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Dietician today

Dietitians seem only able to follow their guidelines set by the NHS. We all want to know why they insist on carbs with every meal when in the case of diabetics this results in high blood sugar.

I found that my nurse and my dietitian have opposite opinions so I decided to follow what the nurse said.

Good luck today.
 
Hi Fatbird. I note that the link takes us to a USA-based dietician. The problem in the UK is the top-down, procedural-based approach to medicine. Sometimes it can be very good but I would like to see more dieticians using evidence & science-based approaches and not just following the crowd. In my profession (engineering) I would not have prospered that way.
 
Daibell said:
Hi Fatbird. I note that the link takes us to a USA-based dietician. The problem in the UK is the top-down, procedural-based approach to medicine. Sometimes it can be very good but I would like to see more dieticians using evidence & science-based approaches and not just following the crowd. In my profession (engineering) I would not have prospered that way.
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I'm interested in evidence and science based approaches to the high fat diet being beneficial (engineer as well). What did you read that convinced you, as I've not found the evidence yet, and I'd be grateful if you could link me to it. Still doing the low cal, low fat trying to keep bs where I want it, and keep cholesterol down as well. :)
 
[/quote]I'm interested in evidence and science based approaches to the high fat diet being beneficial (engineer as well). What did you read that convinced you, as I've not found the evidence yet, and I'd be grateful if you could link me to it. Still doing the low cal, low fat trying to keep bs where I want it, and keep cholesterol down as well. :)[/quote]

Low cal low fat is your diet based on protein? or is your diet very low in calories? Protein raises BG numbers more than fat. What are the advantages of eating low fat?

This is an interesting paper.

Results: During 5–23 y of follow-up of 347,747 subjects, 11,006 developed CHD or stroke. Intake of saturated fat was not associated with an increased risk of CHD, stroke, or CVD. The pooled relative risk estimates that compared extreme quantiles of saturated fat intake were 1.07 (95% CI: 0.96, 1.19; P = 0.22) for CHD, 0.81 (95% CI: 0.62, 1.05; P = 0.11) for stroke, and 1.00 (95% CI: 0.89, 1.11; P = 0.95) for CVD. Consideration of age, sex, and study quality did not change the results.

Conclusions: A meta-analysis of prospective epidemiologic studies showed that there is no significant evidence for concluding that dietary saturated fat is associated with an increased risk of CHD or CVD. More data are needed to elucidate whether CVD risks are likely to be influenced by the specific nutrients used to replace saturated fat.

http://ajcn.nutrition.org/content/early ... 5.abstract

"More data are needed to elucidate whether CVD risks are likely to be influenced by the specific nutrients used to replace saturated fat." Usually carbs!


FB
 
fatbird said:
Conclusions: A meta-analysis of prospective epidemiologic studies showed that there is no significant evidence for concluding that dietary saturated fat is associated with an increased risk of CHD or CVD. More data are needed to elucidate whether CVD risks are likely to be influenced by the specific nutrients used to replace saturated fat.

http://ajcn.nutrition.org/content/early ... 5.abstract

"More data are needed to elucidate whether CVD risks are likely to be influenced by the specific nutrients used to replace saturated fat." Usually carbs!


FB
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Therein lies the major problem, particularly to an engineer.

The report has no meaningful numbers, and no statistical references. If you read the actual report I could write exactly the opposite, and be as meaningful. Then to make it worse, not only have you "quoted" the conclusion, you have also modified it and added on a sentence which is only your opinion, but not stated it as not being part of the conclusion.
It's purely emotional, and I'm still on my quest for hard facts.
Also, the report doesn't address the use of statins, common with high cholesterol patients, and proven in many reports to reduce the risk of subsequent CVD, and often taken by prescription by those on high fat diets.

As the report actually says in conclusion, rather than the misrepresents headline.

"However, the available data were not adequate for determining whether there are CHD or stroke associations with saturated fat in specific age and sex subgroups.
Furthermore, there was insufficient statistical power for this meta-analysis to assess the effects on CVD risk of replacing specific amounts of saturated fat with either polyunsaturated fat or carbohydrate. Finally, nutritional epidemiologic studies provide only one category of evidence for evaluating the relation of saturated fat intake to risk for CHD, stroke, and CVD.
An overall assessment requires consideration of results of clinical trials as well as information regarding the effects of saturated fat on underlying disease mechanisms, as discussed elsewhere in this issue (46)."

We're the generation that will provide the figures for this.
I'm conservative, and hedging my bets by going with conventional advice. You're high fat, and we'll be providing meaningful data one way or another on which one works for the good/bad/doesn't matter cholesterol, CVD, diabetes, weight, statins, metformin etc.
 
im so very lucky to be able to control my need for knowledge, as soon as a post sounds to clever for me i can switch off, not read it and not care what i missed lol :thumbup:
 
Andy12345 said:
im so very lucky to be able to control my need for knowledge, as soon as a post sounds to clever for me i can switch off, not read it and not care what i missed lol :thumbup:
Click to expand...

