Interpreting negative comments by clinicians towards Low Carb

pdmjoker

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Prediabetes
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A forum member pointed me to a speech at the International Diabetes Summit 2018 about the experience of someone with Type 2 Diabetes who eventually found success through a Low Carb diet. A quote:

"They sent me on a course called DESMOND - here's what I learned, I have an incurable disease which will inevitably progress, it's all my own fault for being fat, lazy and greedy and if I want to avoid a long, slow and ugly death I should eat a diet based on starchy carbs and fruit, a sort of banana sandwich diet.

So I did, and I got more active and nothing really changed, my waking blood glucose levels stayed high. So I started to feel depressed."​

and about a certain family doctor:

"For years he pushed pills and poor advice and watched patients decline. Then a patient, a single patient opened his eyes, he realised and was humble enough to admit he had been wrong, so he tested a little here, refined a little there, proved what could work and now his pre-diabetes programme has a 96% success rate, his full blown type 2 diabetes programme has an average of over 20 mmol reduction and a 24% rate of full sustained remission and he returned £57,000 of money he didn’t need to spend on medication. That of course is Dr David Unwin, Jen and their team.​

The single most important thing is for the diabetes establishment to show humility, admit they have this very badly wrong, to look up at the world around them, speak to real patients, take what is working, test it, refine it, prove it and use it. On behalf of those 3.5 million who are suffering I am asking you to do that and do it now."​

I can highly recommend forum members (anyone, really) to read the short speech by Dan Parker. You can find a transcript here:

https://www.livingloud.org.uk/single-post/2018/12/14/International-Diabetes-Summit-2018

Rather tongue-in-cheek, after reading that speech I realised how to interpret some of the negative comments made by some members of the medical profession regarding Low Carb diets:

1. There's no scientific evidence that Low Carb is safe and effective = I've never come across any studies supporting it, and I'll continue to make sure that I never do.

2. Low Carb is a fad diet = Sadly, it is gaining popularity as more people find it really helpful for weight loss and glycaemic control, but I haven't got any criticism based on logic or medical science.

3. I can assure you that Type 2 Diabetes is an irreversible progressive degenerative disease = Well, it is the way that we have been treating it...

4. The evidence supporting Low Carb is purely anecdotal = You may well find it really helpful, as many people have, but I would much rather you were on a treatment that I'm familiar with but is scientifically known not to work.

I hope these help! :)
 
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Guzzler

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Might I add this one, please?

Paraaphrased.

But this low carb seems to be working for me, Doctor.
My 5 years of training trumps your n=1
And my 15 years of battling this disease trumps your training... apparently.
 

zand

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Then there's...

Aren't you hungry if you don't have bread and potatoes?
No, carbs make you hungry, so I am less hungry without them and I also add fat to almost everything so that fills me up.
Oh then your cholesterol levels will be high, let me check...Oh, they've gone down and are the lowest they have ever been. Still, you shouldn't have too much saturated fat, it puts your cholesterol levels up...
But they've gone down.
Silence.
 

Fndwheelie

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Type of diabetes
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Hey what’s this joke thread doing in a serious part of the forum. ;):D:hilarious:

(Kinda sound like bad dad jokes)
 
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Resurgam

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I'd love to have videos of some of the doctors telling me how bad low carb is - but they'd probably be taken down as too extreme.
I feel I have lived through a dark age of ignorance but now there is just a glimmer or two of enlightenment beginning to appear.
 
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lucylocket61

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MY DN is learning, and willing to learn.................

but she still cant get her head round me being 250lbs and having 'good' cholesterol, BP etc etc etc as fat people shouldnt be like that. Morbidly obese mean - well - you are going to die soon - right?

she is gradually getting the idea that lowering carbs, for me, is doing good things to my cholesterol and BP (not that my cholesterol worries me anyway) too.
 
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jjraak

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I feel I have lived through a dark age of ignorance

but now there is just a glimmer or two of enlightenment beginning to appear.

****, @Resurgam ..you just NAILED how it really is...
113.gif


STAR.

Lets hope that dark age, like previous ones, is soon to be relit with the light of fresh knowledge.
and open eyes.

(asterisks by mod)
 
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pdmjoker

Well-Known Member
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417
Type of diabetes
Prediabetes
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Diet only
Might I add this one, please?

Paraaphrased.

But this low carb seems to be working for me, Doctor.
My 5 years of training trumps your n=1
And my 15 years of battling this disease trumps your training... apparently.
In a paper Survey of European GPs - GPs’ Perceptions, Knowledge and Treatment of Obesity from May 2018, found here:

https://www.europeanobesityday.eu/gpsurvey/

Fig 5 shows how little training is given on the subject in the 5 years overall training...

GP obesity training.jpg

Edit: Had trouble doing the image! :)
 

Guzzler

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Guzzler

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Looks like most GPs know little about the subject since their training is general and wide-ranging...
Wrt the dietary advice I was given at diagnosis, it would be interesting to see just how long Practice Nurses and Diabetes Specialist Nurses are required to study nutrition as a part of their general training or specialist training.
Having seen so many debates about different dietary approaches to weight loss, metabolic syndrome etc and having been surprised at just how few differences there are between these approaches from nutritionists and dietitians, it does beg the question about the quality and the quantity of time it takes to get credentials in these fields of medicine.
 

TriciaWs

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1,727
Type of diabetes
Type 2
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Other
Recently saw a different GP about a sudden increase in cholesterol which I think might be due to the new meds he put me on for another condition.
I assured him that my diet hadn't changed, and I had 'good' results taken 3 times over the previous 11 months, but he kept rephasing the questions - no I am not eating more carbs, but are you eating more sugar, no. Then onto the fats ... even though I am still losing weight and all the other tests including liver and kidney were fine.

I handed him 4 of the abstracts from the research I'd found about increased lipids with the drug ...
Thank goodness my DN, and the GP who oversaw the early stages of the diabetes journey, are now pro low carb (for me at least).
 
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