Mixed
Glycemic Excursion Minimization (GEM), a lifestyle intervention focusing on reducing postprandial glucose spikes through carbohydrate moderation and post-meal physical activity, results in greater reductions in HbA1c, BMI, and cardiovascular risk compared to conventional weight loss therapy in adults with type 2 diabetes.
If you have type 2 diabetes, try focusing on minimizing blood sugar spikes after meals rather than just losing weight. Eat fewer carbohydrates, especially refined ones, and take a mild walk (or do light activity) for 10-30 minutes after eating. This approach can lower your HbA1c and cardiovascular risk more effectively than standard weight-loss diets, without requiring you to restrict total calories or deal with hunger.
GEM demonstrated a greater reduction in HbA1c (p=0.005), BMI (p=0.013), carbohydrate intake (p=0.001), BG response to a glucose challenge (p=0.02), and cardiovascular risk (p=0.003).
Why this rating
Randomized clinical trial with 178 participants, non-inferiority design, and statistically significant results for primary and secondary outcomes.
Source
Glycemic excursion minimization in the management of type 2 diabetes: a novel intervention tested in a randomized clinical trial
Daniel J. Cox et al. · BMJ Open Diabetes Research & Care · 2020
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