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2000
Volume 21, Issue 3
  • ISSN: 1573-4021
  • E-ISSN: 1875-6506

Abstract

Introduction

Type 2 diabetes is a metabolic disorder that is becoming more prevalent over time. Research has shown that the Mediterranean diet (MD) and intermittent fasting (IF) can improve the metabolic parameters of patients with type 2 diabetes. However, there has yet to be a study comparing the effectiveness of these two diets in diabetic patients. This review aims to compare the impact of the Mediterranean diet and intermittent fasting on glycemic, lipid, and anthropometric indices in patients with type 2 diabetes.

Methods

We selected clinical trial studies published between 2013 and 2023 that examined the impact of the MD and the IF diet on glycemic, lipid, and anthropometric indices in patients with type 2 diabetes, in the PubMed and Scopus databases on November 23, 2023, and were included in our study following the PRISMA guidelines.

Results

A total of 22 clinical trials meeting the inclusion criteria were chosen. Out of these, 13 clinical trials focused on the impact of the Mediterranean diet, while the remaining trials examined the effects of the IF diet on type 2 diabetes. The age range of participants in all studies was above 18 years, with the number of individuals investigated ranging from 9 to 557. The duration of the interventions varied from 1 week to 8 years. The MD and IF have both have been shown to effectively improve glycemic control, lipid profiles, and anthropometric measurements in patients with type 2 diabetes. However, the MD tends to offer more consistent and sustainable long-term benefits. This can be attributed to its rich composition of antioxidants, healthy fats, and dietary fiber. IF has demonstrated potential benefits for improving blood sugar levels and lipid profiles over short periods. However, its effectiveness may be compromised by the risk of hypoglycemia and the inconsistent commitment of patients.

Conclusion

These findings suggest that the MD is preferable for long-term, while IF may serve as a complementary short-term strategy. Further research in this area is necessary to provide a definitive opinion.

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2025-04-11
2025-11-08
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References

