Macro partitioning
Adherence to Mediterranean, DASH, or American Diabetes Association dietary patterns is associated with a significantly lower risk of incident cardiovascular disease in postmenopausal women with type 2 diabetes mellitus.
If you have type 2 diabetes, aligning your diet with Mediterranean, DASH, or American Diabetes Association guidelines—emphasizing fruits, vegetables, whole grains, nuts, legumes, and healthy fats while limiting red meat, processed foods, and added sugar—is associated with a significantly lower risk of heart disease. This benefit was observed in a large group of postmenopausal women with diabetes over more than a decade.
Women with higher alternate Mediterranean, Dietary Approach to Stop Hypertension, and American Diabetes Association dietary pattern scores had a lower risk of CVD compared with women with lower scores (Q5 v Q1) (hazard ratio [HR]aMed 0.77, 95% CI 0.65–0.93; HRDASH 0.69, 95% CI 0.58–0.83; HRADA 0.71, 95% CI 0.59–0.86).
Why this rating
Large prospective cohort study (n=5809) with long follow-up (mean 12.4 years) and multivariable adjustment, though observational design limits causal inference.
Source
Diet Quality and Cardiovascular Disease Risk in Postmenopausal Women With Type 2 Diabetes Mellitus: The Women's Health Initiative
Kristin M. Hirahatake et al. · Journal of the American Heart Association · 2019
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