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  • Review: low glycaemic-index diets reduce HbA1c more than high glycaemic-index diets in diabetes mellitusReview: low glycaemic-index diets reduce HbA1c more than high glycaemic-index diets in diabetes mellitus

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Therapeutics
Review: low glycaemic-index diets reduce HbA1c more than high glycaemic-index diets in diabetes mellitusReview: low glycaemic-index diets reduce HbA1c more than high glycaemic-index diets in diabetes mellitus

http://dx.doi.org/10.1136/ebm.14.4.106

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    QUESTION

    In patients with diabetes mellitus, do low glycaemic-index (GI) or low glycaemic-load (GL) diets improve glycaemic control?

    REVIEW SCOPE

    Included studies were randomised controlled trials (RCTs) that compared a low GI or low GL diet with a higher GI or higher GL diet for ⩾4 weeks in patients with diabetes mellitus according to validated and specified criteria. The dietary intervention had to be explicit and supervised or documented.

    Outcomes were glycaemic control (glycated haemoglobin [HbA1c] for studies >6 wks; fructosamine or glycated serum albumin [GSA] for studies ⩽6 wks) and adverse effects.

    REVIEW METHODS

    Cochrane Library, Medline, EMBASE/Excerpta Medica, and CINAHL (all to June 2008); and …

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    Footnotes

    • Source of funding: National Health and Medical Research Fellowship, Australia.

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    2009 by the BMJ Publishing Group Ltd for Evidence-Based Medicine and by the ACP for portions reproduced from ACP Journal Club