Nutr Metab (Lond) December 2008 PMID 19099589

The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus.

Eric C Westman, William S Yancy, John C Mavropoulos, Megan Marquart, Jennifer R McDuffie

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Mentions

230
Peak: 26 in Apr 2019
across 6 sources since Jan 2019

Extended reach

786,363
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Total likes

7,524

Video views

321,152

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Jan 2019 – May 2025

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AI synopsis

What people are saying

Discussions consistently reference studies like Westman's 2008 research and emphasize the benefits of ketogenic diets, with phrases like 'greater improvements' and 'reversing diabetes,' reflecting strong support and high engagement. The tone varies from supportive to critical, but overall, users recognize the substantial health implications of the research, contributing to the high impact score.

AgreementModerate agreement

Most discussions support the findings that low-carb diets are effective for glycemic control and reversing type 2 diabetes.

InterestHigh interest

High frequency of comments showing enthusiasm and curiosity about ketosis, diet approaches, and their health impacts.

EngagementHigh engagement

Posts debate methodologies, cite studies, and call out contradictory opinions, indicating deep involvement.

ImpactHigh impact

Numerous mentions of the potential for these diets to improve health outcomes, reduce medication use, and reverse disease, suggesting significant influence.

Abstract in brief

  • The study compared a low-carbohydrate ketogenic diet (20 g carbs daily) with a low-glycemic index diet in obese individuals with type 2 diabetes over 24 weeks, focusing on blood sugar control measured by hemoglobin A1c.
  • Both diets improved blood sugar levels, insulin, fasting glucose, and weight, but the low-carb ketogenic diet resulted in significantly better outcomes, including greater reductions in hemoglobin A1c, weight, and increased HDL cholesterol.
  • Most participants on the low-carb diet were able to reduce or stop their diabetes medications, suggesting that dietary changes, especially low-carb interventions, can effectively improve and potentially reverse type 2 diabetes.]

Top posts

Most liked on X and Bluesky
Paul Mason MD
@DrPaulMason · X

Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduce BP by 16mmHg on keto diet! (sodium retention is insulin dependent). https://t.co/RzTfDScqHw @zoeharcombe @bigfatsurprise @SBakerMD @ProfTimNoakes @lowcarbGP https://t.co/oc6if5FFA1

Apr 9, 2019 · 64 likes · 26 shares · 73,529 followers View post →
Nick
@upRootNutrition · X

Oh, you mean like this one by Eric Westman? The study that showed no appreciable differences between a ketogenic diet and a calorie-restricted diet that was 55% carbs? https://t.co/534Xgon2aB https://t.co/5Mam2FuSnW

May 19, 2021 · 15 likes · 9,482 followers View post →
Nick
@upRootNutrition · X

Westman, eh? You mean the guy who trumpets for keto and shits on calorie restriction despite his own research largely showing non-inferiority between the two? As a matter of fact, keto had a 45% non-completion rate, versus 37% with calorie restriction.

Jul 26, 2021 · 8 likes · 9,482 followers View post →
rory robertson
@OzParadoxdotcom · X

Hi David, BMJ reads as if Prof Taylor invented #T2D reversal? But began pre-1923: p42 https://t.co/B2N0AWd8nS Ignores @drericwestman's 2008 #Keto RCT? https://t.co/q03ZTBsCfY Cites @DrFeinman's #LowCarb def'n but ignores Pt.3 re weightloss unneeded? https://t.co/9uJKgqCsQL #NHMRC https://t.co/YrmvSVs1kG https://t.co/zMVbiGUXRc

Jul 8, 2021 · 7 likes · 1 share · 1,579 followers View post →
Dr. Kenji Montiel
@saludoptimizada · X

La comida es la medicina! “La modificación de la dieta condujo a mejoras en el control glucémico y la reducción / eliminación de medicamentos en voluntarios motivados con diabetes tipo 2.” https://t.co/VpD1bEyWnl

May 7, 2020 · 6 likes · 1 share · 194 followers View post →
Nick
@upRootNutrition · X

Calorie deficit. His own trial showed that a sustained calorie deficit was sufficient to improve T2DM symptoms, and there were no statistically significant differences in T2DM marker improvement when comparing keto to calorie restriction. https://t.co/534Xgon2aB https://t.co/b8giKfuwZl

Jan 3, 2021 · 3 likes · 9,482 followers View post →

All mentions

Benefits of the Ketogenic Diet for Health Improvement

Explore how the ketogenic diet can transform your life by reducing disease risks and enhancing overall health. This video guides you through the scientifically proven benefits of lowering carbohydrates and increasing…

