PMID- 34468401 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20230916 IS - 1752-2978 (Electronic) IS - 1752-296X (Print) IS - 1752-296X (Linking) VI - 28 IP - 5 DP - 2021 Oct 1 TI - Effect of low carbohydrate diets on insulin resistance and the metabolic syndrome. PG - 463-468 LID - 10.1097/MED.0000000000000659 [doi] AB - PURPOSE OF REVIEW: This review outlines recent research in the application of low carbohydrate diets (LCD) for insulin resistance (IR) and metabolic syndrome (MetS). RECENT FINDINGS: Studies included in this review explore how a LCD can be used in the management of patients with IR and MetS. LCDs have been shown to result in Type 2 Diabetes Mellitus (T2DM) remission, improve lipid profiles and dramatically reduce intrahepatic fat. SUMMARY: The field of nutritional science is notoriously complex. The LCD has a simple narrative, which can easily and safely be applied in clinical practice. Current guidelines recognise and encourage the use of LCD as a valid option for patients with T2DM and obesity. Structured, evidence-based education should be available for all clinicians to increase confidence and ensure consistency and quality control. Further real-world evidence into the application and scalability of a LCD are required. The use of digital health solutions and improved health technology should see significant advances in this field, with dietary habit being driven by patient-derived health data in response to food, and not population-based food guidelines. The narrative around MetS and IR needs to change from progression to remission, with a LCD being a valid option for this. CI - Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved. FAU - Foley, Peter J AU - Foley PJ AD - Hanham Health, Bristol, UK. LA - eng PT - Journal Article PT - Review PL - England TA - Curr Opin Endocrinol Diabetes Obes JT - Current opinion in endocrinology, diabetes, and obesity JID - 101308636 SB - IM MH - *Diabetes Mellitus, Type 2 MH - Diet, Carbohydrate-Restricted MH - Humans MH - *Insulin Resistance MH - *Metabolic Syndrome MH - Obesity PMC - PMC8500369 COIS- P.F. is the Clinical Safety Officer and a Medical Advisor for Diabetes Digital Media, for which he receives financial compensation. He declares no other conflicts of interest. EDAT- 2021/09/02 06:00 MHDA- 2021/10/16 06:00 PMCR- 2021/10/08 CRDT- 2021/09/01 12:26 PHST- 2021/09/01 12:26 [entrez] PHST- 2021/09/02 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] PHST- 2021/10/08 00:00 [pmc-release] AID - 01266029-202110000-00007 [pii] AID - MED280507 [pii] AID - 10.1097/MED.0000000000000659 [doi] PST - ppublish SO - Curr Opin Endocrinol Diabetes Obes. 2021 Oct 1;28(5):463-468. doi: 10.1097/MED.0000000000000659.