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Can eating one large Mediterranean-style meal daily help improve blood sugar control in diabetics? A recent study shows that it may be better than eating a low-fat diet or a low-carbohydrate diet.

The US Centers for Disease Control and Prevention reports that diabetes is the seventh leading cause of death in the country. Diabetes affects more than 25 million US residents and is strongly linked to stroke, heart disease, kidney failure, and blindness. The number of people who have blood sugar levels that are borderline diabetic or prediabetic is increasing, and it is estimated that around 80 million adults are at risk for becoming diabetic.

Diabetes is a chronic metabolic disease that is characterized by having high blood sugar levels. A subset called type 2 diabetes is usually linked to obesity. Although genetic factors may play a role in developing the disease, lifestyle factors are more often the cause of metabolic disturbance which is associated with diabetes. While type 2 diabetes has been called adult-onset diabetes in the past because it usually develops in people who are over 40, it is now starting to affect younger age groups.

Diet and Diabetes

Studies show that people who consume a Western-style diet have a high risk for developing heart disease, stroke, and diabetes.

This type of diet usually includes fast foods like fried chicken, burgers, pizza, fries, hot dogs, sandwiches and soda, which are high in fat and carbohydrate content. On the other hand, research shows that people who consume a Mediterranean-style diet, which is high in vegetables, fruits, whole-grain and nuts, are less likely to develop chronic diseases such as diabetes. Other types of diets that have been studied with regards to risk for diabetes include a low-fat diet and a low-carbohydrate diet, which have been found to have their own advantages and disadvantages.

Which Diet is Best for Diabetes?

There have been many studies done to determine which type of diet can reduce one's risk for diabetes or which one can help improve blood sugar control among diabetics. One study, which was published recently in the Annals of Internal Medicine showed that consuming a Mediterranean-style diet was associated with a forty percent lower risk for developing diabetes compared to a low-fat diet. The study included more than 3,500 adults ages 55 to 80 years, who were followed up for about four years.

Another recent study done in Sweden examined the effects of three diets on blood sugar, triglycerides, cholesterol, and hormone levels of diabetic patients. This time, researchers asked 21 patients to randomly cross-test three types of diet, which consisted of a low-fat diet, a low-carbohydrate diet, and a Mediterranean style diet. Meals consisted of breakfast and lunch with a little more than 1,000 calories, except that in the Mediterranean diet, participants only had black coffee for breakfast and the rest of the calories consumed at lunch, plus a glass of red wine.

Read More: Try The Mediterranean Diet For A Healthy Life

The results of the study showed that blood sugar, insulin and leptin levels did not increase much after a meal with a low-carbohydrate diet compared to a low-fat diet although triglyceride levels increased.

On the other hand, eating one large Mediterranean style meal did not increase blood sugar and insulin levels as much as the low-fat diet and even lowered triglyceride levels.

Health Benefits Of A Mediterranean-Style Diet

The Mediterranean diet features a way of eating that is practiced in countries bordering the Mediterranean sea. It emphasizes consumption of fruits, vegetables, whole grains, legumes, nuts, fish and lots of olive oil. This diet plan includes foods rich in fiber, omega-3 fatty acids and monounsaturated fats but limits the consumption of sweets, cheese and meat. The Swedish study highlighted that a Mediterranean-style diet often omits breakfast, includes a heavy lunch, and caps the meal with a glass of wine.

There is growing evidence that the Mediterranean diet may lower the risk for:

  • type 2 diabetes

  • heart disease

  • heart attack risk

  • high cholesterol

  • metabolic syndrome.

  • dementia and Alzheimer's disease

  • depression

  • Parkinson's disease

Some studies suggest that the Mediterranean diet may be beneficial for brain health and could potentially lower the risk of Alzheimer’s disease and other cognitive disorders. The Mediterranean diet is high in monounsaturated fats from olive oil and nuts, which can help lower LDL (the "bad" cholesterol) and increase HDL (the "good" cholesterol). Studies have shown that it can lower the risk of heart disease and stroke.

