Conclusion: Advice to obese patients with type 2 diabetes to follow a 20% carbohydrate diet with
some caloric restriction has lasting effects on bodyweight and glycemic control.
control patients from the high-carbohydrate diet group that had changed to a low-carbohydrate
diet after the initial 6 month observation period. We report cardiovascular outcome for the low-
carbohydrate group as well as the control patients who did not change to a low-carbohydrate diet.