Macro partitioning
An isocaloric diet enriched in monounsaturated fatty acids (MUFA) significantly reduces hepatic fat content in type 2 diabetic patients, independent of weight loss or aerobic exercise.
If you have Type 2 Diabetes and high liver fat, switching to a diet rich in monounsaturated fats (like olive oil, nuts, avocados) while keeping your total calories the same can significantly reduce liver fat, even if you don't lose weight. This effect was stronger than a high-carb/high-fiber diet and occurred regardless of whether you exercised. Focus on the quality of your fats rather than just avoiding fat entirely.
Liver fat content decreased more in MUFA (229%) and MUFA+Ex (225%) groups than in CHO/fiber (24%) and CHO/fiber+Ex groups (26%).
Why this rating
Randomized controlled trial with strict adherence monitoring and gold-standard NMR measurement, though limited to a specific diabetic population.
Source
Liver Fat Is Reduced by an Isoenergetic MUFA Diet in a Controlled Randomized Study in Type 2 Diabetic Patients
Lutgarda Bozzetto et al. · Diabetes Care · 2012
DOI 10.2337/dc12-0033
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