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<blockquote data-quote="Brunneria" data-source="post: 2115252" data-attributes="member: 41816"><p>Hi and welcome [USER=512739]@moey90moey90[/USER]</p><p></p><p>If you have had a fatty liver, and lost weight (some of it from the fat on your liver), and gone low carb, then your HbA1c improvement is consistent with that - and providing you don't re-fat your liver, and you don't overload with carbs, you should keep those good HbA1cs for a good long time. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Well done! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /></p><p></p><p>In order to understand the process in more depth, you may find the work by Virta (in the States) very interesting. They have set up an institution where T2s get personalised diet education and regular monitoring, along with MD supervised med reduction, and have produced some really impressive stats on the health improvements of their patients.</p><p></p><p>Likewise, Professor Taylor of Newcastle University has been conducting studies for the last 5? 7? years on the effect of weight loss on fatty livers, and the improved liver and pancreatic function that can (in some T2s) lead to a reduction in HbA1c. He calls this 'reversal' but his criteria are rather lax, IMHO <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /> Taylor's studies are available, as well as his protocol, and he has given a number of presentations on the subject which are on youtube.</p><p></p><p>You may also want to look up the work of our very own [USER=74036]@Southport GP[/USER] aka Dr David Unwin.</p><p>He has created a LC education model for NHS GPs and has transformed the lives of many of his patients by simply encouraging low carb, with a truly impressive reduction in medication costs to his practice.</p><p></p><p>You may get a bit of stick for being a GP asking about D on here. I hope you will take it in the spirit of mild hazing and gleeful delight that a doc is <strong><em>here</em></strong>, asking questions, and <strong><em>listening </em></strong>to the answers. The mere fact that you are here and interested in the process, makes you worth your weight in gold as a GP. So many members just experience an attitude of 'T2 is progressive, have a prescription and lose weight by low calorie (even though the stats show you are doomed to failure)'. For you to be here shows that you recognise there is a lot more to the T2 experience that that! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> And for you to offer an understanding of the benefits of LC to your T2 patients could well transform their lives and reduce their burden on the NHS for decades to come.</p></blockquote><p></p>
[QUOTE="Brunneria, post: 2115252, member: 41816"] Hi and welcome [USER=512739]@moey90moey90[/USER] If you have had a fatty liver, and lost weight (some of it from the fat on your liver), and gone low carb, then your HbA1c improvement is consistent with that - and providing you don't re-fat your liver, and you don't overload with carbs, you should keep those good HbA1cs for a good long time. :) Well done! :D In order to understand the process in more depth, you may find the work by Virta (in the States) very interesting. They have set up an institution where T2s get personalised diet education and regular monitoring, along with MD supervised med reduction, and have produced some really impressive stats on the health improvements of their patients. Likewise, Professor Taylor of Newcastle University has been conducting studies for the last 5? 7? years on the effect of weight loss on fatty livers, and the improved liver and pancreatic function that can (in some T2s) lead to a reduction in HbA1c. He calls this 'reversal' but his criteria are rather lax, IMHO ;) Taylor's studies are available, as well as his protocol, and he has given a number of presentations on the subject which are on youtube. You may also want to look up the work of our very own [USER=74036]@Southport GP[/USER] aka Dr David Unwin. He has created a LC education model for NHS GPs and has transformed the lives of many of his patients by simply encouraging low carb, with a truly impressive reduction in medication costs to his practice. You may get a bit of stick for being a GP asking about D on here. I hope you will take it in the spirit of mild hazing and gleeful delight that a doc is [B][I]here[/I][/B], asking questions, and [B][I]listening [/I][/B]to the answers. The mere fact that you are here and interested in the process, makes you worth your weight in gold as a GP. So many members just experience an attitude of 'T2 is progressive, have a prescription and lose weight by low calorie (even though the stats show you are doomed to failure)'. For you to be here shows that you recognise there is a lot more to the T2 experience that that! :) And for you to offer an understanding of the benefits of LC to your T2 patients could well transform their lives and reduce their burden on the NHS for decades to come. [/QUOTE]
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