The high fiber content of the Mediterranean diet can promote healthy digestion and may reduce the risk of gastrointestinal disorders. Studies also suggest that following a Mediterranean diet is associated with longer life expectancy. This diet is rich in antioxidants and omega-3 fatty acids, which can help reduce inflammation in the body, a key factor in many chronic diseases. The diet’s focus on unrefined carbohydrates and fiber can help regulate blood sugar levels, reducing the risk of type 2 diabetes.

Since diabetes is often associated with obesity, health experts often advise patients to lose weight or maintain a healthy weight to prevent diabetes.

One study published in the New England journal of Medicine demonstrated that moderately obese people included in the study were most likely to lose weight by consuming a Mediterranean style diet compared to a low-fat or low-carbohydrate diet. Diabetic participants in the study also benefited from this type of diet because they had better blood sugar control and insulin levels.

How to Prepare Mediterranean-Style Meals

The Swedish trial that demonstrated the effects of a single large Mediterranean-style meal on blood glucose control among diabetics suggests that eating one meal instead of several small meals a day may be helpful in beating the disease. However, it was just an experiment, and it is not likely that one can maintain such a lifestyle in the long term. Some people would rather eat a heavy breakfast, and there are studies that show that such a practice is also beneficial for weight loss. Other studies have also shown that small, low-calorie meals during the day may work, and this may be the better option for some people. The main point, however, that is worth remembering, is that consuming a Mediterranean-style diet has more benefits than living on a Western-style diet, which is high in calorie, fat and sugar.

Read More: Mediterranean-Style Diet May Protect Your Kidneys

One does not have to go to Spain, Greece or Italy to learn how to prepare a Mediterranean-style meal. There are just some features to remember in this type of diet:

  • Eat a wide variety of fruits and vegetables everyday, including grapes, tomatoes, broccoli, blueberries, eggplant, peppers, olives, spinach, beans, and lentils.

  • Eat whole-grain foods daily, such as brown rice, oats, whole wheat bread, couscous, and pasta.

  • About 35 to 40% of your daily calories may come from healthy fat (unsaturated fats). Use olive oil, soybean, canola, and flaxseed oil.

  • Limit consumption of unhealthy or saturated fats from animal fat, whole milk, butter, coconut oil and palm oil.

  • Eat fish such as salmon, tuna, mackerel, trout, herring, and sardines.at least two times a week.

  • Eat low-fat dairy products such as cheese, milk, or yogurt in moderate amounts.

  • Eat moderate amounts of eggs and poultry only every two days or weekly.

  • Rather than relying on salt for flavor, use herbs and spices. Garlic, basil, oregano, rosemary, and thyme are commonly used in Mediterranean cooking.

  • Limit red meat consumption. Eat only three ounces of meat (about the size of a deck of playing cards) a few times in a month.

  • Take desserts, sweets or soda only a few times each week.

Sources & Links

  • Medpage Today. Health Toll of Fast Food Spreads Eastward. http://www.medpagetoday.com/Cardiology/Atherosclerosis/33601
  • Science Daily. Mediterranean Diet Without Breakfast Best Choice for Diabetics. http://www.sciencedaily.com/releases/2013/11/131128103839.htm
  • NEJM. Weight Loss with a Low-Carbohydrate, Mediterranean, or Low-Fat Diet. http://www.nejm.org/doi/full/10.1056/NEJMoa0708681
  • Medpage Today. Mediterranean Diet Cuts Risk of Diabetes. http://www.medpagetoday.com/PrimaryCare/DietNutrition/43672
  • CDC. National Diabetes Fact Sheet, 2100. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
  • Photo courtesy of Sodexo USA by Flickr : www.flickr.com/photos/sodexousa/6036281410/
  • Photo courtesy of Jeremy Noble by Flickr : www.flickr.com/photos/uberculture/2364514803/
  • www.medpagetoday.com
  • www.cdc.gov
  • www.nejm.org
  • www.sciencedaily.com

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