Eddy Edson
Well-Known Member
- Relationship to Diabetes
- In remission from Type 2
... from the American College of Lifestyle Medicine
A final potential limitation relates to the dietary patterns of our expert panel participants, which are presented in the Declaration of Conflicting Interests portion of the article. Panelists self-reported that their diets, on average, consisted of 89% plant-based foods, ranging from 50% to 100%, with most food choices described as whole or minimally processed. This high prevalence of healthy, plant-based eating, as well as our discussion focused on plant-forward dietary patterns, may have introduced bias in favor of this approach that impacted responses to the iterative Delphi surveys. We have therefore disclosed this information so the reader can draw their own conclusions.
Conclusions
A diverse panel of experts, representing key stakeholders in managing adults with T2D, has agreed upon substantial aspects of using a WFPB dietary intervention to achieve disease remission. These statements, summarized in Tables 2–8, should help clinicians who manage adults with T2D in reaching shared decisions regarding remission as an optimal treatment outcome, the role of dietary intervention in facilitating this goal, and the specific aspects of diet and lifestyle that are most likely to result in success. Although our focus throughout was on quality improvement, including areas with evidence gaps, the consensus statements are not intended as “recommendations” for action, which are more appropriate in the context of clinical practice guideline development. Areas identified as needing further research include the role of reducing (or excluding) animal foods in promoting remission and assessing whether remission can be obtained with ad libitum food intake during a WFPB diet. There is also an ongoing need for additional randomized controlled trials to assess sustainable plant-based dietary interventions with whole or minimally processed foods, as a primary means of treating T2D with the goal of remission, as well as factors that lead to successful patient adherence and effective dissemination and implementation of such interventions.A final potential limitation relates to the dietary patterns of our expert panel participants, which are presented in the Declaration of Conflicting Interests portion of the article. Panelists self-reported that their diets, on average, consisted of 89% plant-based foods, ranging from 50% to 100%, with most food choices described as whole or minimally processed. This high prevalence of healthy, plant-based eating, as well as our discussion focused on plant-forward dietary patterns, may have introduced bias in favor of this approach that impacted responses to the iterative Delphi surveys. We have therefore disclosed this information so the reader can draw their own conclusions.