  1. 2. Classification and diagnosis of diabetes.Diabetes Care201740Suppl. 1S11S2410.2337/dc17‑S005 27979889
    [Google Scholar]
  2. DerrickS.A. NguyenS.T. MarthensJ.R. DambacherL.L. SikalidisA.K. ReavesS.K. A Mediterranean-style diet improves the parameters for the management and prevention of type 2 diabetes mellitus.Medicina20235910188210.3390/medicina59101882 37893600
    [Google Scholar]
  3. HarrisM.F. The metabolic syndrome.Aust. Fam. Physician2013428524527 23971058
    [Google Scholar]
  4. KahnS.E. HullR.L. UtzschneiderK.M. Mechanisms linking obesity to insulin resistance and type 2 diabetes.Nature2006444712184084610.1038/nature05482 17167471
    [Google Scholar]
  5. AssociationA.D. 8. Obesity management for the treatment of type 2 diabetes: Standards of medical care in diabetes—2021.Diabetes Care202144Suppl. 1S100S11010.2337/dc21‑S008 33298419
    [Google Scholar]
  6. LiuB. HutchisonA.T. ThompsonC.H. LangeK. HeilbronnL.K. Markers of adipose tissue inflammation are transiently elevated during intermittent fasting in women who are overweight or obese.Obes. Res. Clin. Pract.201913440841510.1016/j.orcp.2019.07.001 31302012
    [Google Scholar]
  7. EvertA.B. DennisonM. GardnerC.D. Nutrition therapy for adults with diabetes or prediabetes: A consensus report.Diabetes Care201942573175410.2337/dci19‑0014 31000505
    [Google Scholar]
  8. PapamichouD. PanagiotakosD.B. ItsiopoulosC. Dietary patterns and management of type 2 diabetes: A systematic review of randomised clinical trials.Nutr. Metab. Cardiovasc. Dis.201929653154310.1016/j.numecd.2019.02.004 30952576
    [Google Scholar]
  9. RosatoV. TempleN.J. La VecchiaC. CastellanG. TavaniA. GuercioV. Mediterranean diet and cardiovascular disease: A systematic review and meta-analysis of observational studies.Eur. J. Nutr.201958117319110.1007/s00394‑017‑1582‑0 29177567
    [Google Scholar]
  10. Salas-SalvadóJ. Guasch-FerréM. LeeC.H. EstruchR. ClishC.B. RosE. Protective effects of the Mediterranean diet on type 2 diabetes and metabolic syndrome.J. Nutr.20161464920S927S10.3945/jn.115.218487 26962178
    [Google Scholar]
  11. Alonso-DomínguezR. García-OrtizL. Patino-AlonsoM.C. Sánchez-AguaderoN. Gómez-MarcosM.A. Recio-RodríguezJ.I. Effectiveness of a multifactorial intervention in increasing adherence to the Mediterranean diet among patients with diabetes mellitus type 2: A controlled and randomized study (EMID Study).Nutrients201911116210.3390/nu11010162 30646500
    [Google Scholar]
  12. VaradyK.A. CienfuegosS. EzpeletaM. GabelK. Clinical application of intermittent fasting for weight loss: Progress and future directions.Nat. Rev. Endocrinol.202218530932110.1038/s41574‑022‑00638‑x 35194176
    [Google Scholar]
  13. KoopmanA.D.M. RauhS.P. van ’t RietE. The association between social jetlag, the metabolic syndrome, and type 2 diabetes mellitus in the general population: The new hoorn study.J. Biol. Rhythms201732435936810.1177/0748730417713572 28631524
    [Google Scholar]
  14. VetterC. DashtiH.S. LaneJ.M. Night shift work, genetic risk, and type 2 diabetes in the UK biobank.Diabetes Care201841476276910.2337/dc17‑1933 29440150
    [Google Scholar]
  15. RodenM. PerseghinG. PetersenK.F. The roles of insulin and glucagon in the regulation of hepatic glycogen synthesis and turnover in humans.J. Clin. Invest.199697364264810.1172/JCI118460 8609218
    [Google Scholar]
  16. IzumidaY. YahagiN. TakeuchiY. Glycogen shortage during fasting triggers liver–brain–adipose neurocircuitry to facilitate fat utilization.Nat. Commun.201341231610.1038/ncomms3316 23939267
    [Google Scholar]
  17. WangX. LiQ. LiuY. JiangH. ChenW. Intermittent fasting versus continuous energy-restricted diet for patients with type 2 diabetes mellitus and metabolic syndrome for glycemic control: A systematic review and meta-analysis of randomized controlled trials.Diabetes Res. Clin. Pract.202117910900310.1016/j.diabres.2021.109003 34391831
    [Google Scholar]
  18. CorleyB.T. CarrollR.W. HallR.M. WeatherallM. Parry-StrongA. KrebsJ.D. Intermittent fasting in Type 2 diabetes mellitus and the risk of hypoglycaemia: A randomized controlled trial.Diabet. Med.201835558859410.1111/dme.13595 29405359
    [Google Scholar]
  19. YangX. ZhouJ. ShaoH. Effect of an intermittent calorie-restricted diet on type 2 diabetes remission: A randomized controlled trial.J. Clin. Endocrinol. Metab.202310861415142410.1210/clinem/dgac661 36515429
    [Google Scholar]
  20. TeongX.T. LiuK. VincentA.D. Intermittent fasting plus early time-restricted eating versus calorie restriction and standard care in adults at risk of type 2 diabetes: A randomized controlled trial.Nat. Med.202329496397210.1038/s41591‑023‑02287‑7 37024596
    [Google Scholar]
  21. LasaA. MirandaJ. BullóM. Comparative effect of two Mediterranean diets versus a low-fat diet on glycaemic control in individuals with type 2 diabetes.Eur. J. Clin. Nutr.201468776777210.1038/ejcn.2014.1 24518752
    [Google Scholar]
  22. MaiorinoM.I. BellastellaG. PetrizzoM. Effect of a Mediterranean diet on endothelial progenitor cells and carotid intima-media thickness in type 2 diabetes: Follow-up of a randomized trial.Eur. J. Prev. Cardiol.201724439940810.1177/2047487316676133 27798369
    [Google Scholar]
  23. MuscogiuriG. BarreaL. Di SommaC. Patient empowerment and the Mediterranean diet as a possible tool to tackle prediabetes associated with overweight or obesity: A pilot study.Hormones2019181758410.1007/s42000‑018‑0090‑9 30644069
    [Google Scholar]
  24. MoherD LiberatiA TetzlaffJ AltmanDG Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement.Ann Intern Med20091514264-269W64.10.7326/0003‑4819‑151‑4‑200908180‑00135 19622511
    [Google Scholar]
