Low Carbohydrate and High Fat or Keto Diet Effect on HbA1c Levels in Type 2 Diabetics

Objective: To know the impact of Low carbohydrate and high fat or Keto diet effect on Hb1C levels in patients with Type 2 diabetics. Participants with type2 diabetes restrict their carbohydrate intake to 30g or less daily, increase fat, and maintain a modest but not high protein intake to induce a state referred to as “nutritional ketosis”. Material and Method: 130 type2 DM patient with HbA1c level 7.8%±1.3, mean glucose level 169md/dl ±31 are made to follow Low carbohydrate and high fat diet for 3months of duration HbA1c level are estimated. Result: After 3months of follow up 15 dropouts 5 no effect remaining 110 show decrease in HbA1c level to 6.43%±1.47 & mean glucose level 137mg/dl±28, p value <0.0010 shows significant variation, linear regression for HbA1c –r2: 0.53, glucose r2: 0.49. Conclusion: No adverse effects except mild constipation. Patients on drugs decreased usage from 3 to 1 or nil at 3months. In summary Low carbohydrate and high fat diet over 3 months led to a remarkable reduction in HbA1c levels, it lead to greater improvements in symptoms associated with type II diabetes.