What predicts drug-free type 2 diabetes remission? Insights from an 8-year general practice service evaluation of a lower carbohydrate diet with weight loss.
David J UnwinChristine DelonJen UnwinSimon TobinRoy TaylorPublished in: BMJ nutrition, prevention & health (2023)
A practical primary care-based method to achieve remission of T2D is described. A low-carbohydrate diet-based approach was able to achieve major weight loss with substantial health and financial benefit. It resulted in 20% of the entire practice T2D population achieving remission. It appears that T2D duration <1 year represents an important window of opportunity for achieving drug-free remission of diabetes. The approach can also give hope to those with poorly controlled T2D who may not achieve remission, this group had the greatest improvements in diabetic control as represented by HbA1c.
Keyphrases
- weight loss
- type diabetes
- primary care
- general practice
- disease activity
- glycemic control
- bariatric surgery
- ulcerative colitis
- healthcare
- roux en y gastric bypass
- cardiovascular disease
- physical activity
- gastric bypass
- systemic lupus erythematosus
- rheumatoid arthritis
- insulin resistance
- young adults
- metabolic syndrome
- wound healing