Iván · May 9, 2024 48 views
Mellex
@mellexnano · X

@GoldbirdV @AICounselDallas @RWMaloneMD And then you need to address the arguments and evidence that low-carb diets mitigate other risk factors for cardiovascular disease and cam even "reverse" Type 2 diabetes. Does your "clinical outcomes matter" devolve into unadulterated utilitarianism? https://t.co/e8VW3YP2bm

May 14, 2025 · 133 followers View post →
ingrid
@vanderblyse · X

@981envy @Magnotta1738 @v4mpbody my pleasure

Jun 13, 2024 · 201 followers View post →
Longevity Lab
@longevitylab_ · X

References: 19/19 https://t.co/3WueeyGpG6 https://t.co/VCPvpur0xH https://t.co/NRF54okhKE https://t.co/0xLbw5je9p https://t.co/WfKU0XnrVy https://t.co/lxkqW80Bqx https://t.co/sI4Y1MYWne https://t.co/1mqP0bt2fx

May 3, 2023 · 24 followers View post →
شيخ الامين الحواريو الدمبلات والبرمجيات
@amin_assaid · X

6.Westman, E. C., Yancy, W. S., Mavropoulos, J. C., Marquart, M., & McDuffie, J. R. (2008). The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus. Nutrition & metabolism, 5(1),

Feb 26, 2023 · 620 followers View post →
شيخ الامين الحواريو الدمبلات والبرمجيات
@amin_assaid · X

36. https://t.co/9KAuRKOwo6

Feb 26, 2023 · 620 followers View post →
DiegoNS
@DiegoNSalman · X

@CesarDiaz507 @manoso_iqq 4. https://t.co/aUFJPDvap1 5. https://t.co/NVC6sv2Keb 6. https://t.co/D2VaH8EOPe 7. https://t.co/FJha390raf 8. https://t.co/nTrF2TzbR6 9. https://t.co/IDM9hsw9wt 10. https://t.co/MpNCv2KDYb

Dec 4, 2022 · 2 likes · 7,988 followers View post →
Piotr Leski
@LeskiPiotr · X

@b_janiszewski_ takich badan jest sporo. choc nie twierdze, ze inne diety muszą byc gorsze. ale chyba dezawuowac keto tez sie nie powinno https://t.co/0HFul95jsb

Nov 7, 2022 · 14,022 followers View post →
Prof. Biology
@ResearchBiology · X

Nutrition and Metabolism- The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus. The diet lower in carbohydrate led to greater improvements in glycemic control and med reduction. https://t.co/AzoKRZxya5

Dec 3, 2021 · 566 followers View post →
Mark O Meara
@MarkOMeara14 · X

@PissedOff_PT @drericwestman https://t.co/mmSEH3GWjW

Sep 28, 2021 · 26 followers View post →
Nick
@upRootNutrition · X

@garytaubes @ChristianTams https://t.co/B4j35dvUS6

Sep 10, 2021 · 9,482 followers View post →
rory robertson
@OzParadoxdotcom · X

RT @OzParadoxdotcom: #LowGI careerists flogging dead horse & suppressing effective cure #T2Diabetes Clear from 2008 that #LowCarb/#Keto die…

Aug 11, 2021 · 1 share · 1,579 followers View post →
rory robertson
@OzParadoxdotcom · X

@GiFoundation @bmj_company #LowGI careerists flogging dead horse & suppressing effective cure #T2Diabetes Clear from 2008 that #LowCarb/#Keto diets outperform LowGI diets: https://t.co/T2b7wN0JZx #CharlesPerkins LowGI crew big on fraud & public harm: p.53 https://t.co/vswOUkxHNT #SydneyUni #CPCusyd #auspol https://t.co/YhdvOtfbEW

Aug 10, 2021 · 1,579 followers View post →
rory robertson
@OzParadoxdotcom · X

#LowGI careerists flogging dead horse & suppressing effective cure #T2Diabetes Clear from 2008 that #LowCarb/#Keto diets outperform LowGI diets: https://t.co/T2b7wN0JZx #CharlesPerkins LowGI crew big on fraud & public harm: p.53 https://t.co/OZDm1OSV1T #SydneyUni #CPCusyd #auspol https://t.co/PhOle5OtTD https://t.co/uhagmriZgn

Aug 9, 2021 · 1 share · 1,579 followers View post →
Nick
@upRootNutrition · X

Westman, eh? You mean the guy who trumpets for keto and shits on calorie restriction despite his own research largely showing non-inferiority between the two? As a matter of fact, keto had a 45% non-completion rate, versus 37% with calorie restriction.

