggested an association between vegetarian diets and improvements in glyce...

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Main Authors: Denita Biyanda Utami, Ardi Findyartini
Format: Article
Language:English
Published: Interna Publishing 2018-10-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:https://actamedindones.org/index.php/ijim/article/view/248
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author Denita Biyanda Utami
Ardi Findyartini
author_facet Denita Biyanda Utami
Ardi Findyartini
author_sort Denita Biyanda Utami
collection DOAJ
description Background: diabetes has become a major public health concern with an estimated 180 million cases worldwide. Nutritional changes are one of the key aspects in the management of type 2 diabetes mellitus. Previous studies have suggested an association between vegetarian diets and improvements in glycemic control in type 2 diabetes mellitus, however the relationship is not well established. The aim of this report is to perform a critical appraisal to analyze whether plant-based diet reduces the HbA1c level compared to conventional diet. Methods: a comprehensive computer-based literature search was performed on June 20, 2016 using PubMed, Ovid, EBSCO, and the Cochrane Library. All abstracts and titles from the initial search results were screened, reviewed, and appraised using critical appraisal worksheets by Center of Evidence-Based Medicine, University of Oxford. Results: one systematic review and two RCTs met the inclusion criteria and were considered eligible for this case report. In patients with type 2 diabetes mellitus, HbA1c significantly yielded greater reduction in the plant-based group compared to conventional diet group after 22 weeks of follow up. Similarly, there was a statistically greater reduction in HbA1c level in the plant-based group after 72 weeks. Furthermore, consumption of plant-based diet was associated with a significant reduction in HbA1c. Conclusion: in patients with type 2 diabetes mellitus, HbA1c reduction was greater in patients with plant-based diet compared to patients with conventional diet. Further research should be conducted with larger sample size and longer follow-up period
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spelling doaj-art-310c5358bb3e4598b3a903376d94dbf52025-08-20T03:51:43ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322018-10-01503266Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case ReportDenita Biyanda Utami0Ardi Findyartini1Faculty of Medicine Universitas Indonesia, Jakarta IndonesiaDepartment of Medical Education, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaBackground: diabetes has become a major public health concern with an estimated 180 million cases worldwide. Nutritional changes are one of the key aspects in the management of type 2 diabetes mellitus. Previous studies have suggested an association between vegetarian diets and improvements in glycemic control in type 2 diabetes mellitus, however the relationship is not well established. The aim of this report is to perform a critical appraisal to analyze whether plant-based diet reduces the HbA1c level compared to conventional diet. Methods: a comprehensive computer-based literature search was performed on June 20, 2016 using PubMed, Ovid, EBSCO, and the Cochrane Library. All abstracts and titles from the initial search results were screened, reviewed, and appraised using critical appraisal worksheets by Center of Evidence-Based Medicine, University of Oxford. Results: one systematic review and two RCTs met the inclusion criteria and were considered eligible for this case report. In patients with type 2 diabetes mellitus, HbA1c significantly yielded greater reduction in the plant-based group compared to conventional diet group after 22 weeks of follow up. Similarly, there was a statistically greater reduction in HbA1c level in the plant-based group after 72 weeks. Furthermore, consumption of plant-based diet was associated with a significant reduction in HbA1c. Conclusion: in patients with type 2 diabetes mellitus, HbA1c reduction was greater in patients with plant-based diet compared to patients with conventional diet. Further research should be conducted with larger sample size and longer follow-up periodhttps://actamedindones.org/index.php/ijim/article/view/248diabetes mellitustype 2dietvegansglucoseHbA1c
spellingShingle Denita Biyanda Utami
Ardi Findyartini
Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case Report
Acta Medica Indonesiana
diabetes mellitus
type 2
diet
vegans
glucose
HbA1c
title Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case Report
title_full Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case Report
title_fullStr Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case Report
title_full_unstemmed Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case Report
title_short Plant-based Diet for HbA1c Reduction in Type 2 Diabetes Mellitus: an Evidence-based Case Report
title_sort plant based diet for hba1c reduction in type 2 diabetes mellitus an evidence based case report
topic diabetes mellitus
type 2
diet
vegans
glucose
HbA1c
url https://actamedindones.org/index.php/ijim/article/view/248
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AT ardifindyartini plantbaseddietforhba1creductionintype2diabetesmellitusanevidencebasedcasereport