Case 2 - Overweight 35-Year-Old African American Woman with T2DM

PROGRAM DESCRIPTION Type 2 diabetes mellitus (T2DM) is associated with myriad complications and comorbidites leading to multiple health, social, and economic burdens. Microvascular (diabetic nephropathy, neuropathy, and retinopathy) and macrovascular ...

PROGRAM DESCRIPTION
Type 2 diabetes mellitus (T2DM) is associated with myriad complications and comorbidites leading to multiple health, social, and economic burdens. Microvascular (diabetic nephropathy, neuropathy, and retinopathy) and macrovascular (coronary artery disease, peripheral arterial disease, and stroke) complications contribute to a decrease in life expectancy of up to 10 years compared with nondiabetic individuals. Aside from its direct medical costs, T2DM is associated with substantial indirect costs due to loss of productivity, absenteeism, and the need for early retirement. This interactive Case Clinic illustrates how a low-carbohydrate ketogenic diet that improves glycemic control can improve clinical outcomes, including a reduction in the need for medication to control diabetes and other cardiometabolic risk factors.

EDUCATIONAL OBJECTIVES
At the conclusion of this activity, participants should be better able to:Apply individualized criteria to determine the optimal approach to weight loss with glycemic control in overweight or obese patients with type 2 diabetes mellitus (T2DM)Explain the evidence base for use of a low-carbohydrate, ketogenic diet for weight loss and cardiometabolic risk factor reduction in T2DMUtilize shared decision-making to help patients with T2DM successfully undertake sustainable lifestyle changeImplement a ketogenic diet and manage patients according established primary care metrics, including monitoring and adjustment of concomitant medications

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