I'm trying to work out the best diet to use to deal with type 2. currently not on meds and keeping well controlled with lots of exercise mainly. I read a lot about claims of diabetes reversal / cure / remission by following a keto or low carb diet but they seem to only use fasting glucose or HbA1c tests to prove effectiveness.
my understanding is that the gold standard of diabetes testing is the 2 or 4 hr Oral Glucose Tolerance Test (OGTT) when it is used to measure glucose levels and insulin levels. If the OGTT test is used though I'm told people following a low carb diet will be shown to still have diabetes using the OGTT. It seems to me that getting good HbA1c and fasting glucose tests are not giving a true indication of whether diabetes has been reversed or not because the OGTT shows up insulin resistance as the problem. I'm being told a low fat high complex carb diet that is plant based is the only way to get true reversal of type 2 but I know from experience going on that can send blood sugar levels spiking initially but then they level off quickly
Love to hear any comments on this from medical experts who have qualifications to comment
my understanding is that the gold standard of diabetes testing is the 2 or 4 hr Oral Glucose Tolerance Test (OGTT) when it is used to measure glucose levels and insulin levels. If the OGTT test is used though I'm told people following a low carb diet will be shown to still have diabetes using the OGTT. It seems to me that getting good HbA1c and fasting glucose tests are not giving a true indication of whether diabetes has been reversed or not because the OGTT shows up insulin resistance as the problem. I'm being told a low fat high complex carb diet that is plant based is the only way to get true reversal of type 2 but I know from experience going on that can send blood sugar levels spiking initially but then they level off quickly
Love to hear any comments on this from medical experts who have qualifications to comment