Preventing Type 2 Diabetes: The Importance of Eating an Anti-Inflammatory Diet

Eating a diet that is high in inflammatory foods can increase your risk of developing type 2 diabetes. This article explains how dietary inflammatory potential affects type 2 diabetes risk, and provides tips for eating an anti-inflammatory diet.

DR T S DIDWAL MD

3/23/20245 min read

sliced fruits in ceramic plate
sliced fruits in ceramic plate

This study published in the journal Diabetologia shows diets high in inflammation and insulin-spiking foods have specific metabolic signatures linked to increased type 2 diabetes risk. These signatures go beyond simply measuring diet, suggesting these patterns influence diabetes risk through deeper metabolic pathways. Targeting these pathways through diet and lifestyle could offer new strategies for prevention.

Key points

  • Diets high in inflammation and insulin-boosting foods are linked to an increased risk of type 2 diabetes.

  • However, it's unclear if specific metabolic profiles related to these dietary patterns and inflammatory/insulin biomarkers also raise the risk.

Methods:

  • Researchers analyzed data from over 6,800 participants in two long-term studies.

  • They assessed:

    • Dietary patterns for inflammation and insulin response (through questionnaires).

    • Blood levels of inflammatory markers and a marker of insulin secretion (C-peptide).

    • Blood metabolite profiles (using a sensitive technique called LC-MS/MS).

  • They then identified groups of metabolites associated with each dietary pattern and biomarker.

  • Finally, they investigated whether these "metabolomic signatures" were linked to developing type 2 diabetes later in life.

Results:

  • 27 metabolites were linked to both the inflammatory dietary pattern and circulating inflammatory markers.

  • 21 metabolites were linked to both the insulin-boosting dietary pattern and C-peptide levels.

  • A combined "metabolomic dietary inflammatory potential" (MDIP) score, considering both the dietary pattern and inflammatory markers, was strongly associated with type 2 diabetes risk. People with the highest MDIP score were over three times more likely to develop diabetes compared to those with the lowest.

  • Similar results were found for a "metabolomic dietary index for hyperinsulinaemia" (MDIH) score, considering the insulin-boosting dietary pattern and C-peptide levels.

  • Even after adjusting for diet scores, the metabolomic signatures (MDIP and MDIH) remained significantly associated with type 2 diabetes, suggesting they offer additional insights into disease risk.

Conclusion:

  • This study provides strong evidence that specific metabolic profiles linked to pro-inflammatory and hyperinsulinaemic diets and related biomarkers play a role in increasing the risk of type 2 diabetes.

  • These findings suggest that targeting these metabolic pathways through dietary and lifestyle modifications could be a promising strategy for preventing type 2 diabetes.

Additional Points:

  • The study also identified metabolomic signatures associated with each dietary pattern or biomarker alone, which showed even stronger associations with type 2 diabetes risk.

  • This suggests that both dietary patterns and their combined metabolic effects contribute to the risk of developing the disease.

  • Further research is needed to identify the specific metabolites driving these associations and to develop interventions targeting these pathways.

In our ongoing quest to understand and manage the risk factors associated with type 2 diabetes, delving into the intricate relationship between dietary choices and inflammation is crucial. This article explores how dietary inflammatory potential significantly influences the risk of developing type 2 diabetes.

What is dietary inflammatory potential?

Dietary inflammatory potential refers to the capacity of the foods we consume to either promote or reduce inflammation in the body. Recognizing the role of chronic inflammation in the development of type 2 diabetes, it becomes essential to comprehend this link.

Understanding the Link

The connection between dietary inflammatory potential and type 2 diabetes risk centres on chronic inflammation. Consistent consumption of foods that provoke inflammation disrupts the body's delicate balance, leading to insulin resistance and significantly contributing to the development of type 2 diabetes.

High-inflammatory Foods

Mitigating the risk of type 2 diabetes involves being aware of foods that tend to promote inflammation. Processed meats, sugary beverages, and trans fats are among the culprits that when regularly consumed, increase inflammation and diabetes risk.

Low-inflammatory Foods

Conversely, certain foods can help reduce inflammation and, by extension, the risk of type 2 diabetes. Fruits, vegetables, whole grains, and fatty fish are highlighted for their anti-inflammatory properties, making them crucial components of a diabetes-preventive diet.

The Role of Dietary Patterns

Dietary patterns, such as the Mediterranean diet, play a vital role in diabetes risk. Characterized by an abundance of fruits, vegetables, and olive oil, the Mediterranean diet's anti-inflammatory nature has been associated with a lower risk of type 2 diabetes.

The latest research published in the journal Diabetologia

As diet plays a pivotal role in overall health, emerging research sheds light on the association between diets with higher inflammatory and insulinemic potential and increased susceptibility to type 2 diabetes. A comprehensive analysis of a study involving 6840 participants reveals intriguing insights into the plasma metabolome related to dietary patterns and inflammatory biomarkers.

Metabolomic Signatures and Their Implications

Metabolomic profiling, conducted through advanced techniques like LC-MS/MS, unveils insights into the relationship between dietary patterns and the risk of type 2 diabetes. Specific metabolites associated with proinflammatory or hyperinsulinaemic diets show a strong positive association with the risk of type 2 diabetes.

Conclusion

This study provides compelling evidence that metabolomic signatures linked to proinflammatory or hyperinsulinaemic diets and related biomarkers are strongly associated with an increased risk of type 2 diabetes. This insight is invaluable for healthcare professionals and individuals aiming to reduce their risk of this chronic condition.

Additional Points:

  • The study also identifies metabolomic signatures associated with each dietary pattern or biomarker alone, emphasizing the combined metabolic effects on diabetes risk.

  • Further research is needed to identify the specific metabolites driving these associations and develop interventions targeting these pathways.

Discussion

These findings suggest that diets with a proinflammatory or hyperinsulinaemic potential, as reflected in their metabolomic signatures, are positively associated with a higher risk of type 2 diabetes. This underscores the critical role that dietary choices play in influencing the regulation of metabolism and, subsequently, the development of type 2 diabetes. Proinflammatory and Hyperinsulinaemic diets include a high intake of processed meat, red meat, refined carbohydrates, sweetened beverages, cream soup, margarine and butter, etc and a low intake of green vegetables, dark yellow vegetables, whole grains, tea, coffee, fruits, and wine, etc.

Conclusion In conclusion, this study provides compelling evidence that the metabolomic signatures associated with proinflammatory or hyperinsulinaemic diets and related biomarkers are strongly linked to an increased risk of type 2 diabetes. This insight is invaluable for both healthcare professionals and individuals seeking to reduce their risk of developing this chronic condition. By understanding the impact of specific dietary choices on the metabolomic profile, individuals can make more informed decisions regarding their dietary habits and, in turn, enhance their overall health.

Reference

Lee, D. H., Qi, J., Shi, N., Wang, F., Bever, A. M., Liang, L., Hu, F. B., Song, M., Zeleznik, O. A., Zhang, X., Joshi, A. D., Wu, K., Jeon, J. Y., Meyerhardt, J. A., Clish, C. B., Eliassen, A. H., Clish, C. B., Clinton, S. K., Giovannucci, E., . . . Tabung, F. K. (2023, October 11). The metabolic potential of inflammatory and insulinaemic dietary patterns and risk of type 2 diabetes. Diabetologia. https://doi.org/10.1007/s00125-023-06021-3

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