borofergie
Where did I give a amount of carbs?
I explained the need to work out the actual amount of carbs the individual needs... Not specified that everybody should be eating 200-250g's... This is your assumption....
xyzzy
So you reckon the worlds leading health service hasn't done the studies required PRIOR to recommending the diet? I don't think so.
No I haven't said this, but it seems that I have to give more detail...
As we all know any studies/research is based on a group of people the ACCORD for example is one of the largest study of diabetics followed 10,521 patients which is a very small percentage of actual diabetics... And in generally other studies concerning diets are generally a lot smaller than this... But as we know with any research/trial/study apart from it does take time to collect the necessary data for a conclusion, another problem is at a smaller group size the trial/study etc might show promising results at this stage, when taken out to the general populous (populous I referring to the diabetic populous) where there's many more variables then it starts to paint a different picture... And the results/conclusion can end up a lot different than first thought
So it's reasonable to suggest that even though the Swedish would have looked at various different studies, there is going to be a period of time to see how it rolls out into the general diabetic populous...
jopar wrote:
... regimes and available treatments has changed so the prospect for a diabetic being diagnosed today is a lot different than it was 20 years ago.
Aren't you actually agreeing with me there? The new diet IS a lot different to the treatment 20 years ago that's the whole point!
Yes it seems I am... Hence why it's going to take time for the Swedish to truly determine whether their currant dietary advice has a better outcome. Strangely 23 years ago when I was first diagnosed I was prescribed 130g of carbs a day, my husband who's also a T1 diabetic was prescribed 180g's of carbs per day when he was diagnosed in 1979!
Sorry doesn't work for me and other T2's consistently report the same thing. Are you accusing us all of being liars Jopar? In my case it actually gave me T2. I have been disciplined enough in the last 4 months to do the low carb Swedish diet which has reduced my blood sugars so that now I average in the 4's most days. Check my meter if you want to or come back in a couple of weeks when I report my new HBA1c.
The year before that I was also disciplined enough to do the NHS recommended diet after I was diagnosed pre diabetic. The result I went from pre diabetic levels to an HBA1c of 11.3% in 9 months. If you call that working then it worked. Sorry I call that trying to kill me.
I'm not calling anybody a lair..
As their are diabetics here an in many different forums, who the dietary advice given works for them... Dr Bernstein and several others who are on this forum, would say that it's impossible to achieve the excellent control I have because I don't follow Bernstein's 30g's of carbs a day... But I do
[quotejopar wrote:
I do need to point out as well, your calorie needs also needs to be considered, as these needs actually differ for different people, it's often linked to diets and assumptions made...
I know exactly how many calories I consume each day as I count calories as well as carbs.
][/quote]
I couldn't tell you mine, as I've never counted calories, just make the assumption that I've never had a weight problem so what I eat must be right.. Always counted carbs though but only has I eat them, and not as a day's limited with the exception of my first regime when carbs and insulin dose was prescribed :shock:
You say you use to work in the care field Jopar. Why does that give you any more legitimacy than me or any other T2 who have found a simple and effective means of controlling our condition. Try taking a leaf out of what organisations like the Cochrane Collaboration who specialise is evidence based health research. One of their primary rules is "listen to what the patient is telling you".
It gives me greater insight not only what problems people are faced with, but how 'what is said and they way something is said' can be interpreted in many ways by the individual
And as I said I have lived the life of a T2 diabetic...
Concerning listening to the patient...
Listening means taking on board a patient wishes and devising a treatment plan that includes the input and wishes of the patient...
Something I would say at times some HCP's aren't very good at doing...