Low-Carb Spaghetti Squash With Meat Sauce
Diabetes is a disease of carbohydrate intolerance. Doesn’t that suggest to you that diabetics should reduce or avoid dietary carbohydrates?
The new study at hand was done in Indiana, involving 262 folks with type 2 diabetes. Characteristics of the study subjects:
- average age 54
- 66% women
- BMI 41 (very fat)
- average Hemoglobin A1c 7.6%
The authors don’t use the term “ketogenic diet,” preferring instead “a diet designed to induce nutritional ketosis” (I’m paraphrasing). For most folks, that’s a diet with under 30 grams of carbohydrate daily, according to the researchers. The study lasted for only 10 weeks.
The drop-out rate was about 10% (25 participants), which is not bad.
- Hemoglobin A1c (a test of diabetes control) dropped to 6.5%, a move in the right direction and equivalent or better than that seen with many diabetes drugs.
- Average weight loss was 7.2% of initial body weight.
- No severe symptomatic hypoglycemic events.
- Number and dose of necessary diabetes drugs were reduced “substantially.”
What’s not to love? Why isn’t this the standard of care?
Click the link below to look for details of the Virta Clinic program used in this study.
I put together a Ketogenic Mediterranean Diet for my patients with diabetes. It reduces dietary carbs to 20-30 grams/day. There’s a free version, but consider the low-cost version that includes recipes and extensive initiation and management advice.
Steve Parker, M.D.
McKenzie AL, Hallberg SJ, Creighton BC, Volk BM, Link TM, Abner MK, Glon RM, McCarter JP, Volek JS, Phinney SD
A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
JMIR Diabetes 2017;2(1):e5
Front cover of book