The effect of dietary intervention on serum lipid levels in type 2 diabetes mellitus |
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Authors: | Cater Nilo B Garg Abhimanyu |
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Institution: | (1) Department of Internal Medicine, Center for Human Nutrition, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, 75390-9052 Dallas, TX, USA |
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Abstract: | Dietary therapy is the cornerstone of lipid management in patients with type 2 diabetes mellitus. The key strategies are the
reduction of intake of saturated fat, trans unsaturated fat and cholesterol, and the reduction of energy intake to promote
weight loss. This approach will produce significant improvements in the serum levels of low-density lipoprotein (LDL) cholesterol,
triglycerides, and high-density lipoprotein (HDL) cholesterol. According to both the American Diabetes Association and the
National Cholesterol Education Program (NCEP), the primary target of therapy is the serum LDL cholesterol level, with the
secondary targets being non-HDL cholesterol, triglycerides, and HDL cholesterol. The recently updated guidelines of the NCEP
place new emphasis on increasing soluble fiber intake to 10 to 25 g/d and adding foods fortified with plant stanols/sterols
(2 g/d) as options to enhance the LDL cholesterol-lowering effect of diet. |
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Keywords: | |
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