Type 2 Diabetes Support
Carbohydrate Restriction: An Effective Treatment for Type 2 Diabetes
We are proud to be able to offer a multidisciplinary approach to diabetes management and work together with your MD, specialist, and pharmacist.
Aside from the nutritional component, patient’s education, counseling, and support are also critical to achieve sustainable weight loss. You have probably already heard from your physician that you need to make changes, but are unsure how, or cannot stay accountable long term. Let us help make this journey easier.
Your success is our success!
Type 2 diabetes is an epidemic of massive proportions, and if new data is any indication, we’re only seeing the tip of the iceberg.
In 2017, The Public Health Agency of Canada has reported that 64% of Canadian Adults, over the age of 18, are overweight or obese, and 30% of children, aged 5-17, are overweight or obese. The Canadian Diabetes Association reports that in 2017, 5.7million Canadians, over the age of 20, were prediabetic, which is a 44% increase since 2015. Many of the population not even knowing they are diabetic until medication is necessary.
Risk factors for prediabetes include:
- age (especially being over 45)
- family history
- excess weight.
In fact, the more excess weight one carries around the abdomen, the more resistant the cells become to insulin.
Prediabetes indicates that blood sugar level is higher than normal but has not yet progressed to full blown type 2 diabetes. Without lifestyle change, which often includes weight loss, people are highly likely to progress to type 2 diabetes. For those who have prediabetes, the long-term damage to the heart and vascular system could already be starting.
What are the impacts of Diabetes? Diabetes complications are associated with premature death. It is estimated that one out of ten deaths, in Canadian adults, was attributed to diabetes in 2008/09. In Canada, obesity rates among children have nearly tripled in the last 30 years. Sadly, the future generation is predicted to have a shorter life expectancy than the current one because of this trend.
Thus far, we have been unable to abate the exponential rise of diabetes. The often handed, standard advice “eat less and exercise more” has not typically produced sustainable results in weight loss, and low-fat diets have certainly done little to arrest the diabetes epidemic. Low-carbohydrate diets have been shown to be effective in the treatment of diabetes and metabolic syndromes without significant side effects- the benefits of carbohydrate restriction in treating type 2 diabetes are well documented. Carbohydrate control can reduce elevated blood glucose levels, and in some cases, can even lead to reductions in medications. A rigorous study led by Richard D Feinman of the Department of Cell Biology, State University of New York Downstate Medical Center, “Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base” points to a wealth of evidence that supports the use of low-carbohydrate diets as an effective treatment of type 2 diabetes.
Current publications through UBC’s department of Therapeutic nutrition, as well as Virta Health, are making huge strides in the medical community showing how a structured ketogenic protocol with ongoing counselling is highly effective.
Key indicators in the research make the case for a low carbohydrate regimen as an effective tool for diabetes control and prevention:
- Dietary carbohydrate restriction has the greatest effect on decreasing blood glucose levels. Research shows that carbohydrate is the main dietary determinant of blood glucose and that restricting carbohydrates shows the greatest reduction in blood glucose levels.
- During the epidemics of obesity and type 2 diabetes, caloric increases have been due almost entirely to increased carbohydrates. Also, particularly during the “low-fat” craze of the 1980’s, food manufacturers liberally dumped tons sugar in low fat snacks to compensate for flavor lost with the removal of fat. Excess calories consumed in sugar- laden sodas and juices have also significantly increased over the past few decades.
- Adherence to low-carbohydrate diets in people with type 2 diabetes is at least as good as adherence to any other dietary interventions and is frequently significantly better. This is at least partially because ketosis is an excellent appetite suppressant, and people typically experience greater satiety and far less hunger on low carbohydrate diets versus low fat diets.
- The best predictor of microvascular and, to a lesser extent, macrovascular complications in patients with type 2 diabetes, is glycemic control. Patients with both type 1 and type 2 diabetes are at increased risk for cardiovascular disease. Low carbohydrate regimens have been shown to reduce risk for heart disease in these populations.
- Patients with type 2 diabetes on carbohydrate-restricted diets reduce and frequently eliminate medication. By adhering to a low carbohydrate, ketogenic diet, people with diabetes can lose weight and as a result of the weight loss, often stop or scale back medications, including insulin. According to the study, “Dietary carbohydrate restriction, because of its increased effectiveness in glycemic control, frequently leads to reduction and often complete elimination of medication in type 2 diabetes.”
So how do we stem the tide of type 2 diabetes?
