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At last in the British Medical Journal !!
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<blockquote data-quote="NoCrbs4Me" data-source="post: 913581" data-attributes="member: 113206"><p>Very nice article. It should provoke some thought with respect to type 2 diabetes treatment.</p><p></p><p>I do have a couple of observations/questions:</p><p></p><p>1. Does metformin not treat type 2 diabetes? Granted, it's not very effective, but I thought it reduces insulin resistance.</p><p></p><p>2. The discussion could have included some mention that a low carb/high fat diet is not a treatment for type 2 that HCPs are trained to use on patients, nor is it part of the NICE guidelines. </p><p></p><p>3. The improvement in HbA1c was not just an improvement, but a change from a diabetic level to a pre-diabetic level - very significant, given that HCPs are trained that Type 2 is progressive.</p><p></p><p>4. Did the patient self test blood glucose levels? If so, did the patient indicate it was helpful? If not, why not?</p><p></p><p>5. Serum triglyceride of 1.1 mmol/L indicates that maybe it wasn't a diet super low in carbohydrate. Was there any estimation of how many grams of carbohydrate were consumed? Was the patient avoiding factory processed food? Can you provide a better description of what the patient ate?</p><p></p><p>6. Given that there was only slight improvement in cholesterol, why was it decided the statin could be stopped?</p><p></p><p>Thanks!</p></blockquote><p></p>
[QUOTE="NoCrbs4Me, post: 913581, member: 113206"] Very nice article. It should provoke some thought with respect to type 2 diabetes treatment. I do have a couple of observations/questions: 1. Does metformin not treat type 2 diabetes? Granted, it's not very effective, but I thought it reduces insulin resistance. 2. The discussion could have included some mention that a low carb/high fat diet is not a treatment for type 2 that HCPs are trained to use on patients, nor is it part of the NICE guidelines. 3. The improvement in HbA1c was not just an improvement, but a change from a diabetic level to a pre-diabetic level - very significant, given that HCPs are trained that Type 2 is progressive. 4. Did the patient self test blood glucose levels? If so, did the patient indicate it was helpful? If not, why not? 5. Serum triglyceride of 1.1 mmol/L indicates that maybe it wasn't a diet super low in carbohydrate. Was there any estimation of how many grams of carbohydrate were consumed? Was the patient avoiding factory processed food? Can you provide a better description of what the patient ate? 6. Given that there was only slight improvement in cholesterol, why was it decided the statin could be stopped? Thanks! [/QUOTE]
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