In terms of diabetes management, weight loss is the most consistent nutrition-related determinant of positive outcomes and should be considered a primary strategy. Traditionally, the diet recommended for weight loss is the healthy eating approach – a plant-based diet with plenty of fruit and vegetables and wholegrain and which is reduced in fat (especially saturated fat), sugar and salt.
There is emerging evidence that other strategies, including low carbohydrate diets, Mediterranean diets, meal replacements and very low calories diets are as effective as healthy eating. In addition, behavioural strategies improve outcomes and there appears to be a growing need for more flexibility in the approaches used for giving dietary advice.
How can we improve outcomes for weight loss in people at-risk of and with diabetes?