For starters, carbohydrate restriction is the most effective intervention for reducing all of the features of metabolic syndrome, including excess belly fat. Physicians need resources such as organized, structured weight management protocols that incorporate coaching, education and one-on-one support for their patients who are at high risk for type 2 diabetes.
By addressing obesity with a low carbohydrate, ketogenic eating plan along with ongoing oversight, physicians can go beyond treating symptoms and help patients achieve metabolic transformation and reach a healthy weight – enabling them to potentially avoid diabetes and live longer, healthier lives.
What’s happening in BC with the current Type 2 Diabetes Studies using our Ketogenic Protocol? Click here to find out more:
Looking for more information about how following a restricted carbohydrate eating plan can help your health.
Check out what Dr. Sarah Hallburg has to say: https://youtu.be/bJL0k672g-A
Looking for some inspiration? Check out this link.
Did You Know?
- A 5-10% reduction in your weight can improve your blood glucose and minimize the complications of diabetes such as heart disease, kidney disease and vision problems.
- Diabetes is best controlled when you watch your food intake with specific macro management, manage your weight, and exercise. It is generally easier to deal with one issue at a time.
- What does an A1C of 6.8% mean? This puts you in the prediabetes range. This is actually a great time to address your diet and weight to prevent further progression into full scale diabetes.
- Has your MD recently suggested that you should focus on diet and losing weight to prevent the need of medication to manage blood pressure, cholesterol, or diabetes but you are uncertain how?
Do you think it would be helpful to talk to someone that could help support, educate and direct you?
Do you think it would be helpful to talk to someone that could help support, educate and direct you?
Please call us at 778-209-0305 or email firstname.lastname@example.org and book a COMPLIMENTARY information session and professional Body Composition Analysis to learn more about how we can work together with your physician and pharmacist to help you.
Come try our 90 Day Program and see how our structured professional support and evidence-based protocol can help you achieve your goals.
What does it include?
• After completing your information session at our clinic to pre-qualify for programming and make sure this is a protocol that you can adhere to, we will contact your physician. We will have them review your request for participation in the program and receive their written consent to work together with our clinic. This will allow us to support you when deprescribing is required through your MD. Your intake file will also be reviewed by our Medical Director/Registered Pharmacist. Once these steps are completed, we will set up a time with you, to come in for a full 90-minute consultation with a Certified Health Coach, with 10 years of coaching experience.
• 7 Days a week Coaching Support, via text and email.
• Free app that you can download to your phone or tablet. For those without a mobile device, you can login to a PC to received daily educational videos to support your journey.
• Smart Scale and Activity Band for your personal, at home weigh in, in between weekly office visits. This will provide daily bio metrics to our office and the opportunity to connect with patients between visits, if we identify changes that should be addressed.
• Log sheets for Daily Blood Glucose and Blood Pressure Monitoring. Blood Pressure Devices available for those that do not already have one at home.
• Weekly support with Meal Planning and Guidance. Recipe Binder.
• Monthly Cooking Workshops for all phases of the program. We will teach you how to make flavourful meals that are low in carbohydrates and show you how to build your fat macros, as you work through the program. Starting with LFLC and building to HFLC, all based on the glycemic index of food and macros, designed specifically for you. This is determined by adequate protein intake from a BCA reading, your insulin resistance for appropriate carb intake, and most of your calories coming from good fat sources.
• Monthly Lifestyle Workshops to help with Behaviour Modifications.
• Easy to Prepare High Biological Value Proteins for Breakfast, Lunch and Snacks. You will have to purchase, outside of the program, lean proteins and select vegetables to help with your weekly menu. This helps make the program fairly cost neutral to your normal food budget. Food Supplementation to protect Lean Mass is for a short period of time. Our goal is to get you to whole foods with proper education on how to cook and manage your calories.
• Long Term Lifestyle counselling and macro management for 12 months post weight loss (17 structured appointments). In our office, your success as a T2D is not just about the number on the scale, but your blood sugars continuing to be regulated.
• Your health coach will be a liaison with your physician, with periodic progress reports and correspondence. Especially, when an appointment might be needed for review of medications. Generally, this is every 3-4 weeks.
• Affordable weekly payments.
• Gemini Wellness is dedicated to help you reach and exceed all of your goals.
• If you have any questions, concerns, or comments we hope to hear from you.
• Please contact Casie by phone at 778-209-0305, at email@example.com, or by using the contact form.