Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Diabetes Soapbox - Have Your Say
Confirmation bias
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="KennyA" data-source="post: 2677205" data-attributes="member: 517579"><p>I think this totally misses the point. You will not find a page about David Unwin on Wikipedia. Can you think why?</p><p></p><p>This is what Wikipedia says about this forum: </p><p></p><p><em>The forum was cited as being popular in highlighting the adoption of a low carbohydrate diet as a way of achieving weight loss and improving HbA1c in patients with <a href="https://en.wikipedia.org/wiki/Type_2_Diabetes" target="_blank">Type 2 Diabetes</a>, despite the approach being 'generally frowned upon in the UK'.</em><a href="https://en.wikipedia.org/wiki/Diabetes.co.uk#cite_note-UnwinUnwin2014-12" target="_blank"><em>[12]</em></a></p><p></p><p>Now, this reference actually takes you to David Unwin's 2014 paper here:</p><p></p><p>[URL unfurl="true"]https://wchh.onlinelibrary.wiley.com/doi/10.1002/pdi.1835[/URL]</p><p></p><p>But the selective and partial quote lifted from the paper makes it look like the reference endorses an anti-low carb opinion. This has presumably been through Wikipedia's editing process, and therefore I have to assume the implication is intentional. Here is the full quote:</p><p></p><p><em>Studies have shown good results for a low carbohydrate/higher fat diet in people with type 2 diabetes and in those with central obesity.2,3,7 However, the approach is generally frowned upon in the UK, despite the fact that many patients are trying it of their own accord.</em></p><p></p><p>And here is the abstract from the paper: </p><p></p><p><em>Patients with diabetes have long been exhorted to give up sugar, encouraged instead to take in fuel as complex carbohydrate such as the starch found in bread, rice or pasta (especially if ‘wholemeal’). However, bread has a higher glycaemic index than table sugar itself. There are no essential nutrients in starchy foods and people with diabetes struggle to deal with the glycaemic load they bring. The authors question why carbohydrate need form a major part of the diet at all. The central goal of achieving substantial weight loss has tended to be overlooked. The current pilot study explores the results of a low carbohydrate diet for a case series of 19 type 2 diabetes and pre-diabetes patients over an eight-month period in a suburban general practice.</em></p><p><em></em></p><p><em>A low carbohydrate diet was observed to bring about major benefits. Blood glucose control improved (HbA1c 51±14 to 40±4mmol/mol; p<0.001). By the end of the study period only two patients remained with an abnormal HbA1c (>42mmol/mol); even these two had seen an average drop of 23.9mmol/mol. Weight fell from 100.2±16.4 to 91.0±17.1kg (p<0.0001), and waist circumference decreased from 120.2±9.6 to 105.6±11.5cm (p<0.0001). Simultaneously, blood pressure improved (systolic 148±17 to 133±15mmHg, p<0.005; and diastolic 91±8 to 83±11mmHg, p<0.05). Serum gamma-glutamyltransferase decreased from 75.2±54.7 to 40.6±29.2 U/L (p<0.005). Total serum cholesterol decreased from 5.5±1.0 to 4.7±1.2mmol/L (p<0.01).</em></p><p><em></em></p><p><em>This approach is easy to implement in general practice, and brings rapid weight loss and improvement in HbA1c. Copyright © 2014 John Wiley & Sons. Practical Diabetes 2014; 31(2): 76–79</em></p></blockquote><p></p>
[QUOTE="KennyA, post: 2677205, member: 517579"] I think this totally misses the point. You will not find a page about David Unwin on Wikipedia. Can you think why? This is what Wikipedia says about this forum: [I]The forum was cited as being popular in highlighting the adoption of a low carbohydrate diet as a way of achieving weight loss and improving HbA1c in patients with [URL='https://en.wikipedia.org/wiki/Type_2_Diabetes']Type 2 Diabetes[/URL], despite the approach being 'generally frowned upon in the UK'.[/I][URL='https://en.wikipedia.org/wiki/Diabetes.co.uk#cite_note-UnwinUnwin2014-12'][I][12][/I][/URL] Now, this reference actually takes you to David Unwin's 2014 paper here: [URL unfurl="true"]https://wchh.onlinelibrary.wiley.com/doi/10.1002/pdi.1835[/URL] But the selective and partial quote lifted from the paper makes it look like the reference endorses an anti-low carb opinion. This has presumably been through Wikipedia's editing process, and therefore I have to assume the implication is intentional. Here is the full quote: [I]Studies have shown good results for a low carbohydrate/higher fat diet in people with type 2 diabetes and in those with central obesity.2,3,7 However, the approach is generally frowned upon in the UK, despite the fact that many patients are trying it of their own accord.[/I] And here is the abstract from the paper: [I]Patients with diabetes have long been exhorted to give up sugar, encouraged instead to take in fuel as complex carbohydrate such as the starch found in bread, rice or pasta (especially if ‘wholemeal’). However, bread has a higher glycaemic index than table sugar itself. There are no essential nutrients in starchy foods and people with diabetes struggle to deal with the glycaemic load they bring. The authors question why carbohydrate need form a major part of the diet at all. The central goal of achieving substantial weight loss has tended to be overlooked. The current pilot study explores the results of a low carbohydrate diet for a case series of 19 type 2 diabetes and pre-diabetes patients over an eight-month period in a suburban general practice. A low carbohydrate diet was observed to bring about major benefits. Blood glucose control improved (HbA1c 51±14 to 40±4mmol/mol; p<0.001). By the end of the study period only two patients remained with an abnormal HbA1c (>42mmol/mol); even these two had seen an average drop of 23.9mmol/mol. Weight fell from 100.2±16.4 to 91.0±17.1kg (p<0.0001), and waist circumference decreased from 120.2±9.6 to 105.6±11.5cm (p<0.0001). Simultaneously, blood pressure improved (systolic 148±17 to 133±15mmHg, p<0.005; and diastolic 91±8 to 83±11mmHg, p<0.05). Serum gamma-glutamyltransferase decreased from 75.2±54.7 to 40.6±29.2 U/L (p<0.005). Total serum cholesterol decreased from 5.5±1.0 to 4.7±1.2mmol/L (p<0.01). This approach is easy to implement in general practice, and brings rapid weight loss and improvement in HbA1c. Copyright © 2014 John Wiley & Sons. Practical Diabetes 2014; 31(2): 76–79[/I] [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Diabetes Soapbox - Have Your Say
Confirmation bias
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…