Hormonal
Adopting a low-carbohydrate or ketogenic diet improves glycemic control, promotes weight loss, and reduces medication requirements in patients with type 2 diabetes and obesity.
If you have type 2 diabetes or obesity, reducing carbohydrates (especially to <130g/day, or <50g/day for ketosis) is a valid medical strategy. You must work with your doctor to reduce diabetes medications (especially insulin and sulphonylureas) immediately to avoid low blood sugar. Focus on eating until you are full rather than counting calories, as this diet naturally reduces hunger.
In the absence of large randomized controlled trials with cardiovascular and other hard endpoints, adopting a low-carbohydrate diet is a legitimate and potentially effective treatment option for patients with diabetes or obesity.
Why this rating
The paper is a narrative review citing observational studies, small RCTs, and cohort analyses, noting limitations like lack of large RCTs with hard endpoints.
Source
Low-Carbohydrate Diets in the Management of Obesity and Type 2 Diabetes: A Review from Clinicians Using the Approach in Practice
Tara Kelly et al. · International Journal of Environmental Research and Public Health · 2020
DOI 10.3390/ijerph17072557
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