July NICE Guidelines

[Ricky]

I can not believe that the medical fraternity has still not got it into their heads (July 2012 NICE Guidelines http://www.nice.org.uk/nicemedia/live/1 ... /59951.pdf ) that the best diet for a Type 2 diabetics/prediabetic is a Low Carb/ Low GI diet. They still seem to think that low fat is the way to go and mention a) a baked potato (high GI) as being sensible to eat and Fruit as a snack!! They specifically mention not to eat Bombay mix which is high protein (because of the gram flour) and low GI. Low fat yogurts = high sugar!!See below:-

Encourage people to:
Increase their consumption of foods that are high in fibre, such as wholegrain bread
and cereals, beans and lentils, vegetables and fruit.
Choose foods that are lower in fat and saturated fat, for example, by replacing
products high in saturated fat (such as butter, ghee, some margarines or coconut oil)
with versions made with vegetable oils that are high in unsaturated fat, or using lowfat
spreads.
Choose skimmed or semi-skimmed milk and low-fat yoghurts, instead of cream and
full-fat milk and dairy products.
Choose fish and lean meats instead of fatty meat and processed meat products (such
as sausages and burgers).
Grill, bake, poach or steam food instead of frying or roasting (for example, choose a
baked potato instead of chips).
Avoid food high in fat such as mayonnaise, chips, crisps, pastries, poppadums
(papads) and samosas.
Choose fruit, unsalted nuts or low-fat yoghurt as snacks instead of cakes, biscuits,
bombay mix or crisps.

This just infuriates me!! I have put myself into the prediabetic , even normal category with a low carb/low GI diet + exercise. I have the disease from hereditary as I have never been terribly over weight . I weigh more now than I did when diagnosed about 6 years ago but most is muscle from exercise therefore I am scathing of a BMI scale that doesn't take this into account. A size 12 dress size is fine by me!!

 

[Unbeliever]

I can not believe that the medical fraternity has still not got it int o their heads (July 2012 NICE Guidelines http://www.nice.org.uk/nicemedia/live/1 ... /59951.pdf ) that the best diet for a Type 2 diabetics/prediabetic is a Low Carb/ Low GI diet. They still seem to think that low fat is the way to go and mention a) a baked potato (high GI) as being sensible to eat and Fruit as a snack!! They specifically mention not to eat Bombay mix which is high protein (because of the gram flour) and low GI. Low fat yogurts = high sugar!

This just infuriates me!! I have put myself into the prediabetic , even normal category with a low carb/low GI diet + exercise. I have the disease from hereditary as I have never been terribly over weight . I weigh more now than I did when diagnosed about 6 years ago but most is muscle from exercise therefore I am scathing of a BMI scale that doesn't take this into account. A size 12 dress size is fine by me!!

As ever they are confusing a suitable diet for an overweight non-diabetic ith a suitable diet for diabetics. That is because it is easier for them! This is the "normal healthy diet" we hear about.

As a T2 , verging on underweight {warned NOT to lose sny weight on diagnosis} also told that my condition was hereditary I was
somewhat bemused to read about this diet in my "welcome pack" although it was no specifically recommended to me I was told o comntinue with the GI diet I had been following for years.

It would perhaps be better if they recommended this diet to the general population and admitted that those of us wth damaged metabolism might need to adapt our diet to our condition.
I have to admit to checking the info I was given from time to ime about specific foods wih who knows what consequences.
Its really not rocket science is it?

I think the BMI scale is regarded with a great deal of scepticism - I doubt if 19th century Belgians could really be a goood basis for such a scale - but noone has atemte to replace it. HCPs are perfectly well aware , for example that certain races have heavier denser bones than others. Its just a general guide unless , of course you encounter one eof those Nurses who can't see further than their tick lists.

I intend to email my MP in Grazer -type simple and general terms about this.

 

[Grazer]

I intend to email my MP in Grazer -type simple and general terms about this.

Good for you - do it. Simpler the better. I don't care tuppence when people say "but technically, it's not 100% correct because......." It's the message we need to keep sending, the simpler the better. The more info you put in for technical nicety and correctness, the more things you give them to pick up on rather than the basic message.

 

[Daibell]

I doubt many HCPs realise low-fat yoghurts are loaded with sugar (well, they're healthy aren't they...). I do have Irish yoghurts low-fat & low-sugar yoghurt. This is the only available fruit flavoured no-added sugar yoghurt now in the UK. There is loads of choice in France and Portugal; why? One day the medical profession will realise that diabetes is about carb intake not fat intake, but I'm not expecting that to happen very soon. How can we start to influence the papers that NICE produces?

 

[Ricky]

Yes I have found the Irish Yoghurts - the Activa diet are OK for us as well - no sugar. In Israel I saw loads of fruit diet yoghurts and all with sweeteners - no sugar. Low fat mayonnaise = high sugar !!

 

[carty]

Why not buy natural yoghurts and add some berries to sweeten rather than sweeteners ? You can even add some very high cocoa chocolate melted and stirred into the yog.
CAROL

 

[Ricky]

Absolutely agree. I hate all sweetners except Xylitol which is the only one I use in hot cocoa and the occasional oat bran muffins/pancakes from the Dukan diet recipe that I make. I tried the new Trivia which is meant to be natural stevia but I wasn't convinced how natiral it was and I didn't like the taste.