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ADA starts discussion on Keto

kokhongw

kokhongw

Well-Known Member
Messages
2,394
Location
Singapore
Type of diabetes
I reversed my Type 2
Treatment type
Diet only
ADA trying to stay relevant with an article on keto...
http://www.diabetesforecast.org/2019/01-jan-feb/what-you-need-to-know-about.html

The ketogenic diet may seem like the latest weight-loss craze, but it’s actually been around for nearly a century. Developed in the 1920s, this ultra-low-carb, high-fat eating plan was originally used to treat seizures in people with epilepsy. Today, it’s getting some serious attention for an entirely different reason. “There’s growing research showing that the ketogenic diet is effective for managing blood sugar in people with diabetes,” says William Yancy, MD, program director at the Duke Diet and Fitness Center in Durham, North Carolina. “However, because we don’t have studies [lasting] longer than two or three years, we don’t know what can happen with regard to complications over longer periods of time.”
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And for the very first time they actually have this right...
If you’re wondering about the difference between ketosis and diabetic ketoacidosis, you’re not alone. “The word ketone is scary for most people with type 1 diabetes because they relate ketones to diabetic ketoacidosis,” says Patti Urbanski, MEd, RD, CDE, a certified diabetes educator with St. Luke’s Hospital in Duluth, Minnesota. “But with the ketogenic diet, we’re talking about a much lower level of ketones.”

Why does this matter? Ketosis is a completely normal physiological process that occurs when our bodies run low on carbohydrates, turning to fat for fuel instead. It happens when you skip breakfast, go too long between meals, or exercise extra hard. And it happens when you follow a very low-carb eating plan like the keto diet.
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kokhongw said:
There is the usual warning of missing nutrients of course.. but this is by far their best attempt at being... neutral.
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True, and I'm not one bit surprised, but it seems (from my perspective at least) that dieticians associations are hostile to keto and are often involved in the reporting of doctors (who recommend it) to medical boards to have their license revoked.
 
The cynic in me calls that a “we better do something” article designed to capture the attention of those already interested and then close by scaring them off with the typical misinformation and misdirection :shifty:
 
kokhongw said:
ADA trying to stay relevant with an article on keto...
http://www.diabetesforecast.org/2019/01-jan-feb/what-you-need-to-know-about.html



And for the very first time they actually have this right...
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Hi @kokhongw, I do not see the relevance to ADA.
There does not appear to be any spokesperson mentioned or quoted from the ADA.
And dietitians voicing objections, rather than offering solutions is typical of their organisations' responses in many countries. If you do not ever think outside the square you will never grow and learn to think.
 
Jim Lahey said:
They’re in the banner at the top of the page but I’m unfamiliar with the website and affiliations.
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Thank you for that clarification @Jim Lahey . Maybe they are making a token effort but I still see the dietitians being obstructive. What do the private dietitians say, as opposed to the institutionalised ones?? Pun intended.
 
kitedoc said:
Hi @kokhongw, I do not see the relevance to ADA.
There does not appear to be any spokesperson mentioned or quoted from the ADA.
And dietitians voicing objections, rather than offering solutions is typical of their organisations' responses in many countries. If you do not ever think outside the square you will never grow and learn to think.
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The article is published in the Diabetes Forecast magazine which is run by ADA.
http://www.diabetesforecast.org/about-forecast/

And this article was specifically highlighted in ADA facebook post as above.

Of course there is the usual obligatory objections and warning about the "dangers" of ketogenic diet..., but in this case they correctly described ketosis...a big step forward for a 70+ year old organization that had been clueless about ketosis all these years...
 
kokhongw said:
The article is published in the Diabetes Forecast magazine which is run by ADA.
http://www.diabetesforecast.org/about-forecast/

And this article was specifically highlighted in ADA facebook post as above.

Of course there is the usual obligatory objections and warning about the "dangers" of ketogenic diet..., but in this case they correctly described ketosis...a big step forward for a 70+ year old organization that had been clueless about ketosis all these years...
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Tha nk you for the clarification and having re-read and re-thought tings I now agree it is a great step in the right direction. I think the dietitians are the ones to watch though as they may try to exert their professional 'muscle' in denigrating the process.
 
It is interesting to note that Google search trend for KETO remains unabated.

If ADA and friends want to stay relevant and be a "Trusted" source of diabetes info...they need to shore up their non-existent keto related info...

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kitedoc said:
Thank you for that clarification @Jim Lahey . Maybe they are making a token effort but I still see the dietitians being obstructive. What do the private dietitians say, as opposed to the institutionalised ones?? Pun intended.
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Perhaps this is an example of professional protectionism.
Just imagine if the T2D pandemic could be curtailed by everyone eating the very foods that they have long excluded.
 
kokhongw said:
It is interesting to note that Google search trend for KETO remains unabated.

If ADA and friends want to stay relevant and be a "Trusted" source of diabetes info...they need to shore up their non-existent keto related info...

View attachment 30675
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Hence my intital skepticism. Cannot help feeling that they’re paying keto lip service because they know it’s gaining traction. Lure in the interested, pretend to be impartial and then scare them off. Arguably paranoid but probably not far off the truth.
 
I think the evidence for low carb is coming in e.g. Virta health most recently and not from faddy diet doctors,
so the official bodies need to slowly and subtly change their position. This is mainly because the consensus on the danger of saturated fat seems to be shifting. I know Big Pharma/Big food won't be happy with the threat that people ca reverse their condition and prevent heart disease just by eating real food so the push back will continue but it seems to me that low carb is getting traction in articles like this and even Diabetes UK does talk about it.
 
Another factor is that organisations need to change their stance very slowly by dressing it up with misdirection. Sudden u-turns in treatment advice are the same as admitting they’ve always been wrong, and very few people like doing that, especially when millions of patients have unnecessarily lost limbs and worse off the back of current orthodoxy.
 
It proves that diet and exercise alone can in most cases reverse type 2. I believe we become insulin resistant because we were told to eat certain foods and not eat real foods. All the additives in our food have caused illness not just type 2 .
Big pharma can't make money on healthy people so they will do what it takes to stop us eating real food .
Sorry does that make sense , bit stressed today with mum at her hospital appointment . Hope it wasn't a load of old rubbish i just tried to write .
 
Charis1213 said:
It proves that diet and exercise alone can in most cases reverse type 2. I believe we become insulin resistant because we were told to eat certain foods and not eat real foods. All the additives in our food have caused illness not just type 2 .
Big pharma can't make money on healthy people so they will do what it takes to stop us eating real food .
Sorry does that make sense , bit stressed today with mum at her hospital appointment . Hope it wasn't a load of old rubbish i just tried to write .
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Yep. T2DM is a dietary disease caused by too much glucose in the body. Fix the diet by taking away the glucose and the diabetes goes with it. Certainly in the majority of cases if the intervention is done correctly. The body of evidence is growing and in fact has always been known. Pretty soon it’s going to be impossible to deny it :)
 
Let's not get carried away. Remission does not mean the same thing as cure and for those of us with severe beta cell dysfunction (or a high level of beta cell death) the very best we can hope for is a long time in remission before more treatment is needed. I just thought a reality check was called for at this point.
 
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