The equal effectiveness of carbohydrate counting to calorie restriction as dietary management in patients with non-insulin-treated type 2 diabetes

基本碳水化合物（carb）计数可以是2型糖尿病（T2D）患者易于使用和有效的饮食疗法。然而，目前尚不清楚温和控制碳水化合物是否会导致适当限制卡路里，脂质和蛋白质。我们评估了碳水化合物计数作为饮食疗法在T2D患者中的疗效。研究开始后6个月，两组的BMI值均显著降低，但两组之间的值无显著差异。此外，血脂谱显示组间无显著差异。另一方面，对完成饮食指导方案的患者进行检查的结果显示，碳水化合物组的A1C水平显着降低，而卡路里组的A1C水平没有显着降低。我们首次发现，对于非胰岛素治疗的T2D患者，碳水化合物计数与热量限制同样有效。

Basic carbohydrate (carb) counting can be an easy-to-use and effective diet therapy for patients with type 2 diabetes (T2D). However, it is unknown whether mild control of carb can lead to proper restriction of calories, lipids and proteins. We evaluated the efficacy of carb counting as a dietary therapy in patients with T2D. BMI values of both groups significantly reduced 6 months after the start of the study, but the values showed no significant difference between the 2 groups. In addition, lipid profiles showed no significant difference between the groups. On the other hand, the findings from an examination of patients completing the dietary instruction protocol showed that the carb group had a significant A1C decrease, while the calorie group had no significant reduction in A1C levels. We, for the first time, revealed that the carb counting is equally effective as the calorie restriction for patients with non-insulin-treated T2D.