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According to a new research conducted by Dr. Sarah Hallberg and colleagues at Virta Health, a business devoted to the reversible treatment of type 2 diabetes, their carbohydrate restriction program corrected blood sugar levels in more than half of individuals with prediabetes.

In 2019, we highlighted Dr. Sarah Hallberg and her Wirth team’s remarkable study results showing the efficacy of their ketogenic diet strategy for the treatment of type 2 diabetes. They’ve now discovered that individuals with pre-diabetes had comparable outcomes.

Their most recent intervention utilized an app-based coaching program that promotes a diet with fewer than 30 grams of total carbs per kilogram, at least 1.5 grams of protein per kilogram, and consuming dietary fat until full.

According to the authors, 75% of patients are still on the diet after two years, which is an exceptional rate for dietary treatments. They compare these findings to the National Diabetes Prevention Program’s considerably lower retention rate.

After two years, 52.3 percent of individuals had normal blood sugar levels, according to the authors. High-density lipoproteins (HDL), triglycerides, liver function, and fasting insulin levels all improved significantly for participants, who dropped an average of 12 pounds (11 percent of their initial body weight).

There is no control group to compare since this is not a randomized study. As a result, we cannot conclude that the ketogenic diet is superior to other pre-diabetic diets.

However, it may be concluded that a low-carbohydrate, high-protein diet is an excellent method for achieving significant weight reduction and treating pre-diabetes.

It also indicates that after two years, individuals who stick to the recommended diet and engage in their care model have great adherence.

These findings coincide with previous findings published in the New England Journal of Medicine (NEJM) and the Journal of the American Medical Association (JAMA), which revealed that the GLP-1 agonist semaglutide resulted in a 15 percent average weight reduction.

A 0.5 percent reduction in A1c (an indication of average blood glucose levels over the preceding three months) was also observed in these trials, as well as improvements in serum triglyceride and insulin levels.

The Virta Health and semaglutide studies, taken together, show the significance of weight reduction in improving metabolic health. Semaglutide, on the other hand, was linked to adverse outcomes in 80% of trial participants.

Fortunately, the majority of individuals haven’t had any severe adverse effects. However, given the large proportion of individuals who experienced this, we wonder whether taking medication or trying a low-carb intervention program like Virta might be a better option.

We think that everyone deserves to be encouraged and supported in their efforts to reduce weight in a healthy and natural manner. Weight reduction medicines and even surgery may be utilized if extra assistance is required.

Prioritizing protein and decreasing carbohydrates, as we’ve seen time and time again, may help many individuals achieve – without the need of medications or surgery.

Do you want to start losing weight in a healthy way? Try our nutrient-dense weight-loss meal plan or one of our customized meal plans. This may be the push you need to get going!

Thank you for taking the time to read this. Dr. Bret Sher, FACC

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