How to Use Ketogenic Diets in Patients With Type 2 Diabetes
by Jay H. Shubrook, DO; Rucha J. Mehta, MD
Jay H. Shubrook, DO: Dr Mehta, let me tell you about a new patient of mine who recently moved here from Southern India. She was diagnosed with type 2 diabetes about 6 years ago, 4 years before moving to the United States. Since moving here, she has had trouble managing her diabetes. Her A1c is in the mid-8% range. She has gained a fair amount of weight. She is asking me what kind of diet or program she can follow. She has heard about the ketogenic diet.
She is vegetarian, and I'm struggling to give her good advice. Do you have any advice for me about this patient?
Rucha J. Mehta, MD: Jay, this is right up my alley. As you're all aware, there are an increasing number of Indian patients in the United States. As you mentioned, the keywords [I hear about this patient's dietary wishes] are "vegetarian" and "ketogenic."
I'm currently practicing in India, where we have started using all sorts of diets
for our patients. For this patient, certainly, we would begin with a detailed 3-day
dietary questionnaire, which we have not yet validated.
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