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Inspiring remission results from a busy UK doctor

Updated: Sep 11, 2023

This story was first shared on the IPTN site in January 2023. But since that time, Dr. Unwin's publication in BMJ Nutrition, Prevention & Health has become the journal's most popular paper that they have ever published! It's proof: Patients and health providers want to learn about type 2 diabetes remission.

In early January, BMJNutrition published an 8-year audit from Dr. David Unwin's practice at the Norwood Surgery in the United Kingdom. The paper was co-authored with Dr. Roy Taylor, the principal investigator in the DiRECT trial. Results from the practice audit showed that for those patients choosing a low-carbohydrate approach, the following results were achieved:

  • 97% showed improved type 2 diabetes control over 33 months;

  • 77% of those starting within 1 year after diagnosis of type 2 diabetes achieved remission;

  • Overall 51% of all participants achieved remission.

Key messages from the paper:

  • Type 2 diabetes remission is possible, even in a busy primary care practice;

  • The earlier that the approach is implemented, the greater the chance of remission;

  • Almost all the patients who chose to adopt a low carbohydrate approach in this practice saw other significant health benefits even if drug-free remission was not achieved;

  • Results can deteriorate and relapses occur if patients are not provided ongoing support through educational materials, group sessions, effective coping strategies, and timely feedback;

  • Hope is a powerful motivator.

This paper reflects a real-world practice and is not randomized, does not have a control group, and therefore has the potential for bias.

However, it provides important insights into what is possible in primary care when type 2 diabetes remission options are given to patients and when results are tracked on an ongoing basis.

If you are interested in type 2 diabetes remission, it is worth your time to read the whole paper, found here:


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