Sustained metabolic improvements in a remotely delivered ketogenic nutrition programme for veterans with type 2 diabetes: A 3‐year observational study
Authors' conclusion
For US Veterans, long-term participation in a remote ketogenic nutrition therapy intervention was associated with sustained improvements in glycaemic control, weight, medication use and select cardiometabolic markers. A 0.8% HbA1c reduction is associated with meaningful reductions in diabetes-related complications, highlighting the potential clinical relevance of these findings.
Study context
- Population
- Veterans with T2D in a remote, medically supervised ketogenic nutrition therapy intervention; mean age 59 years, BMI 35 kg/m², HbA1c 8.4%enrolled
- Participants
- 640 veterans
- Outcome
- HbA1c, weight, diabetes medication use and cardiometabolic markers (lipids, liver enzymes, kidney function) among those enrolled for 2 or 3 years
- Follow-up
- 2 and 3 years
Methodological detailsremote continuous care intervention, de-identified medical records
- Remote continuous care intervention
- De-identified medical records
Main finding
As reported in the abstract
Remained engaged at 2 years
310
49%
Remained engaged at 3 years
197
33%
HbA1c reduction at both time points
≈0.8%
Weight decrease at both 2 and 3 years
≈9%
Observational data: associations, not effects.
Further findings
Subgroups
- Reductions in HbA1c and weight seen across subgroups overall
Veterans who discontinued before 2 years · programme departure
- Metabolic improvements, with greater benefits among those enrolled at least 6 months
Original publication
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