Jul 26, 2021 · 8 likes · 9,482 followers View post →
rory robertson
@OzParadoxdotcom · X

#Virta study not RCT coz facts re cause & reversal #T2Diabetes documented at highest level of medical science since pre-1923: p.42 https://t.co/B2N0AWd8nS Further confirmation @drericwestman 2008: https://t.co/oT49ayNSNM +@DrFeinman 2015 https://t.co/9uJKgqCsQL #NDW2015 #auspol https://t.co/GyUjVcYOMs https://t.co/Aw6pNuQFoh

Jul 11, 2021 · 1,579 followers View post →
rory robertson
@OzParadoxdotcom · X

@PenelopeFigtree @FeliceJacka @_Amanda_J_Lee_ @georgeinstitute @nhmrc @aihw @TAPPCentre @rosestant70 @SandroDemaio @_PHAA_ @ChristinaPolla8 @NACCHOAustralia @_INFORMAS @OPCAustralia @GreenlandRohan @DrSarahHallberg #Virta study not RCT coz facts re cause & reversal #T2Diabetes documented at highest level of medical science since pre-1923: p.42 https://t.co/B2N0AWd8nS Further confirmation @drericwestman 2008: https://t.co/oT49ayNSNM +@DrFeinman 2015 https://t.co/9uJKgqCsQL #NDW2015 #auspol

Jul 11, 2021 · 1 like · 1,579 followers View post →
Diljan Mansoor MD
@DiljanMansoor · X

RT @OzParadoxdotcom: Hi David, BMJ reads as if Prof Taylor invented #T2D reversal? But began pre-1923: p42 https://t.co/B2N0AWd8nS Ignores…

Jul 8, 2021 · 1 share · 4,324 followers View post →
rory robertson
@OzParadoxdotcom · X

Hi David, BMJ reads as if Prof Taylor invented #T2D reversal? But began pre-1923: p42 https://t.co/B2N0AWd8nS Ignores @drericwestman's 2008 #Keto RCT? https://t.co/q03ZTBsCfY Cites @DrFeinman's #LowCarb def'n but ignores Pt.3 re weightloss unneeded? https://t.co/9uJKgqCsQL #NHMRC https://t.co/YrmvSVs1kG https://t.co/zMVbiGUXRc

Jul 8, 2021 · 7 likes · 1 share · 1,579 followers View post →
Nick
@upRootNutrition · X

Oh, you mean like this one by Eric Westman? The study that showed no appreciable differences between a ketogenic diet and a calorie-restricted diet that was 55% carbs? https://t.co/534Xgon2aB https://t.co/5Mam2FuSnW

May 19, 2021 · 15 likes · 9,482 followers View post →
joseph anya
@josephanyaa · X

In 2008, researchers conducted a 24-week study to determine the effects of a low-carbohydrate diet on people with type 2 diabetes and obesity. At the end of the study, participants who followed the ketogenic diet saw greater.... 1/2 https://t.co/5dlx8XEvzM

Mar 14, 2021 · 3,948 followers View post →
Nick
@upRootNutrition · X

@ondrej_sibl @RChrisCC @zerohedge https://t.co/B4j35dNvJE

Jan 18, 2021 · 9,482 followers View post →
Nick
@upRootNutrition · X

Calorie deficit. His own trial showed that a sustained calorie deficit was sufficient to improve T2DM symptoms, and there were no statistically significant differences in T2DM marker improvement when comparing keto to calorie restriction. https://t.co/534Xgon2aB https://t.co/b8giKfuwZl

Jan 3, 2021 · 3 likes · 9,482 followers View post →
Vanessa Spina, SNS
@ketogenicgirl · X

@MikeRobbescheu1 @goldseek @nntaleb It’s actually the definition of scientific as the 20 g mark has been shown in several studies to make the difference between ketogenesis and gluccogenic based metabolism. Falling ketones happen way after the liver has stopped making ketones from body fat. https://t.co/kydqXSAg9t

Jun 23, 2020 · 9,736 followers View post →
د. منى كابلي
@mnkabli · X

@mazinabusalma @Dr_Khalghamdi https://t.co/G2Z1ItTFW7

May 21, 2020 · 1 like · 2,603 followers View post →
Dr. Kenji Montiel
@saludoptimizada · X

La comida es la medicina! “La modificación de la dieta condujo a mejoras en el control glucémico y la reducción / eliminación de medicamentos en voluntarios motivados con diabetes tipo 2.” https://t.co/VpD1bEyWnl

May 7, 2020 · 6 likes · 1 share · 194 followers View post →
Diabits App
@DiabitsApp · X

Recent studies have shown that people who follow the ketogenic diet (low carb) have improved glucose control compared to those who followed a low-glycemic index diet. . . To read more about these studies and the keto diet, check out this link! https://t.co/NETqiI10CF https://t.co/hxPqY94q0k

Apr 20, 2020 · 412 followers View post →
Libertas
@Libertas2008 · X

@Jordan_theCoach Don't say I didn't give you a chance to save face. https://t.co/ub6JUlPEe5 https://t.co/Jsc7bgMIbJ https://t.co/OiVvZIJbBQ https://t.co/kd58OcHxCd https://t.co/Iw3ZJ6oaJ8 https://t.co/lzrpYazuzW https://t.co/rI2woXYwQa https://t.co/d3ZkFMx9RI https://t.co/3onTxZ6CcI

