If you have a medical advisor with an "eatwell plate" mindset.

[DavidGrahamJones]

Pleased to see that some GPs think outside their box.

http://diabetestimes.co.uk/gp-wins-prize-for-low-carb-diabetes-work/

 

[walnut_face]

Why don't these people work in my area?

 

[Robbity]

I've been very fortunate. My GP suggested the Atkins diet (actually for weight loss rather than for glucose control per se) when he first diagnosed my diabetes at the end of 2013. He's also been pleased with my continuing LCHF results, and is happy for me to test, although he's told me he's not actually allowed to prescribe test strips for me (practice policy!). And at my last review (Sept 2016) with our practice diabetes nurse she was happy and impressed with my results from very low carbing - a complete turn around her original Eatwell advice. Her current advice - continue to do what I'm doing!

Robbity

 

[Sometimeslucky54]

I've been very lucky, my GP and the practice staff have left me alone to get on with it myself. I found this site and as they say 'the rest is history'. I lost 24 lbs and dropped my HBa1c by 20 in 4 months. If they had 'helped' me Lord knows what would have happened.

 

[Bluetit1802]

I am intrigued by this comment about a high carb diet

"This is wrong and NICE recognises it as such, but that is not widely known."

If NICE knows this, its failure to do something about it is dishonest and dangerous, but most likely due to pressure from the food industry.

 

[Japes]

I've been very fortunate. My GP suggested the Atkins diet (actually for weight loss rather than for glucose control per se) when he first diagnosed my diabetes at the end of 2013. He's also been pleased with my continuing LCHF results, and is happy for me to test, although he's told me he's not actually allowed to prescribe test strips for me (practice policy!). And at my last review (Sept 2015) with our practice diabetes nurse she was happy and impressed with my results from very low carbing - a complete turn around her original Eatwell advice. Her current advice - continue to do what I'm doing!

Robbity

That's my practice nurse's attitude - "Whatever it is you are doing, it's obviously working!" She only suggested slightly more carbs when I was trying Gliclazide which definitely led to hypos for me.

As I've failed to settle with one doctor within the practice, it's hard to tell - but the common attitude I've encountered is I'm foolish to try to keep medication to a minimum and I must eat more carbs and less fat. I smile and carry on with what I'm doing....

 

[Brunneria]

Oh, Well done, Dr Joanne McCormack!
She spoke at last year's Public Health Collaboration Conference, and is listed as going to attend this year as well (17th June)
https://phcuk.org/conference/

Here is her video talk from last year's PHC conference:

It is titled 'Saving Children from Nutritional Harm'

 

[tim2000s]

If NICE knows this, its failure to do something about it is dishonest and dangerous, but most likely due to pressure from the food industry.

The issue isn't so much as whether it's wrong or right, or about dishonesty. The issue for NICE is the evidence base. Their recommendations have to have an evidence base, and the work that diabetes.co.uk is doing with the Low Carb programme is a good example of submissible evidence that provides clear and inexorable details of the advantages that low carb living gives in the context of diabetes.

Up until recently, there have been many studies and none of them have been low carb related, so NICE has had to go on what it had, rather than what appears to be right.

 

[Lamont D]

My typical recommended food from my early food diary from over ten years ago reads thus!
I was (mis)diagnosed as T2!

Breakfast
Porridge with semi skimmed milk or water.

Lunch
Baked potato with baked beans.

Dinner
Grilled pork chop with mash potatoes and vegetables of choice!

Supper or snack between meals
Wholemeal sandwich, spread with meat, fat removed, and salad, dressing of choice!

Is it any wonder, I kept putting on weight!

 

[Daibell]

The issue isn't so much as whether it's wrong or right, or about dishonesty. The issue for NICE is the evidence base. Their recommendations have to have an evidence base, and the work that diabetes.co.uk is doing with the Low Carb programme is a good example of submissible evidence that provides clear and inexorable details of the advantages that low carb living gives in the context of diabetes.

Up until recently, there have been many studies and none of them have been low carb related, so NICE has had to go on what it had, rather than what appears to be right.

True to a large extent, but the thinking that lead to the high carb advice was not really evidence-based either. I would have thought NICE could look at and challenge the 'high-carb' 'research' from that time and move on. It's obvious the food industry lobby is still working hard!

 

[tim2000s]

True to a large extent, but the thinking that lead to the high carb advice was not really evidence-based either. I would have thought NICE could look at and challenge the 'high-carb' 'research' from that time and move on. It's obvious the food industry lobby is still working hard!

Except that NICE role is not to challenge the research. It's to look over what is available and create guidance based on it. From the NICE charter:

The National Institute for Health and Care Excellence (NICE) is the independent organisation responsible for providing evidence-based guidance on health and social care.

Not that I'm saying that they shouldn't challenge it, that's just not their job. They are a process driven, evidence based organisation charged with providing guidance for England and Wales. Nothing more.