Intensive dietary advice significantly improves HbA(1c) in people with type 2 diabetes who remain hyperglycaemic despite optimised drug treatment.

摘要

Pharmacological treatments, once considered 'second step' treatments for type 2 diabetes (T2D) after the 'first step' of diet therapy and physical activity, have increasingly become part of the first step of treatments. Clinical guidelines for diabetes treatment outline the important role that lifestyle plays even after pharmacological treatments have been initiated. However, patients find adherence to appropriate dietary patterns to be one of the most difficult aspects of treatment to implement consistently, and evidence suggests that the recommended dietary patterns are not well followed. Do we really need dietaryutrition therapy after drug therapy has been initiated?