The Use of Very Low Calorie Diets in the Management of Type 2 Diabetes Mellitus
Keywords: low calorie diets, type 2 diabetes, management
AbstractIt was believed that Type 2 diabetes (DM2) was a progressive condition, with gradual decrease in beta-cell function. Data from the United Kingdom Prospective Study indicate that approximately only 50% beta-cell function remains at the time of diagnosis which decreases to 30% within 6 years.1 This reduction in betacell function is associated with treatment intensification including additional oral hypoglycaemic agents and ultimately insulin.1 Due to the decrease in beta-cell function, the first phase insulin response (insulin secretion within the first 10 minutes after eating) is believed to be permanently lost in people with Type 2 diabetes.2,3 Lim et al. (2011) challenged this view when the first phase insulin secretion normalised following a very low calorie diet (VLCD) (less than 600 kcal) for 8 weeks.4 Subsequently, glycaemic control normalized and DM2 was in remission. It is not surprising that this study led researchers to question if DM2 could be reversed3 and sparked mass interest in these diets from people living with DM2.5
How to Cite
Van Wyk, H., & Daniel, M. (2016). The Use of Very Low Calorie Diets in the Management of Type 2 Diabetes Mellitus. South African Journal of Clinical Nutrition, 29(2), 96-102. Retrieved from http://sajcn.co.za/index.php/SAJCN/article/view/1126
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