Adherence

Long-term adherence to a Low-Carb High-Fat (LCHF) diet is difficult for most patients, leading to decreased efficacy over time compared to low-fat diets, although it may offer short-term benefits for diabetes management.

If you choose a low-carb diet, be aware that sticking to it strictly (e.g., <30g carbs) for more than a year is very difficult for most people and may lead to weight regain or increased LDL cholesterol. Focus on finding a carbohydrate level you can maintain socially and psychologically for years, rather than aiming for extreme ketosis if it causes you to quit.