Kas vain, BMJ:ssä on ollut jo viime vuonna näin myönteinen juttu tyypin 2 diabeetikon onnistuneesta hoitamisesta karppausruokavaliolla:
Lainaa:
So when our patient understood that weight loss could help him feel better and give up his drugs he began to investigate which diet would suit him best—in this case the low carbohydrate diet. He also reported that monthly follow-up, with the continuity of seeing the same clinician who believed he could achieve his goal, was very important.
Patient outcome
The patient steadily lost a total of 16 kg over seven months and successfully stopped all four prescribed drugs, thereby achieving his goal of being medication-free. This was accomplished using a low carbohydrate diet—in his words: “more a lifestyle than a diet.” The weight loss enabled him to take more exercise, join a gym, and take up yoga. He has come off sugar altogether and cut out bread (he previously consumed a lot of this), potatoes, pasta, cereals, and rice. This has led to greater consumption of green vegetables, but also eggs, full fat Greek yoghurt, and cheese.
The weight loss has been maintained for a year, so he weighs less now than at any time in his adult life. The goal of coming off all drugs was achieved in a stepwise manner as he lost weight—first metformin, then perindopril, followed by simvastatin and aspirin.
His weight loss has been matched by improvements in other parameters: HbA1c down from 52 mmol/mol to 43 mmol/mol (6.9% to 6.2%), blood pressure from 130/80 mm Hg to 117/70 mm Hg, GGT from 59 U/L to 19 U/L, and alanine aminotransferase from 53 U/L to 20 U/L. Of particular note is that—despite eating more eggs and lots of full fat Greek yoghurt, and stopping statins—his cholesterol:high density lipoprotein ratio has improved slightly from 2.8 to 2.7, and serum triglycerides have improved from 1.3 mmol/L to 1.1 mmol/L.
His bowel problems and abdominal pains ceased within days of stopping metformin, his energy returned, and he now needs an hour and a half less sleep a day.
In general he reports feeling “just much younger again.”
Potilas laihtui, pääsi lääkkeettömäksi ja tuntee itsensä paljon nuoremmaksi. Labra-arvot paranivat myös.
http://www.bmj.com/content/351/bmj.h402 ... eytype=refAH:lle kiitos linkistä.
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