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- Type of diabetes
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There's two sides to every story: http://daa.asn.au/for-the-public/public-statements/
The link directs to a statement from the DAA and cites their reasons for her dismissal.
Sounds like a complaint was brought against her from a former patient. She chose not to defend herself so the DAA was forced to dismiss her.
Furthermore, the DAA does offer their opinion on LCHF diets: http://daa.asn.au/for-the-media/hot...low-carbohydrate-high-fat-diets-for-diabetes/
I particularly agree with their statement that "Low carbohydrate is poorly defined" within a low carb diet. There are many different types of LCHF diets: some are sustainable and very effective, while others have a very low success rate and long-term sustainability.
The central theme behind their position is that a LCHF diet works in the short-term, but there is conflicting evidence to support it's effectiveness in the long-term (which is true).
They also note the low-likelihood of sustaining a LCHF diet in the long-term especially for those who live with others (it often requires everyone in the household to adapt a LCHF diet).
Long story short- It sounds to me like the DAA has a very valid stance on LCHF diets. It also sounds like Jennifer Elliott was collecting a paycheck from a patient and failed to "Demonstrate entry level competence."
There are many different types of LCHF diets: some are sustainable and very effective, while others have a very low success rate and long-term sustainability.
The central theme behind their position is that a LCHF diet works in the short-term, but there is conflicting evidence to support it's effectiveness in the long-term (which is true).
hey also note the low-likelihood of sustaining a LCHF diet in the long-term especially for those who live with others (it often requires everyone in the household to adapt a LCHF diet).
Perhaps you would like to elaborate, or indeed justify this statement. I suppose if you just cut out the odd bag of chips, success rates will be low, but if you genuinely and properly reduce your carb intake to a low level - I would say no more than 50g per day, though some may have success with higher amounts - blood sugars will be greatly reduced, as will medication and health will improve.
You provided a perfect example to help me elaborate.
Let me first start by asking how you arrived at the 50g of carbs/day figure?
For someone like me, that would likely yield incredibly poor results. I’ll explain why:
1.) 50 grams of carbs would not be low enough to bring my body into ketosis (one of the most common sub-groups within LCHF dieting). I say from experience, I had to eat less than 30-35g of carbs to keep my body in ketosis. That was easily quantifiable using ketosticks and tracking my macronutrients each day.
2.) My maintenance level is around 300g of carbs per day. That sounds like lot for some, but my daily total caloric maintenance is around 3400 total calories.
3.) A moderate reduction in carbohydrate intake is a proven approach, but (for me) anything more than a 30-40% reduction started to affect my energy levels as my metabolism slowed.
Conclusion:I either needed to eat less than 30 grams of carbs (ketosis) or between 200-300g (portion control) to yield successful results.
Of course, I know you had good intentions, but I'm a perfect example of how a 50g diet could be downright dangerous. I'd run the risk of passing out (which would be true even if I didn't have diabetes).
Either way, I appreciate the thought provoking discussion,
Mark
I may have misunderstood, but I thought Sally was discussing more than just glucose levels: "blood sugars will be greatly reduced, as will medication and health will improve."Hi Mark
Sally and James posted re. blood glucose levels, but you argued from a weight loss standpoint.
You provided a perfect example to help me elaborate.
Let me first start by asking how you arrived at the 50g of carbs/day figure?
For someone like me, that would likely yield incredibly poor results. I’ll explain why:
1.) 50 grams of carbs would not be low enough to bring my body into ketosis (one of the most common sub-groups within LCHF dieting). I say from experience, I had to eat less than 30-35g of carbs to keep my body in ketosis. That was easily quantifiable using ketosticks and tracking my macronutrients each day.
2.) My maintenance level is around 300g of carbs per day. That sounds like lot for some, but my daily total caloric maintenance is around 3400 total calories.
3.) A moderate reduction in carbohydrate intake is a proven approach, but (for me) anything more than a 30-40% reduction started to affect my energy levels as my metabolism slowed.
Conclusion:I either needed to eat less than 30 grams of carbs (ketosis) or between 200-300g (portion control) to yield successful results.
Of course, I know you had good intentions, but I'm a perfect example of how a 50g diet could be downright dangerous. I'd run the risk of passing out (which would be true even if I didn't have diabetes).
Either way, I appreciate the thought provoking discussion,
Mark
I think this is the most valuable statement in this thread.Diets have to be tailored, either by a professional or by the person eating it. We sorted out our own diet, almost two and a half years ago, roughly 30g carbs per day, and the evidence I see every morning for Low Carb is two happy, healthy people.
Sally
That's why a lot of us follow the "eat to your meter" protocol to work out the level of carbs we can tolerate - it makes tailoring your diet very easy.I think this is the most valuable statement in this thread. Unfortunately, I haven't seen it enough on this forum.
We have a very wide range of people on this forum: kids, elderly, underweight, overweight, etc. Not only that, but each of us reacts to this disease differently. As a result, we each require our own nutrition and health plans and rarely should two be the same.
I believe information is the most valuable resource to combat this disease. Part of that is seeking information about your own body and customizing a plan built for you (and only you).
Cheers
That's why a lot of us follow the "eat to your meter" protocol to work out the level of carbs we can tolerate - it makes tailoring your diet very easy.
And another article asking similar questions, this time of Diabetes UK:
http://healthinsightuk.org/2015/09/...nd-to-chorus-of-disapproval-demanding-u-turn/
And another article asking similar questions, this time of Diabetes UK:
http://healthinsightuk.org/2015/09/...nd-to-chorus-of-disapproval-demanding-u-turn/