Intended for healthcare professionals

Endgames Case Review

A patient request for some “deprescribing”

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4023 (Published 03 August 2015) Cite this as: BMJ 2015;351:h4023

Re: A patient request for some “deprescribing”

I thank the article writers for giving light to this way of treating patients and to minimize the need of drugs, which are costly and not free of side effects.
I see patients who have type-1 or -2 diabetes among others at my private practice. Some of them have come to the same conclusion as the patient of the article by reading themselves about low carb, or their doctor had recommended it. Those patients usually have lost weight and many do fine with none or less medication. As high blood sugar is a cause of retinopathy, the better HbA1c reflects to their eye health too.

As a mother of a type-1 diabetic son I find low carb, enough protein and fat to satiety a good way to prevent a blood glucose roller coaster and keep hypoglycemic events away.
As the obesity and type-2 epidemics are spreading globally, this way of treatment is really something to keep in mind.

Competing interests: No competing interests

02 September 2015
Tytti Laiho
Ophtalmologist
Finland