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Diet or Drugs for Diabetes? Which Comes First?

Gary Taubes · 14 Dec 2025

The piece opens with

Encouraging people with diabetes to try ketogenic diets and minimise drugs gives the most benefit to the most people; long-term drug therapy is the bigger worry.

Their wordsI’ve come to believe that this approach will provide the most benefit for the most people. I worry about the complications of long-term drug therapy far more than I do long-term Medical Nutrition Therapy, provided, of course, that the MNT approach used is the correct one.

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  1. Our reading

    Encouraging people with diabetes to try ketogenic diets and minimise drugs gives the most benefit to the most people; long-term drug therapy is the bigger worry.

    Their wordsI’ve come to believe that this approach will provide the most benefit for the most people. I worry about the complications of long-term drug therapy far more than I do long-term Medical Nutrition Therapy, provided, of course, that the MNT approach used is the correct one.

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