Keto vs "my plate" for T2Ds
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nvmomketo
Posts: 12,019 Member
Came across this today. Pretty cool. Too bad it was such a small trial but it is still good results.
https://www.jmir.org/2017/2/e36/
An Online Intervention Comparing a Very Low-Carbohydrate Ketogenic Diet and Lifestyle Recommendations Versus a Plate Method Diet in Overweight Individuals With Type 2 Diabetes: A Randomized Controlled Trial
Results: At 32 weeks, participants in the intervention group reduced their HbA1c levels more (estimated marginal mean [EMM] –0.8%, 95% CI –1.1% to –0.6%) than participants in the control group (EMM –0.3%, 95% CI –0.6% to 0.0%; P=.002). More than half of the participants in the intervention group (6/11, 55%) lowered their HbA1c to less than 6.5% versus 0% (0/8) in the control group (P=.02). Participants in the intervention group lost more weight (EMM –12.7 kg, 95% CI –16.1 to –9.2 kg) than participants in the control group (EMM –3.0 kg, 95% CI –7.3 to 1.3 kg; P<.001). A greater percentage of participants lost at least 5% of their body weight in the intervention (10/11, 90%) versus the control group (2/8, 29%; P=.01). Participants in the intervention group lowered their triglyceride levels (EMM –60.1 mg/dL, 95% CI –91.3 to –28.9 mg/dL) more than participants in the control group (EMM –6.2 mg/dL, 95% CI –46.0 to 33.6 mg/dL; P=.01). Dropout was 8% (1/12) and 46% (6/13) for the intervention and control groups, respectively (P=.07).
Conclusions: Individuals with type 2 diabetes improved their glycemic control and lost more weight after being randomized to a very low-carbohydrate ketogenic diet and lifestyle online program rather than a conventional, low-fat diabetes diet online program. Thus, the online delivery of these very low-carbohydrate ketogenic diet and lifestyle recommendations may allow them to have a wider reach in the successful self-management of type 2 diabetes.
https://www.jmir.org/2017/2/e36/
An Online Intervention Comparing a Very Low-Carbohydrate Ketogenic Diet and Lifestyle Recommendations Versus a Plate Method Diet in Overweight Individuals With Type 2 Diabetes: A Randomized Controlled Trial
Results: At 32 weeks, participants in the intervention group reduced their HbA1c levels more (estimated marginal mean [EMM] –0.8%, 95% CI –1.1% to –0.6%) than participants in the control group (EMM –0.3%, 95% CI –0.6% to 0.0%; P=.002). More than half of the participants in the intervention group (6/11, 55%) lowered their HbA1c to less than 6.5% versus 0% (0/8) in the control group (P=.02). Participants in the intervention group lost more weight (EMM –12.7 kg, 95% CI –16.1 to –9.2 kg) than participants in the control group (EMM –3.0 kg, 95% CI –7.3 to 1.3 kg; P<.001). A greater percentage of participants lost at least 5% of their body weight in the intervention (10/11, 90%) versus the control group (2/8, 29%; P=.01). Participants in the intervention group lowered their triglyceride levels (EMM –60.1 mg/dL, 95% CI –91.3 to –28.9 mg/dL) more than participants in the control group (EMM –6.2 mg/dL, 95% CI –46.0 to 33.6 mg/dL; P=.01). Dropout was 8% (1/12) and 46% (6/13) for the intervention and control groups, respectively (P=.07).
Conclusions: Individuals with type 2 diabetes improved their glycemic control and lost more weight after being randomized to a very low-carbohydrate ketogenic diet and lifestyle online program rather than a conventional, low-fat diabetes diet online program. Thus, the online delivery of these very low-carbohydrate ketogenic diet and lifestyle recommendations may allow them to have a wider reach in the successful self-management of type 2 diabetes.
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I am totally convinced just based on this very small sample - me. I have found the LCHF diet to be easy to follow, and my glucose readings have really responded nicely. I checked last night 90 min after eating, and I was 114. This morning I was 106. I am losing weight. I enter my readings in MySugr, and it is predicting an A1C of 5.9. I can believe people respond in different ways to different things, but the LCHF diet has worked for me.5
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LCHF is the best way for THIS T2D to manage her diabetes!3
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I've recently advocated a 50/50/0 macro split to my T2D mother. She was having amazing success, dropping weight like crazy, blood sugar issues under control, etc.
I said was though, didn't I? Yeah, *kitten* Girl Scouts and their peddling of *kitten* cookies got her a couple of days ago. Waiting to see what kind of damage control is needed. Just goes to show that the best diet in the world can't fix some problems. FFS...2 -
Those sweet little Girl Scouts can tug at our heart strings.
Let your mom know they gladly accept donations in lieu of purchase and get all the $$ for their troop versus a very small percentage. @Gallowmere1984 2 -
Right? It's simple, quick, effective, and cheap. So .... uh.... hmmm.......1
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Those sweet little Girl Scouts can tug at our heart strings. Let your mom know they gladly accept donations in lieu of purchase and get all the $$ for their troop versus a very small percentage. @Gallowmere1984
I assure you, the heartstrings aren't her problem. She used to refer to them as mini-crack dealers. She's just got issues with those damned cookies.2 -
Gallowmere1984 wrote: »
I assure you, the heartstrings aren't her problem. She used to refer to them as mini-crack dealers. She's just got issues with those damned cookies.
I buy them to support the Girls Scouts, but I will tell the girls they have to deliver an open box to coffee hour at church. That seems to work pretty well. They get eaten up and I don't have to be tempted.
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New study comparing VLCHF online diet program use to My Plate online diet plan use in overweight T2D people over 32 weeks. Take a look at the drop out rates! I wonder which one is sustainable? lol Not to mention actually lowered A1c to pre diabetic levels in many participants as compared to none in the My Plate control group.
https://www.ncbi.nlm.nih.gov/m/pubmed/28193599/
"CONCLUSIONS: Individuals with type 2 diabetes improved their glycemic control and lost more weight after being randomized to a very low-carbohydrate ketogenic diet and lifestyle online program rather than a conventional, low-fat diabetes diet online program. Thus, the online delivery of these very low-carbohydrate ketogenic diet and lifestyle recommendations may allow them to have a wider reach in the successful self-management of type 2 diabetes."0
