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Review: limited data on dietary treatment of type 2 diabetes show that dietary advice plus exercise appears more beneficial than dietary advice alone

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 Q In adults with type 2 diabetes mellitus, what is the effect of different types of dietary advice?

Clinical impact ratings GP/FP/Primary care★★★★★☆☆ IM/Ambulatory care ★★★★☆☆☆ Endocrine ★★★★★★☆


Embedded ImageData sources:

Medline (1966 to October 2003), CINAHL (1982 to October 2003), EMBASE/Excerpta Medica (1980 to October 2003), Cochrane Library (Issue 3, 2003), AMED (1985 to October 2003), bibliographies of relevant articles, and expert contact.

Embedded ImageStudy selection and assessment:

randomised controlled trials (RCTs) in any language of ⩾6 months’ duration in which dietary advice was the main intervention in adults aged ⩾18 years with type 2 diabetes. Studies of patients with impaired glucose tolerance, acute illness, or pregnancy or of the effects of medication, fish oils, supplementation, or Chinese medical herbs were excluded. Studies were assessed by 2 independent reviewers for design, allocation concealment, blinding of outcome assessment, …

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  • For correspondence: Miss H Moore, University of Teesside, Middlesbrough, UK.

  • Source of funding: not stated