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Patients with Type-2 diabetes who follow a strict low carbohydrate diet for six months may experience greater rates of remission compared with other recommended diets without adverse effects, a new study suggests.
Most benefits diminished at 12 months, but say doctors might consider short-term strict low carbohydrate diets for managing Type-2 diabetes, while actively monitoring and adjusting diabetes medication as needed, the researchers, including Joshua Z. Goldenberg from Texas A&M University, said.
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“Future long term, well designed, calorie-controlled randomized trials are needed to determine the effects of LCD on sustained weight loss and remission of diabetes, as well as cardiovascular mortality and major morbidity,” the researchers said. A low-carb diet is a diet that restricts carbohydrates, such as those found in sugary foods, pasta, and bread. It is high in protein, fat and healthy vegetables.
Type-2 diabetes is the most common form of diabetes worldwide and diet is recognized as an essential part of treatment. But uncertainty remains about which diet to choose and previous studies have reported mixed results.
For the study, published in The BMJ journal, the team assessed the effectiveness and safety of low carbohydrate diets (LCDs) and very low carbohydrate diets (VLCDs) for people with Type-2 diabetes, compared with (mostly low fat) control diets based on analysis from 23 randomized trials involving 1,357 participants.
LCDs were defined as less than 26 percent daily calories from carbohydrates and VLCDs were defined as less than 10 percent daily calories from carbohydrates for at least 12 weeks in adults (average age 47 to 67 years) with Type-2 diabetes.
Based on low to moderate certainty evidence, the researchers found that patients on LCDs achieved higher diabetes remission rates at six months compared with patients on control diets, without adverse events. LCDs also increased weight loss, reduced medication use, and improved body fat (triglyceride) concentrations at six months. However, most of these benefits diminished at 12 months, a finding consistent with previous reviews, and some evidence showed worsening of quality of life and cholesterol levels at 12 months, the team said. (IANS)
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Federer, who made a late decision to attend this year's Laver Cup in Boston -- a tournament held between teams from Europe and the rest of the world -- said on the sidelines of the event that the recovery and rehabilitation are "going to take me a few more months and then we'll see how things are at some point next year". "The reception I've received, everybody is so upbeat that I'm here. They wish me all the best and they don't even see the crutches. They just want me to be good again and enjoy the weekend," Federer said in an interview for the event with former world No. 1 Jim Courier.
"I've seen some incredible tennis, some great matches and it's been wonderful. I'm really happy I made the trip," the winner of 20 majors was quoted as saying by atptour.com. On why he opted for a third surgery, the tennis ace said, "I was just nowhere near where I wanted to be to play at the top, top level. But I tried my best and at the end... too much is too much. Now I've just got to take it step by step," Federer said.
Federer received thunderous ovations inside Boston's TD Garden, where he has often been sitting in the front row watching the action or behind the scenes visiting with the players. The former world No. 1 has played in the first three editions of the Laver Cup. "I think Boston is a great city. The stadium is wonderful, the crowds have been incredible. Both teams are stacked with absolute quality and top players," Federer said. "That's what the idea was behind it: that everybody could come together, have the most incredible weekend, learn from one another and then hopefully that's going to inspire them, motivate them and get them going for the rest of this year, next year." (IANS/ MBI)
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By Hitesh Rathi
Used for Anti-Ageing and Healing
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