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I'm surprised a bit that this seems to be contentious/not already part of normal treatment in the US? Or is the article wrong? Yes, Insulin is the "last line o
by sgift 3y ago
I'm surprised a bit that this seems to be contentious/not already part of normal treatment in the US? Or is the article wrong?
Yes, Insulin is the "last line of defense" for Diabetes 2, but at least here in Germany dietary change (e.g. Keto or at least less carbs) is an essential part of treatment. And so are other medications (e.g. Metformin). Insulin is given if there's no other option, cause well, not giving insulin if your blood sugar is really bad leads to very bad outcomes, but if there is any other option doctors will take it first.
- phanimahesh 3y agoThis matches my experience in India. A dietician consultation is recommended on diagnosis of diabetes, however adherence to low carb diet is low. Still, insulin is considered last line of defence if diet control, drugs like metformin, glimiperide, sitagliptin etc are not sufficient to keep blood glucose in check. Indians typically follow either a rice based diet in southern regions or wheat based diet in northen regions. Doctors down south recommend eating limited or no rice and switching to wheat based roti, whereas northen doctors recommend switching to rice. I suspect this is to reduce overall consumption, in anecdotal experiences it works better than just asking people to limit their preferred grain. People eat less of unfamiliar foods.