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Multivariate repeated measures models investigated characteristics associated with these dietary changes. The mean DASH score of the sample remained stable at 24.0 across the 12months. Very few participants (6.8%) improved diet quality consistently across the study period. No associations between DASH, energy, fruit or vegetable intake over time and characteristics were observed. This observational study suggests that without dedicated interventions (the natural course), most people newly diagnosed with T2DM will not achieve meaningful

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