The thought of avoiding carbs the rest of my life sounds ridiculous and unsustainable, ............... Their big difference to low carb is that they put a big emphasis on restoring insulin sensitivity, which low carb doesn't even mention from what I can see. ...........My understanding is if you fix insulin resistance, you can then eat plenty of carbs without the glucose spikes- to me that's really reversing diabetes.
Or not...I have just seen in another discussion thread that this person consumes ~700g per day of carbohydrate and uses insulin, so I am guessing type 1 diabetes.
and the problem with making money for providing a service is?.........
I hope you aren't suffering from Analysis Paralysis while your condition worsens..
no, definitely not - doing a little research is worth it - proceeding well with the analysis - an update...... definitely wont go carnivore as bowel cancer and chronic constipation doesn't sound like a lot of fun to me and pretty sure living a life of deprivation eating no carbs only sounds marginally less fun, so keto or low carb not looking good either. I've narrowed it down to Dr Fuhrman, The Mastering Diabetes program or the Lime program
and the problem with making money for providing a service is?.........
no. not correct. see later post belowI have just seen in another discussion thread that this person consumes ~700g per day of carbohydrate and uses insulin, so I am guessing type 1 diabetes.
The ADA also now (in the last month!) endorse low carb as the most effective strategy. But as you say it has to suit you and your morals and be sustainable long term. For instance a vegan might find it very difficult to be keto (but possible with determination). But unsuitable for person individually is not the same as unsuitable for diabetics in general.I also see now that the ADA specifically mentions plant based diets (PBD) as an option they endorse.
The ADA also now (in the last month!) endorse low carb as the most effective strategy. But as you say it has to suit you and your morals and be sustainable long term. For instance a vegan might find it very difficult to be keto (but possible with determination). But unsuitable for person individually is not the same as unsuitable for diabetics in general.
incidentally a lot of people start low carb/ keto believing it’s not for them and are very surprised how easy they find it once adjusted.
what the ADA actually said in the journal Diabetes Care in 2019 was:Do you have a reference for this statement?
I believe they said *lowering* carbs has proved most effective. Keeping in mind 80% of diabetics are overweight or obese upon diagnosis, all macronutrients need to be lowered to reduce body fat. The rest of the statement Where they said lowering carbs was the most effective went on to discuss various WOEs as effective, as long as they lower excess body weight.
I have no knowledge of them stating low carb is the most effective strategy.
If you read the original post:what the ADA actually said in the journal Diabetes Care in 2019 was:
What is the best weight loss plan for individuals with diabetes?
For purposes of weight loss, the ability to sustain and maintain an eating plan that results in an energy deficit, irrespective of macronutrient composition or eating pattern, is critical for success (160–163). Studies investigating specific weight loss eating plans using a broad range of macronutrient composition in people with diabetes have shown mixed results regarding effects on weight, A1C, serum lipids, and blood pressure (102,103,106,164–171). As a result, the evidence does not identify one eating plan that is clearly superior to others and that can be generally recommended for weight loss for people with diabetes (172).
The revised statement was in January 2020, I believe. So later than your quote. I think it may have been posted elsewhere on the forum, but not 100% sure on that.The ADA also now (in the last month!)
In which case wouldn’t they have said lowering weight and not specified carbs! They actually go on to say lowering carbs can be integrated into various ways of eating. This is in the eating patterns section not weight loss. Another section on weight management doesn’t determine which eating style just discusses the benefits of weight lossDo you have a reference for this statement?
I believe they said *lowering* carbs has proved most effective. Keeping in mind 80% of diabetics are overweight or obese upon diagnosis, all macronutrients need to be lowered to reduce body fat. The rest of the statement Where they said lowering carbs was the most effective went on to discuss various WOEs as effective, as long as they lower excess body weight.
I have no knowledge of them stating low carb is the most effective strategy.
I’m referencing a more recent issue than this.what the ADA actually said in the journal Diabetes Care in 2019 was:
What is the best weight loss plan for individuals with diabetes?
For purposes of weight loss, the ability to sustain and maintain an eating plan that results in an energy deficit, irrespective of macronutrient composition or eating pattern, is critical for success (160–163). Studies investigating specific weight loss eating plans using a broad range of macronutrient composition in people with diabetes have shown mixed results regarding effects on weight, A1C, serum lipids, and blood pressure (102,103,106,164–171). As a result, the evidence does not identify one eating plan that is clearly superior to others and that can be generally recommended for weight loss for people with diabetes (172).
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