Research
Hormonal
Excessive consumption of sugars and refined starches, rather than saturated fat, is the primary dietary driver of atherogenic dyslipidemia and coronary heart disease risk in people with diabetes.
To reduce heart disease risk, prioritize reducing sugars and refined starches over reducing dietary fat. High carbohydrate intake drives the production of harmful small dense LDL particles, even if total cholesterol appears normal.
LimitedSupportsLOW confidence
The likely dietary culprits that influence CHD... Excessive consumption of sugars and refined starches due to the low-fat dietary recommendations and food manufacturer influences which have been shown to be detrimental to health, increase insulin resistance, atherogenic dyslipidemia, NAFLD inflammation and energy expenditure.
Why this rating
Based on mechanistic arguments and citations of systematic reviews, but presented as an opinion piece.
Source
‘Saturated fat doesn't increase coronary heart disease in people with diabetes’
Trudi Deakin et al. · Practical Diabetes · 2015
DOI 10.1002/pdi.1967
narrative_review
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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