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Randomised controlled trial
For newly diagnosed type 2 diabetes, a low-carbohydrate Mediterranean diet may delay need for medication and improve chance of remission compared to a low-fat diet
  1. Carla K Miller
  1. Department of Human Sciences, Human Nutrition, Ohio State University, Columbus, Ohio, USA
  1. Correspondence to : Professor Carla K Miller, College of Education and Human Ecology, Ohio State University, 1787 Neil Ave., 325 Campbell Hall, Columbus, OH 43210, USA; miller.4453{at}

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Implications for practice and research

  • A Mediterranean diet resulted in fewer diabetes medications than a low-fat diet for up to 8 years, which could reduce healthcare costs.

  • A diet higher in fruits, vegetables, whole grains, lean meat, fatty fish, low-fat dairy products, nuts and monounsaturated oils should be promoted in diabetes management.


Type 2 diabetes is pandemic.1 Certain dietary patterns have been shown to exert a protective effect in the prevention of chronic diseases.2 Recently, dietary pattern research gained prominence over a single nutrient focus, because people usually consume …

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  • Competing interests None.