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BafangFan t1_j2stjnh wrote

Disclaimer: is a vegan website.

For this study, you don't need a control group. This isn't comparing diets. It's saying that in the study group, before the intervention everyone had T2D. One year after intervention, 77% didn't have it. Ergo, low carb is an effective diet to put T2D into remission.


jonathanrdt t1_j2suyyc wrote

Which stands to reason. If your body has difficulty making enough insulin to process carbs, lowering your carb intake sounds like a good idea.


Drakolyik t1_j2svz5d wrote

The reason you get insulin resistance in the first place is because of

  1. Too many calories in diet (excessive weight gain)
  2. High carb intake (particularly if you eat multiple meals spread through the day or snack all the time, which causes a cascade of metabolic problems due to constant insulin spikes)

So it stands to reason that lowering carbs and losing weight will reverse the damage in most cases, kind of like how quitting smoking also reverses a whole lot of damage. Obviously, some damage will remain, but it's better than the alternative, which almost always ends in an earlier death and lower quality of life.


Still-WFPB t1_j2we8m0 wrote

If your interested, read up on the 2012 banting memorial lecture by Roy Taylor, and further reading on the Twin Cycle Hypothesis.

Type-2 diabetes is about adiposity, insulin resistance is a symptom, which carbohydrate reduction (elimination) some would say is not well treated by a low-carb strategy as it merely avoids learning the adaptation and drives further sensitivity to carbohydrates.


kiase t1_j2ulfnk wrote

If you’re going to take the time to correct someone’s comment, you should make sure the information in your comment is correct as well. At the end of the study, 77% of those who had T2D for less than a year achieved remission. It was 51% of the overall cohort, and 20% for those who have been diagnosed for >15 years.

Also worth noting psychosocial support and educational materials were only provided to the low-carb group. They also make reference to the fact that the only other low-carb study that showed similar results also had similar weight loss results. I mean it obviously makes sense for a T2 diabetic to limit carbs because of its direct effect on blood sugar, but glycemic index is far more important and it appears from the results that the effectiveness of a low-carb diet is dependent on early intervention, social support, and weight loss.


Vanman04 t1_j2vqu7m wrote

Is it really remission though?

It lowered their A1c but that would be expected in a low carb diet anyway would it not? I agree glycemic index is far more important but eliminating carbs by it's nature is going to eliminate the vast majority of things with a high glycemic index.


peasrule t1_j2ukrgi wrote

Amen There is a correlational study where divorce=margarine consumption.

If an independent butter company wanted to be clever....


Still-WFPB t1_j2wdyri wrote

Critical to highlight the 15-year endpoint of 20% remission after 15 years.


BafangFan t1_j2wg7nm wrote

It goes to show that it's important to change the ship's coarse early in the process.

Though if 20% is a disappointing number (after one year of diet change), is there any other treatment more effective for long-term T2D sufferers?


Still-WFPB t1_j2wx3cp wrote

Im not saying 20% is dissapointing just that's where this benchmark for 15-years is.

I dont think other strategies have a significantly better adherence, while they may have similar outcomes.