Study under review: Cardiovascular disease risk factor responses to a type 2 diabetes care model including nutritional ketosis induced by sustained carbohydrate restriction at 1 year: an open label, non-randomized, controlled study.
A 2017 report from the CDC states that just under 10% of Americans have type 2 diabetes and about 34% have prediabetes. In other words, almost half of the US population has some degree of insulin resistance and the accompanying glucose dysregulation. And things are expected to get worse: both estimates are expected to rise in the U.S. and other developed countries by 2030.
Having diabetes drastically reduces quality of life, both physically and mentally, but it isn’t usually what kills someone. Rather, cardiovascular diseases (CVD) are the leading cause of death in people with type 2 diabetes. That’s because diabetes brings about several strong CVD risk factors, including dyslipidemia, inflammation, and hypertension.
Adherence to lifestyle interventions, including diet, has been associated with both prevention of CVD development and CVD death in people with type 2 diabetes. The American Diabetes Association recommends a lifestyle management approach encompassing education, nutritional therapy, promotion of physical activity, smoking cessation counseling, and psychosocial care. However, the type of nutritional therapy that best manages diabetes remains an area of controversy.
Currently, conventional diabetes management focuses on carbohydrate counting and weight loss, usually through low-glycemic or moderate-carbohydrate diets. However, a growing base of research has supported the use of a non-medical ketogenic diet for facilitating weight loss while helping to regulate blood glucose and insulin levels. A ketogenic diet generally requires a carbohydrate intake of less than 50 grams per day, as shown in Figure 1.
Despite biological plausibility for why a ketogenic diet would benefit people with type 2 diabetes, as well as preliminary clinical trials showing its success in the real-world, acceptance of a ketogenic diet approach has been reluctant. The study under review sought to add to the body of evidence investigating the real-world effects of a ketogenic diet in people with type 2 diabetes.
Type 2 diabetes affects a significant number of people in developed countries and continues to become more prevalent. Lifestyle interventions focused on weight loss can successfully manage the disease. The diet component of these lifestyle interventions is usually some form of a low-glycemic diet, and growing evidence suggests that a ketogenic diet may be a suitable alternative. The study under review sought to evaluate the effectiveness of a ketogenic diet under real-world conditions in people with type 2 diabetes.
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Other Articles in Issue #45 (July 2018)
NERD mini: The International Olympic Committee’s take on what supplements actually work
The IOC released a consensus statement earlier this year chock full of information on dietary supplements. Here, we summarize what they said about which supplements have the best evidence base for athletes.
Can vitamin D supplementation during pregnancy improve offspring health?
Vitamin D levels in expecting moms tend to be low worldwide. Supplementing with lower doses of vitamin D while pregnant seems to improve some aspects of their children’s health.
Is timing really everything?
Casein looks like a good candidate for a protein source that slowly releases amino acids into the body to help with overnight muscle building. But does it actually do any more if taken at night?
Aspartame: It’s sweet to eat, but is it a trick or a treat?
While you shouldn’t eat it by the bowl, it hardly affects glycemic control
You are what you eat, right?
This systematic review aimed to explore how some livestock-raising practices could influence human health.
Does the 16:8 fasting diet boost weight loss and health?
This pilot study examined how restricting feeding to eight hours a day every day affects the weight and metabolic health of people with obesity
NERD Mini: The latest skinny on polyunsaturated fats according to the Cochrane Collaboration
Want a very abbreviated summary of a series of recent meta-analyses examining PUFAs’ effects on cardiovascular health? We got you covered
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