How Diet Alone Can Achieve Remission in Diabetes
The multidisciplinary expert panel agreed on the effectiveness of a whole-food, plant-based diet and reduced calorie intake through reduced food volume, portion size, energy density, or a combination of the approaches over the standard US diet to promote remission of type 2 diabetes. A high level of consensus was also reached on the risk for significant adverse events associated with a very–low-carbohydrate diet. The failure to present a food-as-medicine treatment option to individuals with type 2 diabetes is a failure of informed consent and shared decision-making. Numerous studies show that sufficiently intensive lifestyle interventions may result in type 2 diabetes remission, with a success rate similar to bariatric surgery but without the excessive costs of surgery or the potential complications.