An obese patient with type 2 diabetes whose diet was
changed from the recommended high-carbohydrate, low-fat type to a
low-carbohydrate diet showed a significant reduction in bodyweight,
improved glycemic control and a reversal of a six year long decline of
renal function. The reversal of the renal function was likely caused by
both improved glycemic control and elimination of the patient's obesity.
Insulin
treatment in type 2 diabetes patients usually leads to weight increase
which may cause further injury to the kidney. Although other unknown
metabolic mechanisms cannot be excluded, it is likely that the obesity
caused by the combination of high-carbohydrate diet and insulin in this
case contributed to the patient's deteriorating kidney function. In such
patients, where control of bodyweight and hyperglycemia is vital, a
trial with a low-carbohydrate diet may be appropriate to avoid the risk
of adding obesity-associated renal failure to already failing kidneys.
Conclusion
The
present case report shows that a low-carbohydrate, high-fat diet
improves glycemic control, reduces body weight and may prevent the
development of end-stage renal failure in an overweight patient with
type-2 diabetes. Furthermore, it raises the concern that the obesity
caused by the combination of a high-carbohydrate diet and insulin may
have contributed to the patient's failing kidney function.
More here.
Eddie
3 comments:
Recommended read
Jeff
A very enlightening article that once again appears to re-enforce the great benefits that a reduced carbohydrate and higher fat diet can bring. Well worth reading, thanks.
Anne
I found this an interesting Swedish report. I always think of Sweden as being very pro low carb high fat diet so when the authors wrote "difficult because the recommended low-fat diet with its high content of carbohydrates usually leads to a vicious cycle" it certainly brings it home that there is still an enormous amount of re-education that must be done for the good of many many patients. To re-use Annes words this is an enlightening article well worth reading through.
Joe
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