PMID- 25897351 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150421 LR - 20231104 IS - 1948-9358 (Print) IS - 1948-9358 (Electronic) IS - 1948-9358 (Linking) VI - 6 IP - 3 DP - 2015 Apr 15 TI - Gut microbiota and Ma-Pi 2 macrobiotic diet in the treatment of type 2 diabetes. PG - 403-11 LID - 10.4239/wjd.v6.i3.403 [doi] AB - In the past 10 years the prevalence of type 2 diabetes mellitus (T2DM) has increased hugely worldwide, driven by a rise in the numbers of overweight and obese individuals. A number of diets have been shown to be effective for the management of T2DM: the Mediterranean diet, the vegetarian diet and the low-calorie diet. Results of studies clearly indicate, however, that the efficacy of these diets is not solely related to the biochemical structure of the individual nutrients they contain. This review discusses this point with reference to the potential role of the intestinal microbiota in diabetes. The macrobiotic Ma-Pi 2 diet is rich in carbohydrates, whole grains and vegetables, with no animal fat or protein or added sugar. In short- and medium-term trials conducted in patients with T2DM, the Ma-Pi 2 diet has been found to significantly improve indicators of metabolic control, including fasting blood glucose, glycosylated hemoglobin, the serum lipid profile, body mass index, body weight and blood pressure. The diet may also alter the gut microbiota composition, which could additionally affect glycemic control. As a result, the Ma-Pi 2 diet could be considered a valid additional short- to medium-term treatment for T2DM. FAU - Fallucca, Francesco AU - Fallucca F AD - Francesco Fallucca, "In Unam Sapientiam" Foundation, University La Sapienza, 00161 Rome, Italy. FAU - Fontana, Lucia AU - Fontana L AD - Francesco Fallucca, "In Unam Sapientiam" Foundation, University La Sapienza, 00161 Rome, Italy. FAU - Fallucca, Sara AU - Fallucca S AD - Francesco Fallucca, "In Unam Sapientiam" Foundation, University La Sapienza, 00161 Rome, Italy. FAU - Pianesi, Mario AU - Pianesi M AD - Francesco Fallucca, "In Unam Sapientiam" Foundation, University La Sapienza, 00161 Rome, Italy. LA - eng PT - Journal Article PT - Review PL - United States TA - World J Diabetes JT - World journal of diabetes JID - 101547524 PMC - PMC4398897 OTO - NOTNLM OT - Gut microbiota OT - Low-grade inflammation OT - Ma-Pi 2 macrobiotic diet OT - Metabolic control OT - Type 2 diabetes EDAT- 2015/04/22 06:00 MHDA- 2015/04/22 06:01 PMCR- 2015/04/15 CRDT- 2015/04/22 06:00 PHST- 2014/08/28 00:00 [received] PHST- 2015/01/10 00:00 [revised] PHST- 2015/01/30 00:00 [accepted] PHST- 2015/04/22 06:00 [entrez] PHST- 2015/04/22 06:00 [pubmed] PHST- 2015/04/22 06:01 [medline] PHST- 2015/04/15 00:00 [pmc-release] AID - 10.4239/wjd.v6.i3.403 [doi] PST - ppublish SO - World J Diabetes. 2015 Apr 15;6(3):403-11. doi: 10.4239/wjd.v6.i3.403.