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ADA 2018 standars of care Not read as yet but some of it looks interesting

Having had a very quick look at one or two topics including T2 initial therapy, this is a quote from the report:
"Metformin monotherapy should be started at diagnosis of type 2 diabetes unless there are contraindications. Metformin is effective and safe, is inexpensive, and may reduce risk of cardiovascular events and death."

Not read in depth at all, but a quick scan indicates that it's very medication-based.
In other words, no mention of ditching the 'soda, candy, fries'. Or give a proper diet a go for 3 months.
There is a bewildering array of different drug treatments for T1 T2s and various complications.
 
Jo_the_boat said:
Having had a very quick look at one or two topics including T2 initial therapy, this is a quote from the report:
"Metformin monotherapy should be started at diagnosis of type 2 diabetes unless there are contraindications. Metformin is effective and safe, is inexpensive, and may reduce risk of cardiovascular events and death."

Not read in depth at all, but a quick scan indicates that it's very medication-based.
In other words, no mention of ditching the 'soda, candy, fries'. Or give a proper diet a go for 3 months.
There is a bewildering array of different drug treatments for T1 T2s and various complications.
Click to expand...


Drugs and therapy make some people a lot of money. Telling t2ds to eat lchf doesn't make anyone any money at all.
 
Browsing some of the summaries, Section 4 contains this:
"Section 4. Lifestyle Management
A recommendation was modified to include individual and group settings as well as technology-based platforms for the delivery of effective diabetes self-management education and support.

Additional explanation was added to the nutrition section to clarify the ADA’s recommendations that there is no universal ideal macronutrient distribution and that eating plans should be individualized.

Text was added to address the role of low-carbohydrate diets in people with diabetes."

Now searching for said Section 4 to see what it actually says ........
 
Oldvatr said:
ADA 2018 ends up dodging the bullet on specifying any diet but leaves it to the nutritionists, so yes, it ends up as no change,

Here is the RCT they reference out to [61]
https://www.ncbi.nlm.nih.gov/pubmed/27026388?access_num=27026388&link_type=MED&dopt=Abstract
Click to expand...

unfortunately they either don't want, or are don't know where to look. Incompetence or malpractise ?

https://www.ncbi.nlm.nih.gov/pubmed/27026388?access_num=27026388&link_type=MED&dopt=Abstract

This s a great paper showing the multiple benefits of a low carb WOE
 
CherryAA said:
unfortunately they either don't want, or are don't know where to look. Incompetence or malpractise ?

https://www.ncbi.nlm.nih.gov/pubmed/27026388?access_num=27026388&link_type=MED&dopt=Abstract

This s a great paper showing the multiple benefits of a low carb WOE
Click to expand...
Both links go to exactly the same place which is a study of 150 people which concludes no sig difference in following low carb or modified plate approach
“
Qoute
CONCLUSION:
CDE-delivered DSME/S focused on carbohydrate counting or the modified plate method improved glycemic control in patients with an initial HbA1C between 7 and 10%.
 
The ADA guidelines unlike the UK guidelines at least “allows” low carb as an option.

I tend to agree with them on Metformin as I feel I benefit from it even with “very low carb”. But the risks is that people think because they have been given a drug, they can eat unlimited carbs.
 
Boo1979 said:
Both links go to exactly the same place which is a study of 150 people which concludes no sig difference in following low carb or modified plate approach
“
Qoute
CONCLUSION:
CDE-delivered DSME/S focused on carbohydrate counting or the modified plate method improved glycemic control in patients with an initial HbA1C between 7 and 10%.
Click to expand...

sorry I picked up the wrong link !

try this one instead

http://insulinresistance.org/index.php/jir/article/view/30/86
 
Alison Campbell said:
@Oldvater what did they mean by carb counting, was it to manage carb intake or insulin?
Click to expand...
I assume it to be for applying bolus for insulin control (MDI). As a follower of LC diet myself I do not need to carb count and would find it boring. This XMAS will be interesting. I have suspended my attempts at LC diet control in favour of a truly festive feast, and expect my bgl to rise accordingly. Last year when I did this I recorded a daily average of 10 mmol.l and it dropped quite quickly when sanity returned (well, I think it did anyway but it may be a (n=1) situation)
 
ringi said:
The ADA guidelines unlike the UK guidelines at least “allows” low carb as an option.

I tend to agree with them on Metformin as I feel I benefit from it even with “very low carb”. But the risks is that people think because they have been given a drug, they can eat unlimited carbs.
Click to expand...
They HAVE to acknowledge LC since the American Heart Association has apparently endorsed LC dieting.
This is a news report so is not an official statement by AHA It may be Fake News.
http://www.controlcarb.com/ccn-news-americanheartassociation.htm
In fact AHA seem to be more in the Low GI camp than Low Carb, but they are reported as accepting LC can be used for up to a year.
 
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