Metabolic Health India

Very low carbohydrate (ketogenic) diets in type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials

A VLC/KD may cause reductions in HbA1c and triglycerides in those with pre-diabetes or T2D

Very low carbohydrate (ketogenic) diets in type 2 diabetes: a systematic review and meta‐analysis of randomised controlled trials Aim Very low carbohydrate/ketogenic diets (VLC/KDs) are popular but their role in managing pre-diabetes and Type 2 diabetes (T2D) is uncertain. This study uses a systematic review and meta-analysis ...

Dose-dependent effect of carbohydrate restriction for type 2 diabetes management: a systematic review and dose-response meta-analysis of randomized controlled trials

"each 10% reduction in carbohydrate intake reduced HbA1c, FPG and body weight"

"Carbohydrate restriction can exert a significant and important reduction on levels of cardiometabolic risk factors in patients with type 2 diabetes"

Dose-dependent effect of carbohydrate restriction for type 2 diabetes management: a systematic review and dose-response meta-analysis of randomized controlled trials - PubMed Carbohydrate restriction can exert a significant and important reduction on levels of cardiometabolic risk factors in patients with type 2 diabetes. Levels of most cardiometabolic outcomes decreased linearly with the decrease in carbohydrate intake. U-shaped effects were seen for total cholesterol a...

Back in 2019 incorporated & Very low carb in their Nutrition Therapy for silently
Now they are open about this & actually "selling" it
The credit goes to so many who pioneered it like Dr Eric Westman, Dr Tim Noakes, Dr David Unwin, Dr Sarah Hallberg etc

Control of blood glucose in type 2 diabetes without weight loss by modification of diet composition

"A 30P:20C :50F ratio diet resulted in a 38% decrease in 24-hour glucose area, a reduction in fasting glucose to near normal and a decrease in %tGHb from 9.8% to 7.6%.
Altering the diet composition could be a patient-empowering method of improving the hyperglycemia of type 2 diabetes without weight loss or pharmacologic intervention"

Control of blood glucose in type 2 diabetes without weight loss by modification of diet composition - Nutrition & Metabolism Background Over the past several years our research group has taken a systematic, comprehensive approach to determining the effects on body function (hormonal and non-hormonal) of varying the amounts and types of proteins, carbohydrates and fats in the diet. We have been particularly interested in t...

Effects of a six-month low-carbohydrate diet on glycemic control, body composition and cardiovascular risk factors in patients with type 2 diabetes: an open-label RCT

"A non-calorie-restricted LCD high in fat has significant beneficial effects on glycemic control and body composition, and does not adversely affect cardiovascular risk factors in patients with T2D. Reducing carbohydrate intake to 10-25 E% seems an effective and safe nutritional approach with respect to classical cardiovascular risk factors and hypoglycemia"

Effects of a six‐month low‐carbohydrate diet on glycemic control, body composition and cardiovascular risk factors in patients with type 2 diabetes: an open‐label RCT Aims To investigate the efficacy and safety of a non-calorie-restricted low-carbohydrate diet (LCD) on glycemic control, body composition, and cardiovascular risk factors in patients with type 2 dia...

A Low-Carbohydrate Diet Realizes Medication Withdrawal: A Possible Opportunity for Effective Glycemic Control

"The LCD diet can decrease body weight, glycemic levels, MES, and lipid-lowering agents more than the LFD diet, thus decreasing cost burden in Chinese patients with T2DM. Strict diet control and monitoring are the keys to managing diabetes"

A Low-Carbohydrate Diet Realizes Medication Withdrawal: A Possible Opportunity for Effective Glycemic Control ObjectiveMultiple studies have confirmed that diet restrictions can effectively realize glycemic control and reduce metabolic risks in patients with type 2 diabetes mellitus (T2DM). In 2018, the American Diabetes Association (ADA) and European Association for the Study of Diabetes (EASD) stated that...

Diabetes Australia now recommends ketogenic diet for diabetes remission
Full Text in the link below.

2021_Diabetes-Australia-Position-Statement_Type-2-diabetes-remission.pdf

Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets

Low-carbohydrate diets are grounded across the time-span of human evolution, have well-established biochemical principles, and are now supported by multiple clinical trials in humans that demonstrate consistent improvements in multiple established risk factors associated with insulin resistance and cardiovascular disease.

Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets The decades-long dietary experiment embodied in the Dietary Guidelines for Americans (DGA) focused on limiting fat, especially saturated fat, and higher carbohydrate intake has coincided with rapidly escalating epidemics of obesity and type 2 diabetes (T2D) that are contributing to the progression o...

A randomized controlled trial of pharmacist-led therapeutic carbohydrate and energy restriction in type 2 diabetes

The Pharm-TCR ( Therapeutic Carbohydrate Restriction) intervention was effective in reducing the need for glucose-lowering medications through complete discontinuation of medications (35.7%; n = 35 vs. 0%; n = 0 in TAU; p < 0.0001) and reduced medication effect score compared to TAU. These reductions occurred concurrently with clinically meaningful improvements in hemoglobin A1C, anthropometrics, blood pressure, and triglycerides (all p < 0.0001). These data indicate community pharmacists are a viable and innovative option for implementing short-term nutritional interventions for people with type 2 diabetes, particularly when medication management is a safety concern.

A randomized controlled trial of pharmacist-led therapeutic carbohydrate and energy restriction in type 2 diabetes - Nature Communications Community pharmacists are accessible healthcare providers with expertise in medication management. Here the authors show that a low-carbohydrate, low-energy diet implemented by community pharmacists reduced diabetes medication use and improved glucose control in people with type 2 diabetes.