The protocol on this site is directed by Dr. Gurpreet Singh Padda, MD, MBA, MHP, a physician board certified in obesity medicine and addiction medicine who also runs an interventional pain practice. Reversing type 2 diabetes is not a diet, and the reason it is run by a physician is worth stating before anything else.
Why this needs a physician rather than a diet plan
Lowering carbohydrate intake works by lowering the amount of glucose the body has to handle. If a patient is already taking medication whose job is to lower blood glucose, both things are now pulling in the same direction at once, and the dose that was correct last week can become an overdose this week.
That applies to insulin and to SGLT2 inhibitors such as Invokana, Farxiga, Xigduo and Jardiance. It also applies to blood pressure medication, because the fluid shift that comes with carbohydrate restriction can drop pressure faster than the prescription anticipates, and to several mental health medications.
Medical supervision is required before changing carbohydrate intake on any of those. Deprescribing on a schedule that tracks the patient’s own returning physiology is the clinical work here, and it is the part a diet cannot do. There is no magic bullet because the failure is a system failure.
Where diabetes and pain turn out to be the same problem
Dr. Padda came to metabolic medicine through pain rather than through endocrinology, and the route matters. Diabetic nerve pain begins before the diagnosis does — the nerve injury is already underway during the years of rising insulin resistance that precede a diabetic blood sugar reading.
Seeing those patients at the pain end, years later and often past the point where the damage can be undone, is what makes the case for treating the metabolism early rather than waiting for a number to cross a threshold. The same insulin resistance also drives PCOS and fatty liver, which is why the protocol treats the terrain rather than any one of its diagnoses.
Obesity treated as a neurobehavioral problem
Board certification in obesity medicine and in addiction medicine is an unusual pairing, and here it is the operative one. Highly processed food acts on the same reward circuitry that other addictive substances do, which is why willpower advice fails so reliably and why an addiction model of obesity predicts patient behavior better than a calorie model does.
A clinician certified in both can treat the eating pattern as a dependence with a physiology behind it instead of a character problem, which changes what gets prescribed and what gets asked of the patient.
Board certification
Dr. Padda holds five American board certifications:
- Obesity Medicine — American Board of Obesity Medicine
- Addiction Medicine — American Board of Addiction Medicine
- Interventional Pain — American Board of Interventional Pain Physicians (ABIPP)
- Pain Medicine — American Board of Pain Medicine
- Anesthesiology — American Board of Anesthesiology
He is a Diplomate of the Society of Metabolic Health Practitioners, an advisor to the Nutrition Network, a Fellow of Interventional Pain Physicians (FIPP) and a Certified Physician Executive, and he practices at a Low Carb USA certified clinic.
Training and appointments
Dr. Padda took his MD at the University of Missouri–Kansas City, trained in general surgery at Cook County Hospital, and completed anesthesiology residencies at Illinois Masonic Medical Center and at Washington University / Barnes Hospital, where he was Chief Resident in 1991–92. He holds an MBA from Saint Louis University and served as Deputy Director of the Saint Louis University Institutional Review Board.
Since 2024 he has been faculty in the Kansas City University and Freeman Health System psychiatry residency. He is President of the Missouri Society of Interventional Pain Physicians, and his work is published in Neuromodulation, Pain Medicine, Critical Care Medicine, Anesthesia & Analgesia and Pain Physician. The full record is on his Padda Institute physician page.
Credential verification
None of this has to be taken on trust. Dr. Padda is licensed in Missouri and Illinois, and the record is public.
- National Provider Identifier: 1427035955
- Missouri medical license: MD 100572
- Healthgrades profile
- Doximity profile
His clinical practice
Dr. Padda directs the Padda Institute in St. Louis, an interventional pain and regenerative medicine practice, and holds full staff privileges at Anderson Hospital in Maryville, Illinois. He is Chief Medical Officer of Valor Villages, the St. Louis 501(c)(3) nonprofit that houses veterans and children in crisis.
Starting the protocol
Patients on any of the medications above should begin with a visit rather than a change to their diet. Request an appointment or contact the office.
Board certifications and professional affiliations
Dr. Gurpreet Singh Padda, MD, MBA, MHP holds five board certifications and maintains the professional affiliations below.
