Macro partitioning
A very low carbohydrate diet (14% energy, <50g/day) with low saturated fat (<10%) and high unsaturated fat improves glycemic control (HbA1c) and reduces medication requirements in type 2 diabetes patients with baseline HbA1c >7.8%, compared to a high-carbohydrate diet.
If you have Type 2 Diabetes and your HbA1c is above 7.8%, switching to a very low-carb diet (under 50g carbs/day) while keeping saturated fat low (under 10% of calories) can significantly lower your blood sugar and reduce your need for diabetes medication compared to standard high-carb advice. Ensure you replace carbs with unsaturated fats (like olive oil, nuts) rather than saturated fats to maintain healthy cholesterol levels.
LC achieved greater HbA1c reductions... and MES... in participants with the respective baseline values HbA1c >7.8%... and HDL-C <1.29 mmol/L.
Why this rating
Randomized controlled trial with energy matching and exercise control, but short duration (24 weeks) and small subgroup analysis for the qualified claim.
Source
A Very Low-Carbohydrate, Low–Saturated Fat Diet for Type 2 Diabetes Management: A Randomized Trial
Jeannie Tay et al. · Diabetes Care · 2014
DOI 10.2337/dc14-0845
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