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conferenceseries.com
Volume 8 Journal of Obesity & Weight Loss Therapy Obesity Middle East 2018
June 25-26, 2018
June 25-26, 2018 Dubai, UAE
Middle East Obesity, Bariatric Surgery
and Endocrinology Congress
Diabetes type-2 patients can stop insulin treatment when following the low carbohydrate lifestyle
Harriet Verkoelen
Dutch Knowledge Center for Dietitians on Overweight & Obesity, The Netherlands
Treatment of type 2 diabetes mellitus (T2DM), which is usually insulin resistance caused by metabolic syndrome, is mainly
by tablets and insulin injections. The treatment protocol starts with a dietary advice which traditionally corresponds to
the dietary advice of the World Health Organization (WHO). But when bloodsugarlevels are raised, diabetes medication is
prescribed starting with Metformin oral tablets. When bloodsugarlevels are still raised or raise again, Sulfonylurea derivatives
(SU) are prescribed in addition. When bloodsugarlevels are still raised or raise again, insulin injections are prescribed in
addition. Starting with one injection of long-acting insulin per day. This can be intensified by three injections short-acting
insulin per day. Medical treatment of T2DM often comes with a side-effect which is gaining weight. The problem is that T2DM
patients mostly are overweight already. Gaining extra weight by medical treatment causes more health problems. Furthermore,
increasing overweight causes more insulin resistance. Introducing the low carb lifestyle in the treatment of T2DM brings
new possibilities. Less insulin is needed when eating less carbohydrates. This way patients with T2DM can postpone or even
stop their medical treatment. A second effect, most importantly, is that the patient will lose weight. This will be beneficial to
their health. By losing weight bloodsugarlevels will drop, the blood pressure will also drop, and cholesterol levels will improve
(HDL-C and TG). Another effect is that the patient will be less hungry. In my own dietitians’ office the focus is on losing weight.
That is why I advise the low carb lifestyle. The result was that 90% of T2DM patients was able to stop insulin injections. They all
lost weight and in 80% HbA1c value improved within half a year. More studies show similar results. These findings show that
the current treatment protocol of T2DM patients could be considered to change.
Biography
Harriet Verkoelen is a Dutch Dietician and Nurse Diabetes Specialist, working in the field of diabetes care for almost 30 years. She wrote three books on the low
carb lifestyle and trains dieticians. She trains the diabetes nurses how to advice their patients in the low carb lifestyle and how to lower and stop their diabetes
medication.
Harriet Verkoelen, J Obes Weight Loss Ther 2018, Volume 8
DOI: 10.4172/2165-7904-C3-063