**Abstract**

This chapter gives clinicians the tools to use therapeutic carbohydrate restriction as a dietary intervention for type 2 diabetes patients. The chapter is divided into three section, each addressing a different aspect of therapeutic carbohydrate restriction (TCR). Section 1 delves into the background of carbohydrate restriction, nutrition physiology, the three levels of therapeutic carbohydrate restriction physiological, and metabolic rationale for using TCR to treat the symptoms of type 2 diabetes. Section two explains how to start TCR in a patient population. It goes over which patients are good candidates for TCR and which ones should be approached with caution when implementing this dietary change and explains the importance of baseline assessments. Section three spells out how to administer and manage TCR in a clinical setting. It covers behavior change support, patient education on TCR principles, medication adjustments during the early stages of the intervention, and anticipating and treating common side effects.

**Keywords:** type 2 diabetes, obesity, therapeutic carbohydrate restriction, low carbohydrate diet, diabetes remission
