Type 2 Diabetes Mellitus with Diabetic Gastroparesis and Occasional Liver Dysfunction Treated by Low Carbohydrate Diet.
Diabetes mellitus has been recently a widespread disease. According to the last data
of International Diabetes Federation, 463 million population has DM with increasing prevalence.
For adequate treatments, several standard guidelines of diabetic therapy have been found,
in which American Diabetes Association presented recent concept and therapeutic
management in January 2021.
DM has given public health burden from social and economic aspects.
Furthermore, it also brings macroangiopathy and microangiopathy for diabetic patients.
Among them, neurological complications include upper gastrointestinal
symptoms and decreased motility because of impairment of adequate control of digestive system.
In recent years, there have been various discussion concerning the complications of diabetes.
From historical point of view, the usual diet therapy was formerly calorie restriction,
where fat food was mainly limited for reducing total calorie.
After a variety of nutritional practice and research for decades, low carbohydrate
diet was introduced for medical and healthcare fields. It was Drs Atkins and Bernstein
who had shown the effect for diabetes and developed the actual.
In the light of evidence-based medicine, clinical effect of LCD was revealed by some large studies.
The effective period for LCD has been more longer years and LCD has become recently rather
prevalent in North American and European countries.
On the other hand, authors and co-researchers have initiated LCD in Japan and developed
LCD treatment method so far. We have established Japan LCD Promotion Association and
continued a variety of opportunities for original papers, books, medical societies, seminars and workshops.
Diabetes Res Open J. 2021; 7(1): 6-11. doi: 10.17140/DROJ-7-150