Jan 27, 2020 · 206 followers View post →
Adi Setyawan MD
@AdiSObGyn · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Sep 27, 2019 · 26 shares · 354 followers View post →
TheAnachronist1
@TheAnachronist1 · X

@herbivore_club @Veganella_ @notaylott @ImamMedia @chapter6t @BuffyDerSlayer @worldgoesvegan @vegannutrition1 @respectfullivin @Real_John_Awen https://t.co/pof1sNwza7 https://t.co/ekwuoJyRQJ https://t.co/ekwuoJyRQJ

May 3, 2019 · 154 followers View post →
Dr. Carlos Aboitiz
@drabtz · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 25, 2019 · 26 shares · 250 followers View post →
My Rights stand
@Dedicatedlyfirm · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 25, 2019 · 26 shares · 4,928 followers View post →
Gary Fettke
@FructoseNo · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 25, 2019 · 26 shares · 85,052 followers View post →
David Wyant
@wyadvd · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 14, 2019 · 26 shares · 2,686 followers View post →
Heather Temple-Marsh
@honeybunspilsby · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 10, 2019 · 26 shares · 1,599 followers View post →
Pugnae
@pugnae · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 10, 2019 · 26 shares · 13 followers View post →
Kerry Ireland
@kezzybear1968 · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 10, 2019 · 26 shares · 434 followers View post →
Peter Voshol
@Peter_Voshol · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 10, 2019 · 26 shares · 1,920 followers View post →
Fernpick
@Fernpick · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 439 followers View post →
Sathish Baradwaj
@BaradwajSathish · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 403 followers View post →
Mad
@MadPharmacist1 · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 6,492 followers View post →
MacroFour
@MacroFour · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 6,068 followers View post →
Jorge Riquelme
@RiquelmeJorge · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 844 followers View post →
Ferdinand Fong
@ffnfong · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 46 followers View post →
Erik © ←
@erikneves · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 902 followers View post →
laili
@laili_lai · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 67 followers View post →
Santito
@SantitoBastardo · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 66 followers View post →
ZC Runner©️
@run4life51 · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 1,847 followers View post →
Ana Cláudia
@Anawsantos · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 353 followers View post →
CambridgePT
@cambridge_pt · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 2,314 followers View post →
signeketo
@signeketo · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 86 followers View post →
Raul Rios
@AU_3104 · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 168 followers View post →
DiscoStew
@DiscoStew66 · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 10,772 followers View post →
MJFree
@MJFree01 · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 406 followers View post →
Tim Noakes
@ProfTimNoakes · X

RT @DrPaulMason: Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduc…

Apr 9, 2019 · 26 shares · 158,521 followers View post →
Paul Mason MD
@DrPaulMason · X

Reduce sodium excretion from 3.5g to 2.1g reduces BP by 2mmHg - Australian Dietary Guidelines population target. OR reduce BP by 16mmHg on keto diet! (sodium retention is insulin dependent). https://t.co/RzTfDScqHw @zoeharcombe @bigfatsurprise @SBakerMD @ProfTimNoakes @lowcarbGP https://t.co/oc6if5FFA1

Apr 9, 2019 · 64 likes · 26 shares · 73,529 followers View post →
Sally
@avenueminga · X

@t3tragrammat0n @9four9 @toppediatrician @Boxmenot @badzoot7 @PileOfGoop @DansMonkeyShack @StabellBenn @doritmi @Plasticdoe @backedbygold @drfixus @rugbyrhino16 @mimetic_ @GrumFromNorwich @Just4TheCause @mmelgar09 @TioChango_ @jpsportsminer @_CWN @mcfunny @GeoffSchuler @VeritasEver @WendyOrent @stephaniekays @AaronKai5 @ChrisJohnsonMD @BlueLionBlog @TakeThatCDC @seaglass34 @RebeccaLardner @Joshua1_5 @DocMElliott @ghoppe @itsmepanda1 @alc_anthro @weaponizedword1 @viva__lala @TPRMaynard7 @EmmaGPaley @asiamoonbloom @mrlepus @urbanx_f @kidoctr @Melissa62263619 @cantab_biker @JHowardBrainMD @dkegel @onelessdeceived @kenjaques Ketogenic Diet worth a try for this demographic. I’ve recently had a few new diabetics lose a lot of weight and amazingly quickly improve Hba1c https://t.co/LSlOATJpNS (Would also help lower risk if not yet diabetic)

Jan 20, 2019 · 579 followers View post →