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Landmark US consensus recommends low carb diet in diabetes management

DCUK NewsBot

DCUK NewsBot

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A landmark consensus that eating low carb is beneficial for treating diabetes has been announced by the American Diabetes Association (ADA). The report, entitled 'Nutrition Therapy for Adults with Diabetes or Prediabetes: A Consensus Report (Consensus Report)', has been produced by experts at the ADA and published in the journal Diabetes Care. Dietary guidelines have historically advocated high carb diets for people with or without diabetes, although the growing evidence base is illustrating how beneficial cutting down on carbs can be for people with diabetes. Last year, the ADA made the significant step of acknowledging low carb as a beneficial approach for treating type 2 diabetes. The ADA addressed how eating low carb could improve blood glucose levels and reduce the need for blood glucose-lowering medication among those with type 2 diabetes. Now, this new ADA report goes further in stating how diabetes-focused medical nutrition therapy is fundamental to overall diabetes management. Specifically, the report says of low carb diets: "Reducing overall carbohydrate intake for individuals with diabetes has demonstrated the most evidence for improving glycemia and may be applied In a variety of eating patterns that meet individual needs and requirements. “For select adults with type 2 diabetes not meeting glycemic targets or where reducing antiglycemic mediations is a priority, reducing overall carbohydrate intake with low- or very low-carbohydrate eating plans is a viable approach.” One of the authors of the paper, Dr Laura Saslow, from the University of Michigan, US, was the lead author for a research paper published in the peer-reviewed JMIR last year, which revealed 26% of users of Diabetes Digital Media's Low Carb Program put their type 2 diabetes into remission at the one-year mark. Remission was defined as reducing HbA1c into normal levels while taking no glucose-lowering medications or just metformin.

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Blummin' Eck! What a climb down. Baby steps but good ones.
 
Dr Laura Saslow, from the University of Michigan, US, was the lead author for a research paper published in the peer-reviewed JMIR last year, which revealed 26% of users of Diabetes Digital Media's Low Carb Program put their type 2 diabetes into remission at the one-year mark. Remission was defined as reducing HbA1c into normal levels while taking no glucose-lowering medications or just metformin.
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not quite as good as we seem to get, but that's a great choice to be offered
the status quo and NO remission, just a gradual worsening of your condition
OR
a shot at remission with a 26 % chance of winning the T2D lottery.

i'd of taken that the day after DX....
but now i'm on here the odds are just SO much more in our favour,.
 
Except... speaking as an American pre-D, you should see the low carb cheat sheet my PCP handed me last summer. 30-45 US (we count total) carbs/meal+ 10 carbs spread over snacks. 1-2 pieces fruit/day, no emphasis on berries. Many whole grains, beans. Low to very low fat.
I didn't "continue reading" the article; maybe it addresses those issues later on in the writing.
In 7 months between HbA1c tests (and self testing bgs) for me, and depending on whose machinery you trust more, I am as of February still nearly diabetic (dr HbA1c test), or squeaking into remission (my test numbers, crunched and estimated from my meter numbers entered into an app), or at the low end of pre-D (home HbA1c kit). Who ya gonna believe? The blood does not lie, that's a given. So whose numbers, mine or dr's, are more accurate? If my meter is consistently low by 20%, AND I am high all night long and during other intervals I'm not testing (Schrödinger's blood, don't you know), then he is. If any other reasonable option, all my equipment is.
But my equipment would not have told me about the general downward trend on dr's diet cheat sheet, I don't think. I guess I should eat that apple for breakfast every day and try him out, shouldn't I?
/rant
 
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