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AACE consensus statement 2016

kokhongw said:
The American Association of Clinical Endocrinologists

This is the 2016 executive summary...
https://www.aace.com/sites/all/files/diabetes-algorithm-executive-summary.pdf

And this is the treatment algorithm
https://www.aace.com/files/aace_algorithm_slides.pptx
Click to expand...
Look at the Disclosures section on pages 94 and 95 to see who pays the pipers on this comittee. No wonder they recommend intensifying statin therapies, and refute the recent meta studies. What a surprise.
 
Oldvatr said:
Look at the Disclosures section on pages 94 and 95 to see who pays the pipers on this comittee. No wonder they recommend intensifying statin therapies, and refute the recent meta studies. What a surprise.
Click to expand...

And this is being their recommendation of their lifestyle therapy...
"Lifestyle therapy begins with nutrition counseling and education. All patients should strive to attain and maintain an optimal weight through a primarily plant-based diet high in polyunsaturated and monounsaturated fatty acids, with limited intake of saturated fatty acids and avoidance of trans fats. Patients who are overweight (body mass index [BMI] of 25 to 29.9 kg/m2) or obese (BMI ≥30 kg/ m2) should also restrict their caloric intake with the goal of reducing body weight by at least 5 to 10%. As shown in the Look AHEAD (Action for Health in Diabetes) and Diabetes Prevention Program studies, lowering caloric intake is the main driver for weight loss (3-6)."

It would take a while for low carbs high fats to be accepted...

Also the failure to mention/consider hyperinsulinemia or how to normalize insulin levels rather glaring. The whole T2D treatment guideline is very glucose centric.
 
kokhongw said:
And this is being their recommendation of their lifestyle therapy...
"Lifestyle therapy begins with nutrition counseling and education. All patients should strive to attain and maintain an optimal weight through a primarily plant-based diet high in polyunsaturated and monounsaturated fatty acids, with limited intake of saturated fatty acids and avoidance of trans fats. Patients who are overweight (body mass index [BMI] of 25 to 29.9 kg/m2) or obese (BMI ≥30 kg/ m2) should also restrict their caloric intake with the goal of reducing body weight by at least 5 to 10%. As shown in the Look AHEAD (Action for Health in Diabetes) and Diabetes Prevention Program studies, lowering caloric intake is the main driver for weight loss (3-6)."

It would take a while for low carbs high fats to be accepted...

Also the failure to mention/consider hyperinsulinemia or how to normalize insulin levels rather glaring. The whole T2D treatment guideline is very glucose centric.
Click to expand...
I would imagine that most of those on the comittee were educated at the time that Ancel Keys was ruling the roost with his low fat / low cholesterol theories. There are actually very few websites promoting the LCHF diet, and we are only just beginning to see mainstream media mentioning it Indeed many endocrinologists seem to be unaware of the latest studies and are still promoting the older dogmas associated with low fat/ lowTC/ bad vs good CHOL.

We on this particular site seem to be very well researched and informed, but if you go on other Diabetes forums, I think you will be shocked at how little support they give to this new lifestyle. Those supporting Atkins faced a similar reaction, which in turn is tainting LCHF.
 
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