Hormonal
The efficacy of low carbohydrate diets for diabetes remission is markedly reduced in patients who are using insulin.
If you are using insulin for type 2 diabetes, a low carbohydrate diet can still help, but the chances of achieving full remission are lower than for those not using insulin. You may need to work more closely with your healthcare provider to adjust your insulin dosage as your blood sugar improves.
Subgroup assessments determined as meeting credibility criteria indicated that remission with LCDs markedly decreased in studies that included patients using insulin.
Why this rating
Moderate certainty evidence for the subgroup, with credible subgroup analysis.
Source
Efficacy and safety of low and very low carbohydrate diets for type 2 diabetes remission: systematic review and meta-analysis of published and unpublished randomized trial data
Joshua Z. Goldenberg et al. · BMJ · 2021
DOI 10.1136/bmj.m4743
More from this paper
- Adhering to a low carbohydrate diet (LCD) for six months significantly increases the rate of type 2 diabetes remission compared to control diets, with moderate certainty evidence.Moderate
- Very low carbohydrate diets (VLCDs) are less effective for weight loss than less restrictive LCDs, but this is explained by lower adherence rather than the diet itself.Moderate
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