Review Article

Dietary Treatment Options for Depression among Diabetic Patient, Focusing on Macronutrients

Table 1

A summary of the most important papers which were reviewed in the current paper.

Reference/yearSubjects/country The intervention and control dietsThe duration of interventionDepression assessmentfindings

Ma et al. [36], 200840 individuals with poorly controlled type 2 diabetes, USAParallel and randomized clinical trial/Low GI versus ADA dietary education12 monthsCenter for Epidemiological Studies-Depression Scale (CES-D)In spite of a slight improvement in both dietary interventions, changes in depressive symptoms did not reach significant difference between 2 interventions

Mwamburi et al. [37], 2011976 homebound elders (30% of participants with type 2 diabetes), USACross-sectional studyCenter for Epidemiological Studies-Depression Scale (CES-D)Depressed patients had higher dietary GI than non-depressed.

Umegaki et al. [38], 2009653 elderly diabetic patients, JapanCross-sectional studyGDS-15 scores of 6 and higherPositive association between higher percentage of carbohydrate intake and depression in women but not men

Ciarambino et al. [39], 201152-years-old type 2 diabetic patients with renal failure, ItalyAt first a normal protein diet (1.2 g/kg/d), then randomization for consuming either an LPD (0.8 g/kg/d) for 7 d a wk (LPD 7/7) or for 6 d a wk (LPD 6/7) 4 weeksGeriatric Depression Scale (GDS-15) and Beck Depression
Inventory (BDI)
7/7 LPD increased the symptoms of depression versus normal protein diet.

Ciarambino et al. [40], 201238 elderly Type 2 diabetic patients with CRD (Stage 3–4), ItalyAfter 4 weeks on a normal protein diet (1.0 g/kg/d), participants were assigned for an LPD (0.7 g/kg/day), either 7 days a week (LPD 7/7) or 6 days a week (LPD 6/7).30 monthsGeriatric Depression Scale (GDS-15)7/7 LPD significantly leads to more increment in the score of geriatric depression scale (GDS-15) rather than 6/7 LPD.

Stanger et al. [41], 200925 DM (type 1 or 2) and
MDD, who used their current antidepressant medication for at least two months, Netherlands
Randomized, double-blind, placebo-controlled trial/comparing add-on ethyl-EPA-supplementation (1 g/d) to placebo 12 weeksDSM-IVNo beneficial effects of EPA on depressive symptoms

Bot et al. [42], 201025 DM and MDD patients, who were already using antidepressant medication, NetherlandsRandomized, placebo-controlled, double-blind, parallel-group/comparing add-on ethyl-EPA-supplementation (1 g/d) to placebo12 weeksDSM-IVNo beneficial effects of EPA on depressive symptoms