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Oct 1

Low carb for type 2 diabetes: many approaches can work …

As the number of doctors, dietitians, and other diabetes specialists interested in carb restriction continues to grow, questions inevitably arise. How many carbs per day should people with diabetes eat? Are targets for protein and fat intake necessary, or can people be advised to eat as much as they need to feel full?

Recently, a group of Australian researchers explored these questions in a systematic review of studies on low-carb diets in people with type 2 diabetes:

Diabetes, Obesity & Metabolism: An evidencebased approach to developing lowcarbohydrate diets for type 2 diabetes management: a systematic review of interventions and methods

This was an extensive review of 41 intervention studies, including 18 randomized trials, totaling 2135 participants altogether. Results from one of the studies werent included in the analysis due to high risk of bias.

Although some studies didnt provide detailed data beyond the carbohydrate prescription, the overall composition of the diets varied widely:

The researchers assessed changes in blood glucose levels, hemoglobin A1c values, and diabetes medications as the main study outcomes. Additionally, they looked at improvements in other health markers like waist size, fasting insulin, triglycerides, and HDL cholesterol levels.

The verdict? In all 40 studies, low-carb diets were found to be both safe and effective for managing diabetes, despite the large differences in macronutrient intakes. This demonstrates that even modest carb restriction is beneficial for people with type 2 diabetes, and that consuming more protein and fat doesnt impair blood sugar control.

Importantly, though, the research team didnt discuss which interventions had the most dramatic effects on diabetes outcomes. Although we dont have strong supportive data, it seems less likely that someone whose goal is diabetes reversal would be able to achieve this by eating 100 grams of carbs per day. In fact, restricting carbs to less than half that amount might be needed.

On the other hand, the researchers noted that dietary interventions only work if people can stick with them long term. While its true that many people enjoy eating very-low-carb diets, it may not be realistic for everyone with diabetes.

Addressing both blood sugar response and personal preferences is key to creating a truly individualized, successful low-carb lifestyle.

Low-carb session draws crowd at Certified Diabetes Educators conference

New study: Reduced-carb diet beats conventional diabetes diet

Virta Health publishes two-year data on low-carb diet for type 2 diabetes

GuideThis page gives you an overview of what you need to know about diabetes. It will also link you to more information and, importantly, to practical guides that will help you learn what to do about having diabetes.

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Low carb for type 2 diabetes: many approaches can work ...

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