low-carbohydrate, ketogenic diet to treat type 2 diabetes

Nothing new to us, but of use as a study to the general population who may
be only hearing that low-fat crap:

Abstract
Background: The low-carbohydrate, ketogenic diet (LCKD) may be effective for
improving
glycemia and reducing medications in patients with type 2 diabetes.
Methods: From an outpatient clinic, we recruited 28 overweight participants
with type 2 diabetes
for a 16-week single-arm pilot diet intervention trial. We provided LCKD
counseling, with an initial
goal of 20 g carbohydrate/day, while reducing diabetes medication dosages
at diet initiation.
Participants returned every other week for measurements, counseling, and
further medication
adjustment. The primary outcome was hemoglobin A1c.
Results: Twenty-one of the 28 participants who were enrolled completed the
study. Twenty
participants were men; 13 were White, 8 were African-American. The mean [±
SD] age was 56.0
± 7.9 years and BMI was 42.2 ± 5.8 kg/m2. Hemoglobin A1c decreased by 16%
from 7.5 ± 1.4% to
6.3 ± 1.0% (p 0.001) from baseline to week 16. Diabetes medications were
discontinued in 7
participants, reduced in 10 participants, and unchanged in 4 participants.
The mean body weight
decreased by 6.6% from 131.4 ± 18.3 kg to 122.7 ± 18.9 kg (p 0.001). In
linear regression analyses,
weight change at 16 weeks did not predict change in hemoglobin A1c. Fasting
serum triglyceride
decreased 42% from 2.69 ± 2.87 mmol/L to 1.57 ± 1.38 mmol/L (p = 0.001)
while other serum lipid
measurements did not change significantly.
Conclusion: The LCKD improved glycemic control in patients with type 2
diabetes such that
diabetes medications were discontinued or reduced in most participants.
Because the LCKD can
be very effective at lowering blood glucose, patients on diabetes medication
who use this diet
should be under close medical supervision or capable of adjusting their
medication.

http://www.diabetesincontrol.com/iss...diabetes.p df