I love the comments to this JAMA published opinion letter attacking keto…
The Ketogenic Diet for Obesity and Diabetes—Enthusiasm Outpaces Evidence
brownfat
(Todd Allen)
#1
Dr. Norman Swan - media doctor - an attempt to debunk the popular ketogenic diet benefits mythology
Can we please stop repeating the “You have to eat at a deficit to lose weight on KETO” lie?
Reference Thread?
ctviggen
(Bob M)
#2
Holy crap: “The result: I dropped all my lipid values, especially my triglycerides which decreased close to a 1000 points.” 1000 points? That’s astronomical.
Then again: “Diabetes is not caused by carbohydrates.” What planet is this person on?
Susan_Zelisko
(Susan Zelisko)
#3
I loved the comment from the dietician, stating physicians should not give dietary advise to their patients. So when they diagnose someone with Celiac, they shouldn’t tell them to not eat gluten?
Sorry, just plain sad.
Shallimar
(Trish)
#4
Such garbage. Sigh. There is almost no sentence in this article that is correct. I could pick it apart piece by piece but of course it would be preaching to the choir. More sighing.
DeeCS
(Failed)
#5
Yeah, because my bgs go waaaay down when I eat carbs and of course go way up when I eat fat./sarcasm
Within 2 weeks of eating LCHF, my BGs went from over 400 to under 100.
DeeCS
(Failed)
#6
From the Conflict of Interest Disclosures in this article
Dr Ostfeld reported serving as a consultant for Better Therapeutics
(from About Us on their website: 'We believe software is on the verge of disrupting medicine and becoming the accepted standard of care for treating diseases caused by behaviors.")
and Pinnacle Foods
(from the landing page on their website: “Conagra Brands completed the acquisition of Pinnacle Foods.”)
(from the list of associated brands on their website:
But wait, there’s more:
And more:
And more, but I got tired of screenshotting.
and receiving a research grant from the Purjes Foundation.
(from their website: "The Purjes Foundation is a private charitable trust organized under IRS rule 501©(3). It was established by Dan and Edna (“Ed”) Purjes and is solely funded and managed by them.
The Purjes Foundation’s mission is to fund greater public awareness to the benefits of a plant-based, whole foods lifestyle."
We focus on the importance of changing existing attitudes and behavior about food, and its direct impact on health. We aim to enlighten the public about the healing quality of plant-based nutrition, and its ability to prevent and reverse disease. We seek to support scientific research that affirms this position." [bolding is mine]
Dr McMacken reported serving on the advisory board for Nutrinic Inc
(from About on their webpage: “Nutrinic is bringing an effective new therapy to the fight against chronic disease. We believe that solving this problem requires addressing its root causes and empowering patients to become their own best advocates on the path to better health. Our program is designed to halt—and even reverse—disease progression by combining evidence-backed nutrition with personal guidance, developing the patient’s inherent capacity for lifelong healthy decision-making.”
and as a faculty consultant to Sustainable Diet Inc.
(from About on their website: “Our goal is to empower YOU to lead the healthiest, fullest, happiest life possible, by supporting you through a challenging dietary transition and beyond. It is possible for each one of us to take control our health, and we have complete confidence that you can be successful - confidence that is grounded in scientific evidence and precedent. Our intention is that this information can serve people at all points of the plant-based spectrum.”
No other disclosures were reported.
PaulL
(Bacon is a many-splendoured thing)
#8
Why, Bob, I’m surprised you don’t know this! Diabetes is caused by eating red meat—just ask Michael Greger!
Oh, and because you probably haven’t learned this, either: the ketogenic diet will kill you. And it’s unsustainable.
#KETOFORLIFE
#NOTDEADYET
CFLBob
(Central Florida Bob )
#12
We see this sort of all the time, but that’s not how it’s supposed to work!!! The object of experiment is answer a question. The way they say that makes it sound like they’re paying for research that gives you the answer they want and won’t pay researchers if they get answers they don’t like. That’s the opposite of unbiased experiment.
Sorry, but there isn’t much that annoys me more than that.
DeeCS
(Failed)
#13
You’re welcome. I like knowing who’s behind studies like this, especially when they are so off-base from what we know to be true,
KetoSnaps
(Rebecca 🌸 Frankenfluffy)
#15
Golly gosh.
‘A meta-analysis of randomized long-term studies comparing the ketogenic diet with low-fat diets for weight loss reported no difference in glycemic control among persons with type 2* diabetes.’
This is extraordinary reading! I am happy to report that my own glycaemic control on keto is way, way better than it was when I followed standard medical advice (when the graph below resembled a rollercoaster).
*I’m type 1 not type 2, but still!
This is how my day is going today, scanned about 45 minutes after having lunch. Two keto meals in, and no peaks or troughs. This was impossible for me to achieve when I lived in carb cuckoo land.
DeeCS
(Failed)
#16
You’re welcome. And welcome to the forums! I hope you find them as helpful as I am. This is such a great group of people.
DeeCS
(Failed)
#17
That’s great, good for you!
Since being diagnosed as type 2 many years ago and reading as much as I could find through the years, it seems to me that for T2D, the diet recommendations are to manage the medications given, not the disease.
Polly1
(Polly)
#18
AAaarrgghhhh!
And when they talk about low carb cohorts in meta-analyses they are very rarely eating less than 100 - 150g of carbohydrate a day. How do they live with themselves?
PaulL
(Bacon is a many-splendoured thing)
#19
I suppose that actually is tolerably low-carb, for someone used to 300-350. And I could swear that Dr. Phinney originally talked of 100 g/day as a ketogenic diet. But he now advises Virta patients to stick to less than 30 g total. And the more I learn, the more reasonable zero-carb sounds.