I'm always found no answers, only more questions.
I like questions though, and always resolved to learn at least one new thing each day.
 
douglas99

"The report has no meaningful numbers, and no statistical references. If you read the actual report I could write exactly the opposite, and be as meaningful."

Please direct me to your paper regarding 347,747 subjects over a 5-23 year follow up. I await with baited breath.

douglas99

"I'm always found no answers, only more questions.
I like questions though, and always resolved to learn at least one new thing each day."

What about an answer.

Low cal low fat is your diet based on protein? or is your diet very low in calories? Protein raises BG numbers more than fat. What are the advantages of eating low fat?

FB
 
Andy12345 said:
what was todays thing?
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Two things really.

1 Bulgur wheat and quinoa are both good for my bs.
I also learnt quinoa is actually a seed.

maybe the most important.
2 when fitting a shower mixer bar in the centre of the bath, remember to check it's the same width as the taps, otherwise when you drill the first hole over one tap, you're completely f*cked if you then realise it's actually slightly narrower, and sits to the right. Amateur mistake or what.
 
fatbird said:
douglas99

"The report has no meaningful numbers, and no statistical references. If you read the actual report I could write exactly the opposite, and be as meaningful."

Please direct me to your paper regarding 347,747 subjects over a 5-23 year follow up. I await with baited breath.

FB
Click to expand...

Same report, read the full pdf, with the references, (where available). Anyone can write anything with statistics, you actually need to look at the raw data. The full report is here.

http://ajcn.nutrition.org/content/early ... 5.full.pdf
 
douglas99

"I'm always found no answers, only more questions.
I like questions though, and always resolved to learn at least one new thing each day."

What about an answer.

Low cal low fat is your diet based on protein? or is your diet very low in calories? Protein raises BG numbers more than fat. What are the advantages of eating low fat?

FB
 
fatbird said:
douglas99

"I'm always found no answers, only more questions.
I like questions though, and always resolved to learn at least one new thing each day."

What about an answer.

Low cal low fat is your diet based on protein? or is your diet very low in calories? Protein raises BG numbers more than fat. What are the advantages of eating low fat?

FB
Click to expand...

Protein doesn't seem to raise my bs, what do you base that on?
It's not a carb, and is digested totally differently.
My diet is about 1200 calories, low fat, good carbs, and protein, balanced diet.
I intend to increase my calories to about 2000 shortly, when I have achieved my target weight. I don't intend to go high fat, bit I'm going to be eating to my meter, (good carbs), and eating to my cholesterol, Probably erring towards a vegetarian diet though, and still keeping low fat, and not saturated when I do eat fat.
 
douglas99 said:
fatbird said:
douglas99

"I'm always found no answers, only more questions.
I like questions though, and always resolved to learn at least one new thing each day."

What about an answer.

Low cal low fat is your diet based on protein? or is your diet very low in calories? Protein raises BG numbers more than fat. What are the advantages of eating low fat?

FB
Click to expand...

Protein doesn't seem to my bs, what do you base that on?
My diet is about 1200 calories, low fat, good carbs, and protein, balanced diet.
I intend to increase my calories to about 2000 shortly, when I have achieved my target weight. I don't intend to go high fat, bit I'm going to be eating to my meter, (good carbs), and eating to my cholesterol, Probably erring towards a vegetarian diet though, and still keeping low fat, and not saturated when I do eat fat.
Click to expand...

1200 per day calories is enough to make you lose weight FACT-although it is NOT sustainable for an active adult and your body has most likely gone into starvation mode so when you do jump to 2000 calories per day you will more than likely pile all the weight back on+more....Source? been there done that with a similar low cal-low fat diet years ago.
 
"2000 calories low fat and not saturated, what are good carbs in your opinion? "Protein doesn't seem to my bs, what do you base that on?" Look around on this forum. Type one diabetics know protein turns into around 50% glycogen.and requires insulin to cover. If you are going to go low carb low fat in the long term you must be going high protein. What fats will you be eating?

FB
 
fatbird said:
"2000 calories low fat and not saturated, what are good carbs in your opinion? "Protein doesn't seem to my bs, what do you base that on?" Look around on this forum. Type one diabetics know protein turns into around 50% glycogen.and requires insulin to cover. If you are going to go low carb low fat in the long term you must be going high protein. What fats will you be eating?

FB
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It's fat as well that is counted in most diets for glucose, 0.5g of carb is equivalent for every g of fat.

Fats normally, I'll eat monos, such as olive oil, olives,
polys, such as tuna, trout,
trans fats are completely out,
and saturated are there by default, such as very lean steak, but preferably chicken breast, and very little pork and lamb.
I keep saying I'm not low carb though, tonight, bulgar wheat and quinoa have been very good.
But no fat at present, as it's twice the calories of carbs and protein, and I'm low cal for the next stone to lose.
 
Tuna,trout,chicken breast,pork and lamb. Olive oil and vegetables the way to go lad. Live dangerously with some butter and cream and you have cracked it. :D

FB
 
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