Paleo Diet A Lot Better Than American Diabetes Association Diet For Diabetes Type 2

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Title : Paleo Diet A Lot Better Than American Diabetes Association Diet For Diabetes Type 2
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Paleo Diet A Lot Better Than American Diabetes Association Diet For Diabetes Type 2

A just published study comparing The American Diabetes Association Diet using a hunter gatherer (paleolithic or paleo) diet, shows superior blood glucose control and improved insulin sensitivity around the paleo diet.

Metabolic and physiologic effects from consuming a hunter-gatherer (Paleolithic)-type diet in diabetes type 2 symptoms

Twenty-five patients with diabetes type 2 symptoms (50-69 years) were randomly used on the paleo (n=14) or ADA diet (n=10). They ate a ramp-up diet for seven days then the test diet for 2 weeks.

The Paleo diet contains meat, fish, poultry, eggs, fruit, vegetables, tree nuts, canola oil, mayonnaise and honey. Foods excluded were milk products, legumes, cereals, grains, potatoes and products containing potassium chloride. Some foods are not typically hunter- gatherer food: mayonnaise, carrot juice and domestic meat, but contained the nutritional characteristics of pre-agricultural foods. The diets were split into three meals and three snacks, all served by the research centre kitchen staff.

The diets contained enough calories so patients lost a maximum of 3 lbs, whenever they did calories were increased.

The primary outcomes due to this study were difference in insulin sensitivity and improvements in lipid profiles (total cholesterol, triglycerides and high-density lipoprotein (HDL) cholesterol). Blood pressure have also been measured.

Here may be the actual breakdown of diet eaten with the 14 day test period. What is interesting may be the the diets were matched for calories and macro-nutrients. Notable will be the carbohydrate content for both diets. Not at all low – carbs remain 400 grams on a daily basis. Previous studies of paleo diets when compared with standard diets were naturally short of carbohydrates, which means this study adjusted for that.


Results: Table from paper


Lipids (cholesterol)

There were statistically significant reductions overall cholesterol, HDL cholesterol and low-density lipoprotein (LDL) cholesterol within the Paleo diet . The total cholesterol, HDL cholesterol and LDL cholesterol trended downward for the ADA diet, but only the decline in HDL cholesterol reached statistical significance. The triglycerides trended downward into a greater degree around the Paleo diet than about the ADA diet.

Changes in Insulin resistance

Fructosamine, a marker of blood sugar levels control reduced by 34umol/l inside the paleo group and simply 3umol/l inside the ADA group. Insulin resistance (IR) improved more inside paleo group, and people with the worse IR from the beginning improved probably the most.



The diets were similar except the cause of carbohydrates inside the paleo diet was different —from fruits, vegetables and honey. The ADA group  ate rice, bread and pasta as recommended. There was a tremendous difference in fibre content in the diets —about 35 g/2500 kcal inside the paleo diet vs 12 g/2500 kcal within the ADA diet. It is possible the fibre slowed the post-prandial glucose rise and this this was the key driver improving overall glucose control.

There continues to be criticism how the ADA diet must have been full of whole grain carbohydrates with additional fibre. However people following ADA diet recommendations would typically choose similar grains to prospects provided on this study. The paleo meals are naturally an excellent source of fibre when selecting the recommended vegetables and fruit.

Another reason the paleo diet could be more successful compared to ADA diet would be the type of carbohydrate; vegetables and fruit have starch found in cells, instead of granular starch. This has a brilliant effect on gut bacteria, and recent reports show gut bacteria type is linked to diabetes type 2.

Microbiota associated with diabetes type 2 and its related complications

Comparison with ancestral diets suggests dense acellular carbohydrates promote an inflammatory microbiota, and could possibly be the primary dietary reason for leptin resistance and obesity

If you have diabetes type 2 symptoms, simply switching to some paleo diet of meat, fish, poultry, eggs, fruit, vegetables, tree nuts, organic olive oil, avocado, or a bit of honey,  and eating as much vegetables that you can manage can be your best bet to deal with it.



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