Macro partitioning
A Mediterranean eating plan supplemented with either extra-virgin olive oil or mixed nuts does NOT significantly reduce the need for initiating insulin therapy in patients with type 2 diabetes compared to a low-fat control diet.
While a Mediterranean diet with olive oil or nuts can help delay starting oral diabetes medications, it may not prevent the need for insulin therapy in all patients. Do not rely on diet alone to avoid insulin if your doctor recommends it based on your blood sugar levels.
The Med-EatPlan did not result in a significantly lower need for insulin.
Why this rating
RCT design, but the outcome was not statistically significant, limiting the strength of the negative claim.
Source
Effects of a Mediterranean Eating Plan on the Need for Glucose-Lowering Medications in Participants With Type 2 Diabetes: A Subgroup Analysis of the PREDIMED Trial
Francisco Javier Basterra-Gortari et al. · Diabetes Care · 2019
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