•The effect of low-carbohydrate, ketogenic diet (LCKD) in overweight and obese patients with type 2 diabetes rather than typical way with total restriction of carbohydrate, dozens of medications and causing potential unstable effects on hypoglycemia (low blood sugar).

ISSUE/PROBLEM

METHODS

•The research done by a 16 weeks pilot diet intervention on 28 overweight participants with type 2 diabetes problem.•Participants were allowed to eat unlimited amount of low carbohydrate food as long as they follow the guidelines and reduction on diabetes medications in order to observe the intervention.

•The test resulted in significant improvement of glycemia , as measured by fasting glucose among participants. It also improved while diabetes medications were reduced or discontinued in 17 of the 21 participants and were not changed in 4 other participants. Participants also experienced body weight lost healthfully.

FINDINGS

•LKCD had positive effect on body weight and also for our health. Most outstanding improvement is that the increasing level of hemoglobin A despite a small sample size and short duration of follow up which occurred while reducing the diabetes medications on the participants.

CONCLUSION

RECOMMENDATION

•Future research must further examine the optimal medication measurements, focusing on diabetes and diuretic agents, in order to avoid complication of hypoglycemia and dehydration. It is because patients on diabetes medication who apply this diet should be observed under close supervision.

•Main limitation of this study are its small sample size, short duration, and lack of supervisory group. The result of this study shows the dramatic and consistent effect on glycemia and such rises issue of HDL cholestrol and serum LDL, the capacity of sample size might be the reason statistical result was not reached.

LIMITATION