However, one expert said, “Dietary changes are part of the story, but carbohydrates are not the only text in this book.”
New research A study of the efficacy and safety of low-carb and ultra-low-carb diets for people with type 2 diabetes showed that those who adhered to the low-carb diet after 6 months showed the greatest health improvement.
The first systematic review to examine the safety and efficacy of such a diet in adults and to assess the remission rate of type 2 diabetes examined the combined effects of 23 international clinical trials involving 1357 participants. I did. Additional data from five of these clinical trials for markers of blood glucose status were also included.
People who follow a diet containing less than 26% of their daily calories from carbohydrates have a higher rate of type 2 diabetes remission than those who follow other diets traditionally recommended to manage their illness. Achieved.
Based on existing studies, the authors of the study concluded that a low-carb diet helps to achieve greater weight loss, reduces diabetes medications, and is more effective in improving glycemic control.
Further developments have shown that a low-carbohydrate diet approach is effective in leading to amelioration of type 2 diabetes, and such a diet is an effective alternative while monitoring and adjusting antidiabetic drugs as needed. It was suggested that it could be considered a means.
However, Dr. Gary Deed, chair of the RACGP Specified Interest Diabetes Network, is somewhat hesitant.
He said newsGP New studies show some promising results, but the question of transforming clinical trials into clinical outcomes is an important factor.
“Dietary changes are part of the story, but carbs aren’t the only sentence in the book,” he said.
“Where is the diabetic life cycle of patients in remission? If diabetes is longer, does this method work? If so, in which patients remission lasts longer than the time frame allotted for the study. Is it? “
He also emphasized that low-carb diets are not a panacea for the “many problems” that occur when a person has diabetes.
“Remember that people develop diabetes and it’s not a purely carb intolerant condition, as some people label it as diabetes,” he said.
“In addition to carbohydrate metabolism, there are complex pathophysiological processes that affect multiple systems in the body, not to mention human lifestyle and mental health.
“Not everyone can tolerate complex dietary changes, not because of lack of willpower. Many social determinants that affect health are complex in all of our lives. Has an impact. “
Dr. Deed said it is also important to use the term “reversal” rather than “reversal” in this context, especially when the research criteria are unclear.
‘[The term] “Reversal” has the meaning of the pathophysiological process that led to the complete correction of diabetes, “he said.
Dr. Gary Deed warns that low-carb diets are not a panacea for many of the problems that occur when a person has diabetes.
Dr. Deed said, citing “moderate to low certainty evidence” in a study that patients who have been on a low-carb diet for six months may experience diabetic remission without adverse effects. I believe it may not be.
“Further remission of weight loss may be associated with further development of hyperglycemia and recurrence of type 2 diabetes,” he said.
“It is important to note that people with impaired glucose parameters below the diagnostic criteria for diabetes are associated with an increased cardiovascular risk, which should not be ignored either.
“Therefore, people who have lost glucose due to dietary or weight changes may not have completely eliminated risk factors for heart and vascular disease … Therefore, the word” reversal “surprises the underlying risk. It is often misunderstood by people who are not fully aware of it. “
RACGP Diabetes General Practice HandbookDr. Deed, a clinical editor, states that the total amount of carbohydrates consumed may be a major dietary factor contributing to postprandial hyperglycemia.
Dr. Deed recommends a personalized approach to monitoring a patient’s diet.
“My advice is that adjusting dietary carbohydrates on the fly without coping with a healthy diet tends to cause nutritional imbalances and deficiencies,” he said.
“Carbohydrate quality and quantity should be considered for each indifferent patient in relation to the life cycle stage of diabetes and current medication / lifestyle.
“Careful advice may be required, and a certified dietitian is always recommended, especially if self-monitoring of blood sugar levels and the use of drugs that can induce hypoglycemia.”
He also said that low-carbohydrate diets pose a risk to some patients taking sodium-glucose cotransporter-2 (SGLT2) inhibitors, potentially fatal diabetic ketoacidosis (DKA). ) Warns that it may increase the risk.
The authors of the study show how new studies can help both healthcare providers and patients treat type 2 diabetes with a focus on diet by examining evidence of the effects of low-carbohydrate diets on clinical goals. I expect it to help you understand better.
However, Dr. Deed also states that a GP-centric holistic approach is needed.
‘GP can be supported [patients with diabetes] Addressing their health issues individually in a sustainable and patient-focused manner, “Dr. Deed said.
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