Here is the intervention mentioned in the study. Have a quick read through and then keep reading the threadpic.twitter.com/eFs7mVgbSp
Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him
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Here is the intervention mentioned in the study. Have a quick read through and then keep reading the threadpic.twitter.com/eFs7mVgbSp
You'll note that there are A LOT of things included in the Virta package. That is, after all, why they charge ~$4500 a year for the first year and ~$2500 every year after thatpic.twitter.com/edvSU4foJT
I'm flabbergasted that people can be calling an intervention that includes personalized dietary regimens, individual health coaches, physicians, nurses, and technological support as "ketosis"
Yes, ketosis was ~part~ of the intervention. But that's like arguing that a care works because it has headlights. The headlights are important, but they aren't everything
So intensive support also vastly improved their cardiovascular risk markers in the exact same way other low carb studies, without the intense support? Thats a huge co-incidence! https://cardiab.biomedcentral.com/articles/10.1186/s12933-018-0698-8 …
Either that or it's a huge coincidence that these results mirror the results of ~every single~ intensive intervention into diabetes for at least the last 5 years i.e. https://link.springer.com/content/pdf/10.1007%2FBF00400196.pdf …
If you spend $4,500 a year on a doctor, dietitian, exercise physiologist, app support, biometric monitors, care coordinator, and study nurse, and see a benefit and then call it a win for ketosis? Seems like a wild stretch to me
Really? Do they show the increase in HDL and improved TG/HDL ratio? That is quite typical of LC diets and has been shown in studies without the intensive support. Results a little improved with the support but the same classical LC features.
Of course? There's at least one positive study for every biomarker imaginable for every diet: IF, Mediterranean, paleo, keto, you name it! But diabetes remissions takes intensive intervention, like with virta
I have not seen any intervention achieve the level of success that virta has with LC and you are planning to "manage" 1,000,000 diabetics. I suggest "manage" is not good enough when reversing 60% is possible. Managing is a recurring expense!
The study I linked had ~better~ outcomes than virta. Diabetes remission is a hot topic, but getting funding is always hard. Virta is but one, highly priced, private version of something a lot of people are doing
It did not have better results & they selected early T2D, not on insulin. Its not the same population. The Virta methods are in the public domain, Even the CSIRO are suggesting a low carb approach is better. It does not require Virta involvement, you could adopt the same approach
Virta had an average HbA1c of 7.5% in their pre-intervention group, with a "self-selected, non-randomized" cohort design. It's not the same group - this study was much less biased!
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