no, thats not how it works. There are many T2's who are slim, many ho remain T2's even when weight is lost.In that particular scenario then lowering carbs would be an option if medication is not deemed favorable. That would suggest misdiagnosed Type 1 rather than type 2 symptoms though.
when, and what makes them appropriate for you to use over other methods?I too use low carb diets with clients, where appropriate.
One does not have to count anything to be on low carb diet.
If you're "eating more" and not gaining bodyweight then the likelihood is your expenditure has improved in some form. Usually in the form of subconscious movement or NEAT (non exercise activity thermogenesis).
But energy intake (calories) IS the master of the situation, even for those who have metabolic conditions.
If you have PCOS and your BMR is impaired - the solution? You have to eat less
If you have a thryroid condition - the solution? You have to eat less
If you're an overweight type 2 diabetic - the solution? You have to eat less
If hormones, such as insulin, governed bodyfat levels, how do you explain the success of the Rice Diet and MaPi 2 trials I cited earlier? I notice a complete lack of response to those facts and these are trials in type 2 diabetics?
So you have an appreciation of your caloric intake. Funny that.
I've not one said Calories are all that matter, but they are the key to weight loss (assuming that's the topic of this thread) and the make up of those calories plays a role. If calories were irrelevant you wouldn't see people lose weight on the trials I cited above, but you do, including improvements in glycemia and makers of inflammation.
But you quoted 'less than 20g carbs' . If you don't count them how do you know that you aren't going over that with milk in tea and broccoli and runner beans etc? If soneone is trying to do less than 20g carbs then simply cutting out bread pizza and crisps isn't enough.Provide someone with a list of predominately carb containing foods, tell them not eat those foods. One does not have to count anything to be on low carb diet.
In fact you've all told me repeatedly this is one of it's main advantages
I'm not sure what relevance it has, but the UK.what country are you in?
How is that faint praise? I use and rate some Noakes work but not all. It's called being able to sift the good from the bad.Nope.
It just means that you are attempting to ‘**** with faint praise’, while displaying a casual knowledge of the subject.
Doesn’t endear me to your perspective in the slightest.
how long ago did you do your training? you may find things have changed a lot over the past 5 years in particular. My DN is now recommending low carbing for weight loss for diabetic T2's. She has recently re-trained to update her skills and is now being trained to look at low carb for weight loss due to the different metabolic needs of T2's. I cant say for other types as I only see her to talk to about my own diabetes.I'm not sure what relevance it has, but the UK.
Where? In my anecdote?But you quoted 'less than 20g carbs' . If you don't count them how do you know that you aren't going over that with milk in tea and broccoli and runner beans etc? If soneone is trying to do less than 20g carbs then simply cutting out bread pizza and crisps isn't enough.
how long ago did you do your training? you may find things have changed a lot over the past 5 years in particular. My DN is now recommending low carbing for weight loss for diabetic T2's. She has recently re-trained to update her skills and is now being trained to look at low carb for weight loss due to the different metabolic needs of T2's. I cant say for other types as I only see her to talk to about my own diabetes.
This has been in the last 18 months.
I can only keep repeating - diabetics are different when it comes to weight loss and standard advice given.
Thank you for the link. I will do some further research.As someone with PCOS has anyone ever advised you on the benefits of Inositol supplementation on improving symptoms?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655679/
If you're "eating more" and not gaining bodyweight then the likelihood is your expenditure has improved in some form. Usually in the form of subconscious movement or NEAT (non exercise activity thermogenesis).
Thank you for the link. I will do some further research.
We be (vaguely) in agreement here.
I have moved into long term ketosis, and dropped carbs. So my body is handling my very low carb foods very differently, and with lower insulin sloshing about, the energy reaching where it needs to go, instead of being sidelined into fat storage by the insulin.
Thank goodness for low carb, eh?
However, it indicates to me that calories are not a useful metric for my intake.
No problem. Everyone I've ever advised it to with PCOS has seen major improvements.
Are you aware fat can be stored in the absence of insulin?
When you eat fat it gets packaged into what's known as chylomicrons and gets released over the body and mainly stored inside fat cells. That has little to do with insulin, but I guess people here only like to mention the insulin role in lipoprotein lipase (LPL) and ignore ASP (fat can be stored and is stored without the presence of insulin).
This explains why people can fail to lose weight on a low carb diet. Because their energy intakes are still too high.
Yes. I am aware of those things.
However, you are on a forum for diabetics, with a high proportion of T2s. Insulin and insulin resistance is a dominant feature in our lives.
Are you aware that some people get insulin resistance, which ramps up higher and higher when those individuals eat carbs?
Therefore, avoiding carbs allows insulin resistance to drop.
And are you aware that different parts of the body (fat cells, organs, muscles) become insulin resistant at different rates, and to different extents? So it is perfectly possible for a T2 to lay down fat stores while their muscles are too insulin resistant to accept the glucose that is being tucked away elsewhere.
Ketones do not get ‘locked out’ in this manner.
The ketogenic diet has recently received much attention for its promise of treating obesity and type 2 diabetes. However, the enthusiasm for its potential benefits exceeds the current evidence supporting its use for these conditions. Although the temptation is great to recommend a potentially novel approach for otherwise difficult-to-treat diseases, it is important to remain grounded in our appraisal of the risks, benefits, and applicability of the diet to avoid unnecessary harm and costs to patients.
Is the ketogenic diet more effective for weight loss than other diets?
In a meta-analysis of 13 studies lasting longer than a year, researchers found that the ketogenic diet was associated with less than a kilogram of additional weight loss over high-carbohydrate, low-fat strategies.This difference, although statistically significant, may not be clinically significant. Furthermore, a meta-analysis of 32 controlled feeding studies found that energy expenditure and fat loss were greater with low-fat diets compared with ketogenic diets.
Any diet that results in weight loss does so because it reduces calorie intake. The ketogenic diet, when used for weight loss, is no different.
The salient questions are whether it is sustainable and whether it promotes long-term health. No studies, to our knowledge, have evaluated ketogenic diets for cardiovascular events or mortality, although observational studies in the broader low-carbohydrate diet literature suggest increased all-cause mortality.
Is your hypothesis.Fat is only "laid down" when there is an excess of energy present
Shows that that diet is better than the standard dietary advice given to T2's. To be honest, almost anything is better than the Eatwell plate for a T2. It was not a low carb diet, and was to do with inflammation, not blood glucose control.Or the Ma-Pi 2 diet, which is a largely vegan 70% carbohydrate containing based diet:
your link, when clicked, says Bad RequestI'll await the cognitive dissonance to this one too:
https://jamanetwork.com/journals/ja...nals/jamainternalmedicine/fullarticle/2737919
UNLESS you are a diabetic. Have you understood that yet?I'll await the cognitive dissonance to this one too:
https://jamanetwork.com/journals/ja...nals/jamainternalmedicine/fullarticle/2737919
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