This unique publication in the American Journal of Lifestyle Medicine is the first to focus on diet as the primary means of achieving lasting diabetes remission – without drugs or procedures – in contrast to diet’s usual role as adjunctive therapy. Knowing that diet alone can lead to remission is an empowering message for many adults with type 2 diabetes, especially when supported by consensus among internists, cardiologists, family physicians, endocrinologists, nutritionists, dietitians and lifestyle medicine specialists.
Titled “Dietary Interventions to Treat Type 2 Diabetes in Adults with the Goal of Remission,” the expert consensus statement was authored by a multidisciplinary panel of 15 experts using a modified and trusted Delphi process. . The panel agreed that diet as a primary intervention can achieve remission in many adults with type 2 diabetes, defined as normal blood glucose measurements (normal HbA1c below 6.5% and blood glucose at fasting normal) for at least three months without surgery, devices or active pharmacology. therapy to lower blood sugar. Diet as a primary intervention has been found to be most effective when it emphasizes whole, plant-based foods, including whole grains, vegetables, legumes, fruits, nuts, and seeds.
“Remission is the optimal outcome for people with type 2 diabetes,” said Richard Rosenfeld, MD, MPH, MBA, DipABLM, Lead Author of Expert Consensus Statement and Lead Liaison for Medical Society Relations at ACLM. “The consensus statements will not only enable clinicians and patients to use a plant-based diet as ‘food as medicine’ to achieve remission in type 2 diabetes, but will facilitate shared management decisions based on the best current evidence. and a structured expert consensus.”
Reducing the prevalence of type 2 diabetes, which is estimated to affect 10.5% of American adults and cost $327 billion annually in direct costs and lost productivity, according to the publication. Without proper treatment and management, the disease can lead to blindness, kidney disease, cardiovascular disease, amputation, and other comorbidities that decrease quality of life and contribute to mortality rates.
“A healthy diet is a fundamental part of current lifestyle guidelines for the treatment of type 2 diabetes, but it is often overlooked due to lack of physician training and patient awareness,” said the president of AACE, Dr. Felice Caldarelle mentioned. “The consensus statements produced by this panel of experts are invaluable in raising awareness of the value of diet for diabetes remission in addition to management.”
In total, the expert panel reached consensus on 69 statements, relating to diet and type 2 diabetes remission, dietary specifics and types of diets, adjuvant and alternative interventions, support, follow-up, treatment adherence, weight loss, payment and policy.
The expert group called for more research in areas such as assessing the impact of reducing animal-source foods on promoting remission and assessing the possibility of achieving remission. with ad libitum dietary intake consuming whole foods, plant-based diets. There is also a need for more randomized controlled trials to evaluate sustainable plant-based dietary interventions with whole or minimally processed foods as the primary means of treating type 2 diabetes with the goal of remission.
About the ACLM
The American College of Lifestyle Medicine is the nation’s professional medical society advancing lifestyle medicine as the foundation of a reimagined, values-based, equitable health care delivery system that leads to health of the person as a whole. The ACLM educates, equips, empowers and supports its members through quality evidence-based education, certification and research to identify and eradicate the root cause of chronic disease, with a clinical outcome goal of restoring health versus disease management.
SOURCE American College of Lifestyle Medicine