This consensus statement in the Diabetes Journal reports that low carbohydrate diets actually make diabetes better. Wow! Maybe we finally have a seat at the table now. They specifically recommend Medical Nutrition Therapy by a registered dietician to help support parents in their efforts. Good thing that we made this the standard of care for all our DPC members by offering it as part of new memberships.

“Low-carbohydrate eating patterns, es- pecially very low-carbohydrate (VLC) eating patterns, have been shown to reduce A1C and the need for antihyper- glycemic medications. These eating pat- terns are among the most studied eating patterns for type 2 diabetes. One meta- analysis of RCTs that compared low- carbohydrate eating patterns (defined as #45% of calories from carbohydrate) to high-carbohydrate eating patterns (defined as .45% of calories from car- bohydrate) found that A1C benefits were more pronounced in the VLC inter- ventions (where ,26% of calories came from carbohydrate) at 3 and 6 months but not at 12 and 24 months (110).

Another meta-analysis of RCTs compared a low-carbohydrate eating pattern (defined as ,40% of calories from carbohydrate) to a low-fat eating pattern (defined as ,30% of calories from fat). In trials up to 6 months long, the low-carbohydrate eating pattern improved A1C more, and in trials of varying lengths, lowered triglycerides, raised HDL-C, lowered blood pressure, and resulted in greater reductions in diabetes medication (111). Finally, in another meta-analysis comparing low- carbohydrate to high-carbohydrate eat- ing patterns, the larger the carbohydrate restriction, the greater the reduction in A1C, though A1C was similar at durations of 1 year and longer for both eating patterns (112).”

care.diabetesjournals.org/content/diacare/early/2019/04/10/dci19-0014.full.pdf

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