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HbA1c

HbA1c is a blood test that reflects your average blood sugar over 2–3 months

  Article (3)

  Research (9)

5-Year effects of a novel continuous remote care model with carbohydrate-restricted nutrition therapy including nutritional ketosis in type 2 diabetes: An extension study

A L McKenzie, S J Athinarayanan, Van Tieghem MR, B M Volk, C G Roberts, R N Adams, J S Volek, S D Phinney, S J Hallberg

Diabetes research and clinical practice 2024

A 5‑year very‑low‑carb, remote‑care program for type 2 diabetes showed durable benefits: 20% remission among completers, 33% reached HbA1c <6.5% with no meds or only metformin, alongside less medication and improved heart‑risk markers.

A food-based, low-energy, low-carbohydrate diet for people with type 2 diabetes in primary care: A randomized controlled feasibility trial

Elizabeth Morris, Paul Aveyard, Pamela Dyson, Michaela Noreik, Clare Bailey, Robin Fox, Derek Jerome, Garry D Tan, Susan A Jebb

Diabetes, Obesity and Metabolism 2020

A nurse‑delivered, real‑food low‑energy, low‑carb plan led to far greater weight loss and HbA1c reductions in 12 weeks than usual care. Short‑term cardiometabolic markers and medication use improved too.

Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base

Richard D. Feinman, Wendy K. Pogozelski, Arne Astrup, Richard K. Bernstein, Eugene J. Fine, Eric C. Westman, Anthony Accurso, Lynda Frassetto, Barbara A. Gower, Samy I. McFarlane, Jörgen Vesti Nielsen, Thure Krarup, Laura Saslow, Karl S. Roth, Mary C. Vernon, Jeff S. Volek, Gilbert B. Wilshire, Annika Dahlqvist, Ralf Sundberg, Ann Childers, Katharine Morrison, Anssi H. Manninen, Hussain M. Dashti, Richard J. Wood, Jay Wortman, Nicolai Worm

Nutrition 2015

This paper argues that restricting carbs should be the first-line diet for diabetes because it quickly lowers blood sugar, improves key health markers, and often reduces medications—without proven long‑term harms comparable to drugs.

You might wonder: Is weight loss without constant hunger even possible? Research on type 2 diabetes patients showed that a low-carb diet caused a spontaneous drop in daily calorie intake, while simultaneously boosting insulin sensitivity by 75%

Lower‑carb guidance in a UK GP practice led to 46% drug‑free type 2 diabetes remission and 93% normalization of prediabetes, with significant drops in HbA1c, weight, BP, and triglycerides.