New possibilities for Type 2 Diabetes Remission? In this interview we speak with Pharmacist Kim Kallio to discuss some of the evidence for Type 2 Diabetes Remission including the use of low carbohydrate diets to achieve weight loss and improve HbA1c in type 2 diabetes and pre-diabetes.
Lindsay Dixon is a Registered Pharmacist residing in Canada. She obtained her Bachelors of Science degree in Brazil where she specialized in the area of Pharmacotherapy. With over 13 years of experience working in community pharmacy and in community pharmacy management, her passion lies in the areas of preventative medicine, patient-centred care, and public health education.
Lindsay was the recipient of the Ben Gant Practice Innovation award from the BC Pharmacy Association in 2021 and was most recently selected by Pharmacy Practice & Business Magazine as the recipient of the Raise Your Voice Award in 2022. Lindsay is also certified in Palliative Care through the University of Victoria.
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Kim Kallio, originally from Ontario, was a pharmacy manager on Vancouver Island, and is now a relief pharmacist located in the interior of BC where she practices community pharmacy.
Kim has also taken an interest in Functional Medicine and has taken certification courses through the Institute of Functional Medicine. Functional Medicine is an approach to healthcare that looks to address the root cause of disease, through various methods, including through lifestyle and diet interventions.
In this interview, we look at 3 separate studies that discuss different dietary changes, including diets such as Very low carb, Ketogenic, Fasting, and other variations of diets that are showing potential to reduce the burden of diabetes by using diet and lifestyle coaching to change the course of type 2 diabetes for patients, even achieving remission in some cases. Yes, I said remission!
These studies are on the forefront of a new approach to diabetes. There is definitely a place for pharmacists to play a role in a multidisciplinary team here, and to be able to see patients reduce their medications, and sometimes even achieve remission of a disease that represented a $3.9 billion dollar burden to our healthcare system in 2020 alone.
References
DIRECT Trial - Diabetic Remission Clinical Trial: https://www.directclinicaltrial.org.uk
Pharm-TCR RCT: Pharmacist-led Therapeutic carbohydrate restriction as a treatment strategy for type 2 diabetes: https://open.library.ubc.ca/cIRcle/collections/facultyresearchandpublications/52383/items/1.0387511
Virta Health Clinical Trial: https://www.virtahealth.com/blog/2yr-t2d-trial-outcomes-virta-nutritional-ketosis
Diabetes Canada: www.diabetes.ca
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