Low carbohydrate diets in the treatment of diabetes...............the latest summary by the experts.

[Pasha]

Thought this may be of interest to some here,

http://www.nutritionjrnl.com/article/S0899-9007(14)00332-3/fulltext#bib94

 

[Heathenlass]

I feel the winds of change ....
Not a moment too soon .

Thank you @Pasha, I find this very interesting , especially in the light of Trudi Deakin's new way of thinking regarding diabetes and carbs

Signy

 

[Pam6201]

Thanks so much for this. I am going tomorrow for my first visit with an endocrinologist. Judging from the opinions of the nurse and dietitian at the local diabetes clinic, I will be in for a tough time convincing these people that low carb is the way to go.
I am a 55 year old newly diagnosed type 1.

 

[NoCrbs4Me]

Very nice. I like this understated statement: "...the general failure of the low-fat paradigm to meet expectations..."

I would have said "abject failure".

 

[tim2000s]

Had a read of this on the train this morning. It supports everything that anyone has ever said regarding low carb diets, and more importantly uses analysis of many different studies + meta-analysis where there are multiple smaller studies. I don't think the message could be much clearer. The old fashioned way of treating diabetes with a carb reduced diet was better, and for all the MDI, adjusting doses for 'normal eating' and telling t2s to eat what they want? Well, it was just wrong!
But here's an evidence based paper saying so.

 

[sanguine]

Printing it out now!

 

[sanguine]

Read this on the train this morning, and I really think it's worth posting the abstract in full (with my emphasis in places):

The inability of current recommendations to control the epidemic of diabetes, the specific failure of the prevailing low-fat diets to improve obesity, cardiovascular risk, or general health and the persistent reports of some serious side effects of commonly prescribed diabetic medications, in combination with the continued success of low-carbohydrate diets in the treatment of diabetes and metabolic syndrome without significant side effects, point to the need for a reappraisal of dietary guidelines. The benefits of carbohydrate restriction in diabetes are immediate and well documented. Concerns about the efficacy and safety are long term and conjectural rather than data driven. Dietary carbohydrate restriction reliably reduces high blood glucose, does not require weight loss (although is still best for weight loss), and leads to the reduction or elimination of medication. It has never shown side effects comparable with those seen in many drugs. Here we present 12 points of evidence supporting the use of low-carbohydrate diets as the first approach to treating type 2 diabetes and as the most effective adjunct to pharmacology in type 1. They represent the best-documented, least controversial results. The insistence on long-term randomized controlled trials as the only kind of data that will be accepted is without precedent in science. The seriousness of diabetes requires that we evaluate all of the evidence that is available. The 12 points are sufficiently compelling that we feel that the burden of proof rests with those who are opposed.