Holy Crap! ADA approves high fat diet for T2 diabetics? Is the world ending? ;-)

(Bob M) #1

This is the first I’ve heard of this:

(less is more, more or less) #2

Meanwhile, in DC, a lobbyist is updating his resume.

(Bunny) #3

All I can say is …WOW!

(Running from stupidity) #4

GO AUSSIES! #LEADTHEWAY

(OK, so it’s actually only “lowish” carbs, but it’s heading in the right direction.)

(Drew Says "Eat the Salt, you damned stinking Keto ape" Hardcore Label Licka ) #5

They are just making a very slow turn so when the other shoe drops they will be facing the right way and can say to us see! we told you we were right.

(Katie the Quiche Scoffing Stick Ninja ) #6

YEHYEH! :smiley:

I have to add more words because this isn’t a complete sentence…

(Nimitta) #7

Fire and brimstone coming down from the skies! Rivers and seas boiling! Forty years of darkness! Earthquakes, volcanoes… The dead rising from the grave! Human sacrifice, dogs and cats living together… mass hysteria!

(Bob M) #8

Maybe the tide is turning? Tim Noakes and Gary Fettke cleared of all charges, and now this?

I’m still shocked, though. Now if the AHA (American Heart Association) could get on board…(but they have too many sponsors that like carbs).

(Carpe salata!) #9

But but you need sugar to counteract the insulin!

Stupid reasoning gets outed. Hurrah!

(Todd Allen) #10

A step in the right direction but they still aren’t acknowledging very low carb or keto diets.

Here’s the passage on diet from the ADA report:
http://care.diabetesjournals.org/content/early/2018/09/27/dci18-0033.full-text.pdf

Medical Nutrition Therapy
MNT comprises education and support to
help patients adopt healthy eating patterns.
The goal of MNT is to manage
blood glucose and cardiovascular risk
factors to reduce risk for diabetes-related
complications while preserving the pleasure
of eating (21). Two basic dimensions
of MNT include dietary quality and energy
restriction. Strategies directed at each
dimension can improve glycemic control.
Dietary Quality and Eating Patterns. There is
no single ratio of carbohydrate, proteins,
and fat intake that is optimal for every
person with type 2 diabetes. Instead,
there are many good options and professional
guidelines usually recommend
individually selected eating patterns that
emphasize foods of demonstrated health
benefit, that minimize foods of demonstrated
harm, and that accommodate
patient preference and metabolic needs,
with the goal of identifying healthy dietary
habits that are feasible and sustainable.
Three trials of a Mediterranean
eating pattern reported modest weight
loss and improved glycemic control
(66–68). In one of these, people with
new-onset diabetes assigned to a lowcarbohydrate
Mediterranean eating pattern
were 37% less likely to require
glucose-lowering medications over 4
years compared with patients assigned
to a low-fat diet (HR 0.63 [95% CI 0.51,
0.86]). A meta-analysis of RCTs in patients
with type 2 diabetes showed that
the Mediterranean eating pattern reduced
HbA1c more than control diets
(mean difference 23.3 mmol/mol, 95%
CI 25.1, 21.5 mmol/mol [20.30%, 95% CI
20.46%, 20.14%]) (69). Low-carbohydrate,
low glycemic index, and high-protein diets,
and the Dietary Approaches to Stop Hypertension
(DASH) diet all improve glycemic
control, but the effect of the Mediterranean
eating pattern appears to be the
greatest (70–72). Low-carbohydrate diets
(,26% of total energy) produce substantial
reductions in HbA1c at 3 months (25.2
mmol/mol, 95% CI 27.8, 22.5 mmol/mol
[20.47%, 95% CI 20.71%, 20.23%]) and
6 months (4.0 mmol/mol, 95% CI 26.8,
21.0 mmol/mol [20.36%, 95% CI 20.62%,
20.09%]), with diminishing effects at 12
and 24 months; no benefit of moderate
carbohydrate restriction (26–45%) was
observed (73). Vegetarian eating patterns
have been shown to lower HbA1c,
but not fasting glucose, compared with
nonvegetarian ones (74). Very recent trials
of different eating patterns in type 2
diabetes have typically also included
weight reduction, hindering firm conclusions
regarding the distinct contribution
of dietary quality.

(Bob M) #11

Yes, when they say the “Mediterranean eating pattern” appears to be the greatest, we know that’s not true. Not only because no one can define what a “Mediterranean eating pattern” is, but staying on (actual) low carb would have to be better than still eating the (relatively) much higher carb on the “Mediterranean eating pattern”. There’s nothing magical about whatever is in the “Mediterranean eating pattern” that’s not also in the low carb/keto eating pattern.