One particular message continues to make its rounds from the World Congress on Insulin Resistance, Diabetes, and Cardiovascular Disease. The message is from Sarah Hallberg's low-carb diet presentation for reversing type 2 diabetes.
"Carbohydrate restriction is a viable patient choice for type 2 diabetes reversal."
- Nutritional ketosis supports diabetes reversal
- Low-carb nutritional patters have extensive clinical evidence for improvement of type 2 diabetes
- Keto diet is not a fad, it's the old way of treating people before insulin
- Possible 'misuse' of insulin in type 2 diabetes- where nutritional counseling 'the way we used to about food'
- American Diabetes Association and others updated their guidelines to include low-carb eating patters for type 2 diabetes
- Differences between low-carb, very-low-carb, and well-formulated Ketogenic diets
- "Dr. Hallberg, who is also medical director for Virta Health, defined a very-low-carbohydrate or ketogenic diet as less than 50 g of carbohydrates per day, or fewer than 10% of calories consumed. A low-carbohydrate diet is 51-130 g of carbohydrates per day, or 25% or fewer calories consumed, whereas anything above 25% calories consumed is a not a low-carbohydrate diet. A well-formulated ketogenic diet, she continued, consists of 5%-10% carbohydrates (or less than 50 g), 15%-20% protein, and 70%-80% fat. The carbohydrates include 5-10 g per day of protein-based food, 10-15 g of vegetables, 5-10 g of nuts/seeds, 5-10 g of fruits, and 5-10 g of miscellaneous nutrients. “When we’re talking about a total carbohydrate intake per day of under 50 g, you can get a lot of vegetables and nuts in,” she said. “I like to tell my patients they’re not eating GPS: no grains, no potatoes, and no sugar.”
- Research highlights from Dr. Hallberg's presentation
- Evidence varies widely for Mediterranean, plant-based, DASH, but Dr. Hallberg's team suggests low-carb eating patterns for diabetes have stronger evidence comparatively
- Patients can expect fast results - https://annals.org/aim/article-abstract/718265/effect-low-carbohydrate-diet-appetite-blood-glucose-levels-insulin-resistance
- Patients experienced significant decreases in body weight, LDL, triglycerides, and urea while HDL increased -https://link.springer.com/article/10.1007%2Fs11010-007-9448-z
- Compared to low-fat and Mediterranean diets, Low-carb diet showed better weight loss, though less drop in fasting glucose, and best changes toHbA1c - https://www.nejm.org/doi/full/10.1056/NEJMoa0708681
- Dietary modification led to improvements in glycemic control and medication reduction/elimination in motivated volunteers with type 2 diabetes. The diet lower in carbohydrate led to greater improvements in glycemic control, and more frequent medication reduction/elimination than the low glycemic index diet. Lifestyle modification using low carbohydrate interventions is effective for improving and reversing type 2 diabetes. - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2633336/
- Preliminary research from Dr. Hallberg's 5-year study shows a retention rate of 83% after 1 year and 74% at 2 years. At the end of 2 years, the mean HbA1c reduction was 0.9, the mean reduction for the Homeostatic Model Assessment of Insulin Resistance was 32%, and 55% of completers experienced reversal of their diabetes. Overall, 91% of insulin users reduced or eliminated their use of insulin, and the average weight loss was 10% of baseline weight. - https://clinicaltrials.gov/ct2/show/NCT02519309
Here it is distilled, “This is huge from a cost-savings and a patient-satisfaction standpoint. We were improving A1c levels in patients who have had diabetes for an average of over 8 years while we were getting [them] off medication, including insulin. Low carb is now the standard of care.”
Cost-effective, evidence-based, diverse treatment.