Macro partitioning
Low-carbohydrate diets (LCDs) produce greater short-term weight loss and improved metabolic markers (HbA1c, insulin sensitivity) compared to low-fat or high-carbohydrate diets in adults with obesity or type 2 diabetes.
If you have obesity or type 2 diabetes, reducing carbohydrate intake (to <40% of calories or <20-40g/day initially) is a clinically supported strategy for losing weight and improving blood sugar control more effectively than standard low-fat diets in the short term. Expect some initial side effects like fatigue or 'keto flu' which usually resolve as your body adapts. Monitor your health markers with a doctor.
The results of the study on the effects of LCDs on obesity showed their effectiveness in reducing Body Mass Index and total body fat mass. In addition, LCDs appear to cause drops in blood pressure, low-density lipoprotein (LDL), and triglycerides, and seem to improve high-density lipoprotein (HDL) values. Regarding the effectiveness of LCDs in Diabetes Mellitus, their effect on reducing insulin resistance and fasting blood glucose and HbA1c values are supported.
Why this rating
Based on a review of 7 randomized controlled trials, though heterogeneity exists and long-term data is limited.
Source
Clinical Evidence of Low-Carbohydrate Diets against Obesity and Diabetes Mellitus
Eleni Pavlidou et al. · Metabolites · 2023
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