Abstract
ObjectiveThe optimal diet to improve glycemia in patients with type 2 diabetes remains unclear. Low carbohydrate, high fat (LCHF) diets can improve glycemic control, but have not been investigated in...
Highlights
Two-thirds of the US population is overweight or obese,[1 2] which is linked to the rising numbers of people with type 2 diabetes
What are the new findings? ►► To our knowledge, this is the first study to date that investigates the implementation of the low carbohydrate, high fat (LCHF) diet in a community-based setting, making the results generalizable and applicable to the clinical practitioner. ►► Our study shows that it is feasible and safe to implement the LCHF diet in a ‘real-world’ community practice setting among patients with type 2 diabetes, and that this diet may offer superior glycemic reduction, along with greater weight loss, compared with usual care over 3 months. ►► All patients following the LCHF diet who initially took insulin had either a reduction or discontinuation of this therapy by their healthcare provider when clinically indicated, compared with less than a quarter of those receiving usual care
Our results demonstrate that participants who followed the low carbohydrate, a high fat diet had superior glycemic reduction, as measured by A1C, compared with those who received usual care (UC) at every visit
Summary
Two-thirds of the US population is overweight or obese,[1 2] which is linked to the rising numbers of people with type 2 diabetes. 30.3 million people in the USA were living with type 2 diabetes,[3] and projections suggest up to one-third of Americans will be diagnosed with diabetes by 2050.4 Modest weight
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