To quote the words of Sean McKelvey , founder of the Institute for Personalized Therapeutic Nurition, "The baseline expectation for a new diagnosis of type 2 diabetes should be remission."
In the Fall of 2018, I conducted a quality improvement study of the MetabolicHealth Program for patients with prediabetes or type 2 diabetes. The following results are not peer reviewed and hypothesis generating only but suggest that a low carbohydrate dietary pattern can be safely and effectively prescribed from a doctor's office.
Setting: My family practice in Chatham, Ontario
Time frame: July 2015 to June 2018
Inclusion criteria: Patients must have received a low carb consultation and at least 2 follow-up appointments in a 12-month period
Population: Age < 80 years, from my family practice or referred, baseline HbA1c > 6%
From my practice:
Prescription: see How to Precribe Low Carb for details
The following are average baseline values and changes at 6 months for the 70 patients meeting inclusion criteria:
Blood pressure: 126/72, SBP down 2, DBP up 0.1
Creatinine: 81, up 2
Albumin:Creatinine Ratio: 2, up 0.1
Uric acid: 357, up 17
ALT: 29, down 5
Non-HDL-C: 3.11, up 0.14
HDL-C: 1.12, up 0.17
TG: 2.24, down 0.38
Weight: 108 kg, down 11 kg
% Body Weight: down 10 %
Waist: 120 cm, down 11 cm
HbA1c: 7.6 %, down 0.9 %
Energy: 5.3, up 2.2
Cost of Anti-diabetes Medications per day: $4.68, down $2.06
Weight loss was maintained at 6 months of follow-up and patients report improved energy.
The MetabolicHealth Program uses a patient self-study approach. It is not easy to precribe but it is possible in the busy office environment and with 10% body weight loss at 6 months, it is rewarding.
Licensing: All work on MetabolicHealth.ca is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The content on MetabolicHealth.ca is for your information only, should not be taken as a medical prescription and does not replace the individualized care and direction provided by your doctor or nurse practitioner.
- Please consult a regulated healthcare provider prior to making any significant lifestyle changes, especially if you are on medications that may be affected by a change in your dietary pattern like those that lower blood pressure or blood sugar.