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Johns Hopkins Study Finds DASH4D Diet Cuts Blood Pressure in Adults With Type 2 Diabetes

Through reductions in carbohydrates paired with boosts in unsaturated fats to achieve a 4.6-point systolic drop, researchers are focusing on scaling the DASH4D diet for wider patient access

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Overview

  • The randomized crossover feeding trial published June 9 in JAMA Internal Medicine tested four diets over five weeks each and showed most blood pressure reductions occurred within the first three weeks of the low-sodium DASH4D intervention.
  • DASH4D combines rigorous sodium restriction with lower carbohydrate content, increased unsaturated fats and adjusted potassium levels to ensure safety for patients at risk of kidney complications.
  • Compared with a high-sodium typical American diet, the low-sodium DASH4D diet reduced systolic pressure by 4.6 mmHg and diastolic pressure by 2.3 mmHg among adults with type 2 diabetes.
  • Most participants were already taking multiple antihypertensive medications yet saw additional pressure drops translating to estimated risk reductions of 14% for stroke, 6% for cardiovascular events and 8% for heart failure.
  • Next steps aim to develop culturally adaptable meal plans, improve affordability and expand outreach so diverse populations can adopt the DASH4D diet alongside standard therapy.