  25. Morales-Suarez-VarelaM. Collado SánchezE. Peraita-CostaI. Llopis-MoralesA. SorianoJ.M. Intermittent fasting and the possible benefits in obesity, diabetes, and multiple Sclerosis: A systematic review of randomized clinical trials.Nutrients2021139317910.3390/nu13093179 34579056
    [Google Scholar]
  26. BurnsP.B. RohrichR.J. ChungK.C. The levels of evidence and their role in evidence-based medicine.Plast. Reconstr. Surg.2011128130531010.1097/PRS.0b013e318219c171 21701348
    [Google Scholar]
  27. AndriessenC. FealyC.E. VeelenA. Three weeks of time-restricted eating improves glucose homeostasis in adults with type 2 diabetes but does not improve insulin sensitivity: A randomised crossover trial.Diabetologia202265101710172010.1007/s00125‑022‑05752‑z 35871650
    [Google Scholar]
  28. CarterS. CliftonP.M. KeoghJ.B. The effects of intermittent compared to continuous energy restriction on glycaemic control in type 2 diabetes; a pragmatic pilot trial.Diabetes Res. Clin. Pract.201612210611210.1016/j.diabres.2016.10.010 27833048
    [Google Scholar]
  29. CarterS. CliftonP.M. KeoghJ.B. The effect of intermittent compared with continuous energy restriction on glycaemic control in patients with type 2 diabetes: 24-month follow-up of a randomised noninferiority trial.Diabetes Res. Clin. Pract.2019151111910.1016/j.diabres.2019.03.022 30902672
    [Google Scholar]
  30. ObermayerA. TripoltN.J. PferschyP.N. Efficacy and safety of intermittent fasting in people with insulin-treated type 2 diabetes (INTERFAST-2)—A randomized controlled trial.Diabetes Care202346246346810.2337/dc22‑1622 36508320
    [Google Scholar]
  31. KahleovaH. BelinovaL. MalinskaH. Eating two larger meals a day (breakfast and lunch) is more effective than six smaller meals in a reduced-energy regimen for patients with type 2 diabetes: A randomised crossover study.Diabetologia20145781552156010.1007/s00125‑014‑3253‑5 24838678
    [Google Scholar]
  32. LiC. SadraieB. SteckhanN. Effects of a one-week fasting therapy in patients with type-2 diabetes mellitus and metabolic syndrome – A randomized controlled explorative study.Exp. Clin. Endocrinol. Diabetes2017125961862410.1055/s‑0043‑101700 28407662
    [Google Scholar]
  33. Al-AubaidyH.A. DayanA. DeseoM.A. Twelve-week Mediterranean diet intervention increases citrus bioflavonoid levels and reduces inflammation in people with type 2 diabetes mellitus.Nutrients2021134113310.3390/nu13041133 33808180
    [Google Scholar]
  34. EspositoK. MaiorinoM.I. PetrizzoM. BellastellaG. GiuglianoD. The effects of a Mediterranean diet on the need for diabetes drugs and remission of newly diagnosed type 2 diabetes: Follow-up of a randomized trial.Diabetes Care20143771824183010.2337/dc13‑2899 24722497
    [Google Scholar]
  35. Gomez-MarinB. Gomez-DelgadoF. Lopez-MorenoJ. Long-term consumption of a Mediterranean diet improves postprandial lipemia in patients with type 2 diabetes: The Cordioprev randomized trial.Am. J. Clin. Nutr.2018108596397010.1093/ajcn/nqy144 30475968
    [Google Scholar]
  36. GudbanN. YehudaI. NasirW. SobohS. TamirS. BlumA. Effect of telemedicine dietary intervention for endothelial function in patients with type 2 diabetes mellitus on Mediterranean diet.Isr. Med. Assoc. J.20212328993 33595213
    [Google Scholar]
  37. IsmaelS. SilvestreM.P. VasquesM. A pilot study on the metabolic impact of mediterranean diet in type 2 diabetes: Is gut microbiota the key?Nutrients2021134122810.3390/nu13041228 33917736
    [Google Scholar]
  38. JinS.M. AhnJ. ParkJ. HurK.Y. KimJ.H. LeeM.K. East Asian diet‐mimicking diet plan based on the Mediterranean diet and the Dietary Approaches to Stop Hypertension diet in adults with type 2 diabetes: A randomized controlled trial.J. Diabetes Investig.202112335736410.1111/jdi.13384 32772491
    [Google Scholar]
  39. Turner-McGrievyG.M. WilsonM.J. CarswellJ. A 12-week randomized intervention comparing the healthy US, Mediterranean, and vegetarian dietary patterns of the US dietary guidelines for changes in body weight, hemoglobin A1c, blood pressure, and dietary quality among african american adults.J. Nutr.2023153257958710.1016/j.tjnut.2022.11.020 36894249
    [Google Scholar]
  40. Zahedi YazdiM. AkhlaghS. AboomardaniM. AlipoorR. HosseiniS. Rezaei ShahmirzadiA. Efficacy of Mediterranean diet on blood biochemical factors in type II diabetic patients: A randomized controlled trial.Gazi Medical Journal202031714718
    [Google Scholar]
  41. EspositoK. MaiorinoM.I. BellastellaG. ChiodiniP. PanagiotakosD. GiuglianoD. A journey into a Mediterranean diet and type 2 diabetes: A systematic review with meta-analyses.BMJ Open201558e00822210.1136/bmjopen‑2015‑008222 26260349
    [Google Scholar]
  42. CalderP.C. AhluwaliaN. BrounsF. Dietary factors and low-grade inflammation in relation to overweight and obesity.Br. J. Nutr.2011106S3Suppl. 3S5S7810.1017/S0007114511005460 22133051
    [Google Scholar]
  43. SilvaA.I. DireitoM. Pinto-RibeiroF. LudovicoP. Sampaio-MarquesB. Effects of intermittent fasting on regulation of metabolic homeostasis: A systematic review and meta-analysis in health and metabolic-related disorders.J. Clin. Med.20231211369910.3390/jcm12113699 37297894
    [Google Scholar]
  44. SuttonE.F. BeylR. EarlyK.S. CefaluW.T. RavussinE. PetersonC.M. Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes.Cell Metab.201827612121221.e310.1016/j.cmet.2018.04.010 29754952
    [Google Scholar]
  45. PapamichouD. PanagiotakosD.B. HolmesE. The rationale and design of a Mediterranean diet accompanied by time restricted feeding to optimise the management of type 2 diabetes: The MedDietFast randomised controlled trial.Nutr. Metab. Cardiovasc. Dis.202232122023010.1016/j.numecd.2021.09.031 34836715
    [Google Scholar]
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