> You make it sound like the intervention was carb elimination, rather than weight loss with a health coach. It was not. And you make it sound like the interve

> You make it sound like the intervention was carb elimination, rather than weight loss with a health coach. It was not. And you make it sound like the intervention was weight loss with a coach, rather than carb restriction made possible by continuous care. The authors assert that carbohydrate restriction was the main cause of lowered blood glucose, weight, and medicine use (weight loss was not the cause of the improvements; rather, it was one effect among others). Continuous care was required for medicine management and in order to sustain the diet, as clearly stated in the summary (emphasis mine): > Blood sugar in patients with T2D can improve quickly when patients eat significantly fewer dietary carbohydrates. However, this demands careful medicine management by doctors, and patients need support and frequent contact with health providers to sustain this way of living. [...] After 1 year, patients in the CCI, on average, lowered HbA1c from 7.6 to 6.3%, lost 12% of their body weight, and reduced diabetes medicine use. [...] This suggests the novel care model studied here using dietary carbohydrate restriction and continuous remote care can safely support adults with T2D to lower HbA1c, weight, and medicine use.