Also worth noting that it is ENTIRELY UNCONTROVERSIAL to say that spending ~$4,000 a year per person on an integrated diet/exercise/medical program is extremely effective at controlling diabetes Virta did nothing that others have not already done without low-carb dietshttps://twitter.com/EAllen0417/status/1011706268874989568 …
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The first studies of "diabetes remission" were published well over a decade ago, and none of them used low-carb methodologies But that doesn't fit the narrative, so it's ignored
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Replying to @GidMK
Did any of them achieve 60% remission rate with a lot less meds and a +80% adherence rate over one year (or better, because that's something so trivial)? That sounds awesome, please let's see all those studies!
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Replying to @marqquezine
Some had a 60% remission rate, depends on the methodology. The DIRECT trial had a much cheaper, less intensive intervention with 50% remission and similar adherence I'll find the link
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Replying to @GidMK @marqquezine
“Much cheaper” Did the cost analysis include wages of staff, opp cost of person attending, food eaten?
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Replying to @WeDietitians @marqquezine
Oh absolutely. Part of the high cost of Virta is the physician involvement, the DIRECT trial used nurses and/or dietitians
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Replying to @GidMK @marqquezine
But where’s the analysis to claim “much cheaper” Much cheaper for whom?
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Replying to @WeDietitians @marqquezine
To the health system. To be fair, the "much cheaper" comment comes from the manager of the obesity service where I work, I haven't seen the costs of the DIRECT trial compared directly with the $4,000USD a year cost of Virta
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Replying to @GidMK @marqquezine
Ok gid, that’s not “being fair”, that’s “throwing your boss under a bus while perpetuating a statement that may or may not be true”. If you do come across a comparative cost analysis please post bc “cost” is oft a forgotten layer of decision making
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Replying to @WeDietitians @marqquezine
Brief calculation: 1-year supply of VLED diet replacement (bulk buy): $2,000AUD Cost per patient, dietitian support: $500AUD Total cost: ~$2,500AUD Cost per patient of Virta: $5,500AUD
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Honestly, most interventions are cheaper than virta, they are a private company it's not surprising they charge a lot
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