Katastrofaaliset seuraukset uhreilleen ja kansantalouksille tuottanutta vallalla olevaa T2D:n hoitoparadigmaa ("syö tolkuttomasti hiilareita, pistä jatkuvasti insuliinia, juokse henkesi edestä, anna lääkeyhtiöiden imuroida Kelan rahat, menetä elämästäsi vähintään 10 vuotta ja päätä se ikävin päätetapahtumin kuten amputaatioin, sokeutumisin ja dialyyseihin joutumisin") syystä tai toisesta kannattavat ovat valittaneet, ettei Hallbergin et al/Virta Healthin tutkimus ole RCT.
Tässä heille samansuuntaiset tulokset tuottanut RCT viime vuodelta:
https://www.jmir.org/2017/2/e36/Lainaa:
Results:
At 32 weeks, participants in the intervention group reduced their HbA1c levels more (estimated marginal mean [EMM] –0.8%, 95% CI –1.1% to –0.6%) than participants in the control group (EMM –0.3%, 95% CI –0.6% to 0.0%; P=.002). More than half of the participants in the intervention group (6/11, 55%) lowered their HbA1c to less than 6.5% versus 0% (0/8) in the control group (P=.02). Participants in the intervention group lost more weight (EMM –12.7 kg, 95% CI –16.1 to –9.2 kg) than participants in the control group (EMM –3.0 kg, 95% CI –7.3 to 1.3 kg; P<.001). A greater percentage of participants lost at least 5% of their body weight in the intervention (10/11, 90%) versus the control group (2/8, 29%; P=.01). Participants in the intervention group lowered their triglyceride levels (EMM –60.1 mg/dL, 95% CI –91.3 to –28.9 mg/dL) more than participants in the control group (EMM –6.2 mg/dL, 95% CI –46.0 to 33.6 mg/dL; P=.01). Dropout was 8% (1/12) and 46% (6/13) for the intervention and control groups, respectively (P=.07).
Lainaa:
Conclusions:
Individuals with type 2 diabetes improved their glycemic control and lost more weight after being randomized to a very low-carbohydrate ketogenic diet and lifestyle online program rather than a conventional, low-fat diabetes diet online program. Thus, the online delivery of these very low-carbohydrate ketogenic diet and lifestyle recommendations may allow them to have a wider reach in the successful self-management of type 2 diabetes.