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World J Diabetes. Jun 15, 2014; 5(3): 267-281
Published online Jun 15, 2014. doi: 10.4239/wjd.v5.i3.267
Functional foods-based diet as a novel dietary approach for management of type 2 diabetes and its complications: A review
Parvin Mirmiran, Zahra Bahadoran, Fereidoun Azizi
Parvin Mirmiran, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran 19395-4763, Iran
Zahra Bahadoran, Nutrition and Endocrine Research Center, and Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran 19395-4763, Iran
Fereidoun Azizi, Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran 19395-4763, Iran
Author contributions: All authors contributed equally to the manuscript.
Supported by Research Institute of Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Correspondence to: Fereidoun Azizi, MD, Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, No 24 Parvaneh St, Yemen St, Chamran Exp, Tehran 19395-4763, Iran. azizi@endocrine.ac.ir
Telephone: +98-21-22432500 Fax: +98-21-22416264
Received: November 24, 2013
Revised: January 11, 2014
Accepted: April 11, 2014
Published online: June 15, 2014
Processing time: 204 Days and 0.7 Hours
Abstract

Type 2 diabetes is a complicated metabolic disorder with both short- and long-term undesirable complications. In recent years, there has been growing evidence that functional foods and their bioactive compounds, due to their biological properties, may be used as complementary treatment for type 2 diabetes mellitus. In this review, we have highlighted various functional foods as missing part of medical nutrition therapy in diabetic patients. Several in vitro, animal models and some human studies, have demonstrated that functional foods and nutraceuticals may improve postprandial hyperglycemia and adipose tissue metabolism modulate carbohydrate and lipid metabolism. Functional foods may also improve dyslipidemia and insulin resistance, and attenuate oxidative stress and inflammatory processes and subsequently could prevent the development of long-term diabetes complications including cardiovascular disease, neuropathy, nephropathy and retinopathy. In conclusion available data indicate that a functional foods-based diet may be a novel and comprehensive dietary approach for management of type 2 diabetes.

Keywords: Type 2 diabetes; Insulin resistance; Functional foods; Whole grain; Legumes; Nuts; Fruits; Herbs or spices; Vegetables; Prebiotics; Probiotics

Core tip: Medical nutrition therapy (MNT) is a main part of type 2 diabetes management. Apparently the therapeutic and medicinal properties of foods maybe a missing step during MNT process, and could enhance the effectiveness of dietary management of type 2 diabetes.