Low carb, high reward

A patient with type 2 diabetes and comorbidities successfully swaps insulin for carbohydrate restriction, wavering only when in hospital.

At age 55, Frankie has multiple health problems. Long-term mental illness has been managed with polypharmacy for many years. Clozapine therapy has contributed to weight gain, type 2 diabetes and profound constipation.

She has quit smoking but remains prone to chest infections and frequent hospitalisations. Her medications include five psychotropics, simvastatin, two antihypertensives, two inhalers, opiates for chronic pain and multiple laxatives.