“At the end of our clinic day, we go home thinking, “The clinical improvements are so large and obvious, why don't other doctors understand?” Carbohydrate restriction is easily grasped by patients: Because carbohydrates in the diet raise the blood glucose, and as diabetes is defined by high blood glucose, it makes sense to lower the carbohydrate in the diet. By reducing the carbohydrate in the diet, we have been able to taper patients off as much as 150 units of insulin per day in 8 d, with marked improvement in glycemic control—even normalization of glycemic parameters.”
—Eric Westman, MD, MHS