A low-carb diet for type 2 diabetes reversal

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What kind of method has the best outcome in type 2 diabetes reversal? Is it surgery, a low-calorie diet, or a low-carb diet? And what does the long-term effect look like for the different options?

Earlier this year at the Low Carb Denver 2019 conference, Dr. Sarah Hallberg gave an impressive presentation about different studies comparing the different methods to type 2 diabetes reversal.

Watch a part of the presentation above. The full video is available (with captions and transcript) with a free trial or membership:

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Dr. Sarah Hallberg:  So let’s look at these three options for reversal: surgery, very low-calorie diet and low-carb. So the sleeve and the bypass data is coming from the STAMPEDE trial. Very low-calorie diet is coming from the DiRECT trial. And the purple, the low-carb, is coming from our trial.

So let’s take a look at this. We know when it comes to A1c, surgery as I said, up to 80% short-term reversal plummeted, they had much higher A1c’s to start with. But let’s look at the ones we got down in these curves here. If you take a look, the low-carb got the A1c lower and it’s maintaining that A1c.

We are now tracking right with surgery or below. Important. How about weight? Let’s take a look at ours, remember I said 8.4 years… We took the sickest of the sick. Take a look at where our weight started off compared to everyone else including surgery.

Our patients were sicker which makes this even more important, and quite frankly remarkable. So what if you take and pull ours down… let’s say, okay… maybe we started at a lower weight, we’re really tracking right with surgery here. We are tracking right with surgery.

Now does that make surgery not a good option? It doesn’t for some people. But what I’m going to say is that low-carb can do the same things. It’s really important that we understand that. And low-carb is now the standard of care. We are not some Fringe Diet.


Dr. Sarah Hallberg