Dr Sadhra works towards four main goals with his low-carbohydrate interventions: lowering HbA1c readings, lowering weight, improving lipid profiles and reducing medication costs. These all fall under his overarching aim of putting type 2 diabetes in remission. One of Dr Sadhra’s patients lowered her HbA1c by 116 mmol/mol, the third largest drop in HbA1c for a type 2 diabetic in the world, in four months. Besides this single success story, Manor Park Medical Centre is one of the overall top performers in diabetes control, whilst simultaneously being the lowest spender on diabetes medication.
Dr Sadhra notes a number of difficulties in introducing a low-carbohydrate lifestyle to his patients. Firstly, his advice often conflicts with what patients have been told by dieticians, the Diabetes Centre and national guidelines, leaving them feeling confused. To work around this, Dr Sadhra recommends offering a trial period for the intervention, demonstrating the benefits of the intervention visually and offering personal help and support in order to build trust. Follow-up appointments should be tailored to the individual in order to maintain motivation and compliance.