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“Diabetes, a disorder of carbohydrate metabolism, is characterized by high blood glucose level and glycosuria resulting from dysfunction of pancreatic beta cells and insulin resistance; in advance stages of diabetes, metabolism of protein and lipids are altered. When patients are able to keep blood glucose levels closer to normal, fewer complications occur. Over 90% of known diabetic patients are Type 2 (Marieb, 2010) and diet plays a key role in the treatment. Nutrients needed for health, divide into carbohydrates, lipids, proteins, vitamins, minerals, and water. Most foods offer a combination of nutrients but some categories and larger quantities elevate glucose levels. This paper serves to compare the ADA low fat, low carbohydrate diet to the Paleo, the Atkins, the Alkaline Acid diets, and food combining; offering possible alternatives for the diabetic patient.