Macro partitioning
Adopting a low-carbohydrate (LC) or very low-carbohydrate ketogenic (VLCK) diet (defined as <50g, 50-100g, or 101-150g carbohydrates per day) improves glycemic control and facilitates the deprescribing of antihyperglycemic medications in patients with Type 2 Diabetes Mellitus (T2DM).
If you have Type 2 Diabetes, reducing your daily carbohydrate intake to under 150 grams (and potentially under 50 grams for ketosis) can significantly improve your blood sugar levels and allow you to reduce or stop diabetes medications. Work with your doctor to adjust your insulin and other drugs to prevent low blood sugar, and ensure you are drinking enough water and getting electrolytes to avoid initial side effects like fatigue or cramps.
Reducing overall carbohydrate intake for individuals with diabetes has demonstrated the most evidence for improving glycemia... For individuals with T2DM not meeting glycemic targets or for whom reducing glucose-lowering drugs is a priority, reducing overall carbohydrate intake with an LC or VLCK eating pattern is a viable approach.
Why this rating
The paper cites multiple RCTs, systematic reviews, and meta-analyses, but acknowledges a lack of long-term morbidity/mortality data.
Source
Low-Carbohydrate and Ketogenic Dietary Patterns for Type 2 Diabetes Management
Robert Oh · Federal Practitioner · 2024
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →