16/16 You can follow @DocRunner1.
Ever wondered why doctors and people with type 2 diabetes are getting so excited about low carbohydrate diets? 🤔
73 patients at my surgery have now reversed their type 2 diabetes 🙌
#medthread #tweetorial #medtwitter
Here's a tweetorial of how it's done👇
As Diabetes Lead GP at my surgery for 25 years I achieved little/no success with @PHE_uk recommended "Eatwell Plate"
One day @lowcarbGP shared some success he had with offering LCHF (low carb, healthy fat) eating to people with type 2 diabetes
Does it work?🤷♂️
We ALL agree that refined sugar is a really poor choice in diabetes. Sources include:
Added table sugar (obvs)
(non-diet) fizzy drinks
Fruit juice - 200ml apple juice contains the equivalent of 8.6 teaspoons sugar 😲
Does it work?
Meet my lovely patient Mary (shared with her consent). She was an early phenomenal success. 85 years old and has type 2 diabetes and taking gliclazide
Her sugars were sky high so I called her into to the surgery to discuss options
Mary was adamant she did want to take more tablets (she had hated metformin - gave her diarrhoea) and would not consider insulin
Instead she wanted to try changing her diet
In only a few month of giving up starchy carbs and biscuits she achieve astonishing success 👇
Foods high in starchy carbs include:
Teaspoon of sugar infographics available free at: https://phcuk.org/sugar/
Breakfast cereals are amazingly sugary. Just look 👀at 30g of cornflakes. Converts rapidly to 8.4 teaspoons of sugar.
And 30g wouldn't feed a sparrow!
I've foolishly recommended porridge for years - never again!
If I eat more healthy fat, won't my cholesterol go up?
No, with @lowcarbGP and @DrScottMurray our peer-reviewed, published data shows a LCHF lifestyle results in:
Total cholesterol ⬇️ by 0.5mmol/l
Triglyceride ⬇️by 0.9mmol/l
We also found that with LCHF in type 2 diabetes:
Mean HbA1c ⬇️ by 21 mmol/mol (1.9% DCCT)
Mean BP ⬇️ 11/6mmHg
There's no drug on the market that can deliver outcomes anywhere close to that and THIS IS FREE
We also stopped 154 BP meds as a result !!!
If people on meds for type 2 diabetes ⬇️ their carbs will they go hypo?
YES, they can. They will almost always have to reduce their diabetes meds
This great paper from @CampbellMurdoch and @lowcarbGP explains how to do it safely
Huge thanks to @lowcarbGP for many of the slides and for the inspiration
Tip: mention @threader_app on a Twitter thread with the keyword “compile” to get a link to it.
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You can follow @DocRunner1.