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LOW CARB SUCCESS STORIES
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<blockquote data-quote="Superchip" data-source="post: 379080" data-attributes="member: 23592"><p>I do hope that is the appropriate place for this....</p><p>I have permission from the poster to do this...it's from Dr Briffa's blog.</p><p></p><p>I am a Dietitian working in the NHS. It horrifies me to think that so many people no longer trust the medical and lifestlye advice they receive from their Health Care Professionals. Have we become so blinkered that we fall for the pharmaceutical research strap lines hook, line and sinker? Why do we repeat the mantra all advice we give must be ‘evidence based’ when there is so much conflicting ‘evidence’, lack of research on nutrition (you cant patent a natural product!), questionable outcomes, and definitely no ‘one size fits all’ approach to patient treatment. We actually know so little about the genetics of Type 2 Diabetes, it is becoming clear that the label ‘Type 2′ could cover any number of genetic differences that cause issues with glucose metabolism.</p><p></p><p>On the other hand we have to remember that Diabetes UK produced a much more common sense guideline to nutritional advice for people with Diabetes in 2011. It clearly stated that there is evidence of short-term benefits of lower carb approaches and long-term benefits? we need more research! Diabetes UK no longer promote eating ‘plenty of starchy carbs’ with your meals. As a Diabetes Specialist Dietitan I now feel more comfortable to explore lower carb dietary approaches with my patients, but as another Dr stated on here, if you are going against the grain of your professional peers and do not have solid evidence (randomised control trial studies) to back you up, there is a chance of reprimand. So we must use clinical goveranance and work with our HCP collegues as a team to share the outcomes of our interventions and provide clear messages to patients. I try to be honest with my patients and tell them i do not have all the answers and that advice will change over the years no doubt. I only have a range of lifestlye interventions that i know have worked for other people and seem to show benefits in research. I do not want to put their health at risk and will monitor them to check they are getting all essential micronutrients and that cholesterol, kidney and liver function are not effected.</p><p></p><p>The sad truth is that many people are habitualised to a large consumption of products i would not consider to be food at all. Processed, cheap foods are hard to break away from – we need a culture change. People need to engage with health care professionals to get support in making sensible lifestlye changes, and health care professionals need to be flexible in the approaches they use and get a nutritional professionals advice. The message ‘low carb’ is no healthier than ‘healthy eating’ if the overall nutritional quality of the diet is still poor and this has not been addressed in a hollistic way with patients. ‘Dont eat bread’ is not a helpful message on its own! I feel that the tools in my box are growing and I will embrace different dietary approaches with an open mind.</p><p></p><p></p><p></p><p><em>I was quite taken with the candour of this message.. and if it could be better placed amongst the forums perhaps an admin or such could transfer it so.</em></p><p></p><p>Superchip......</p></blockquote><p></p>
[QUOTE="Superchip, post: 379080, member: 23592"] I do hope that is the appropriate place for this.... I have permission from the poster to do this...it's from Dr Briffa's blog. I am a Dietitian working in the NHS. It horrifies me to think that so many people no longer trust the medical and lifestlye advice they receive from their Health Care Professionals. Have we become so blinkered that we fall for the pharmaceutical research strap lines hook, line and sinker? Why do we repeat the mantra all advice we give must be ‘evidence based’ when there is so much conflicting ‘evidence’, lack of research on nutrition (you cant patent a natural product!), questionable outcomes, and definitely no ‘one size fits all’ approach to patient treatment. We actually know so little about the genetics of Type 2 Diabetes, it is becoming clear that the label ‘Type 2′ could cover any number of genetic differences that cause issues with glucose metabolism. On the other hand we have to remember that Diabetes UK produced a much more common sense guideline to nutritional advice for people with Diabetes in 2011. It clearly stated that there is evidence of short-term benefits of lower carb approaches and long-term benefits? we need more research! Diabetes UK no longer promote eating ‘plenty of starchy carbs’ with your meals. As a Diabetes Specialist Dietitan I now feel more comfortable to explore lower carb dietary approaches with my patients, but as another Dr stated on here, if you are going against the grain of your professional peers and do not have solid evidence (randomised control trial studies) to back you up, there is a chance of reprimand. So we must use clinical goveranance and work with our HCP collegues as a team to share the outcomes of our interventions and provide clear messages to patients. I try to be honest with my patients and tell them i do not have all the answers and that advice will change over the years no doubt. I only have a range of lifestlye interventions that i know have worked for other people and seem to show benefits in research. I do not want to put their health at risk and will monitor them to check they are getting all essential micronutrients and that cholesterol, kidney and liver function are not effected. The sad truth is that many people are habitualised to a large consumption of products i would not consider to be food at all. Processed, cheap foods are hard to break away from – we need a culture change. People need to engage with health care professionals to get support in making sensible lifestlye changes, and health care professionals need to be flexible in the approaches they use and get a nutritional professionals advice. The message ‘low carb’ is no healthier than ‘healthy eating’ if the overall nutritional quality of the diet is still poor and this has not been addressed in a hollistic way with patients. ‘Dont eat bread’ is not a helpful message on its own! I feel that the tools in my box are growing and I will embrace different dietary approaches with an open mind. [i]I was quite taken with the candour of this message.. and if it could be better placed amongst the forums perhaps an admin or such could transfer it so.[/i] Superchip...... [/QUOTE]
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