摘要：2型糖尿病（T2DM）是一种主要的大流行病，困扰着全球成千上万人。在过去的几年中，低碳水化合物/生酮饮食在糖尿病管理方面在全球范围内迅速发展，主要是在公众中，但也有一些相关的医疗保健专业人员和医师。尽管设计和执行良好的临床研究令人信服地证明低碳水化合物/生酮饮食对糖尿病的有效性仍然很少，但这种临床研究开始出现。许多糖尿病患者和医疗保健提供者似乎期望一种神奇的“一刀切”产品：低碳水化合物/生酮饮食可以治愈所有T2DM问题。尽管对所有参与者都非常令人鼓舞和激动，但这可能会产生误导。虽然低碳水化合物/生酮饮食应成为糖尿病管理的基础，但我们需要相互了解并大声地教育公众，高血糖只是T2DM的症状，血糖控制是实现理想糖尿病管理的第一步，但这还不是全部。现在，人们普遍认为T2DM的管理应采取整体方法，不仅要解决生活方式的改变（饮食，运动，放松，睡眠），而且要解决潜在的病态，例如氧化应激升高（毒素过多，尤其是牙齿毒素，抗氧化剂/营养素缺乏症），线粒体功能障碍，营养缺乏症（例如Vit C和D缺乏症，荷尔蒙失调等）。像大多数其他慢性疾病一样，T2DM是多因素系统性疾病，应将其治疗。
Diabetes Mellitus is More Than Just a Hyperglycemic Disease
-a Low Carb Medicine Perspective
Richard Z. Cheng, M.D., Ph.D.
Abstract: Type 2 Diabetes mellitus (T2DM) is a major pandemic afflicting hundreds of millions of people worldwide. Low carb/ketogenic diet for diabetes management has been gaining momentum worldwide for the last few years, primarily among the public, but also some allied healthcare professionals and physicians. Although well designed and executed clinical studies convincingly demonstrating the effectiveness of low carb/ketogenic diet for diabetes are still few, such clinical studies begin to emerge. Many diabetics and healthcare providers seem to be expecting a magic “one size fits all”: low carb/ketogenic diet will cure all T2DM problems. Albeit very encouraging and exciting to all involved, this may be misleading. While low carb/ketogenic diet should be the backbone of diabetes management, we need to understand among ourselves and also educate the public loudly and clearlythat hyperglycemia is only a symptom of T2DM, that blood glucose control is the first step towards the ideal diabetes management, but that’s not all. It’s now generally accepted that the management of T2DM should take a holistic approach toaddress not only lifestyle modifications (dietary, exercise, relaxation, sleep), but also the underlying contributing pathologies such as elevated oxidative stress (excessive toxins, esp. dental toxins, anti-oxidants/nutrients deficiency),mitochondrial dysfunction, nutritional deficiency such as Vit C and D deficiency, hormonal imbalance, etc. T2DM, like most other chronic diseases, is a multifactorial systemic illness, and should be treated as such.
