JMIR Diabetes · 2017 · 182 citations · 37 references
MedicineNutritionNutritional SciencesClinical NutritionHuman NutritionNutrition EducationDiabetes ControlDiabetes ManagementDiabetes MellitusGlycemic ControlWeight LossWeight ManagementBlood Glucose RegulationCarbohydrate-restricted DietsDiabetes Medication UseDiabetes Nutrition TherapyDietary Management Of DiabetesGlucose-lowering TherapyNutritional KetosisType 2 Diabetes Treatment
BACKGROUND: Type 2 diabetes (T2D) is typically managed with a reduced fat diet plus glucose-lowering medications, the latter often promoting weight gain. OBJECTIVE: We evaluated whether individuals with T2D could be taught by either on-site group or remote means to sustain adequate carbohydrate restriction to achieve nutritional ketosis as part of a comprehensive intervention, thereby improving glycemic control, decreasing medication use, and allowing clinically relevant weight loss. METHODS: ) and related biomarkers of T2D were evaluated at baseline and 10-week follow-up. RESULTS: =1.503, P=.22). CONCLUSIONS: These initial results indicate that an individualized program delivered and supported remotely that incorporates nutritional ketosis can be highly effective in improving glycemic control and weight loss in adults with T2D while significantly decreasing medication use.
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