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New X-pert position statement issues

Discussion in 'Diabetes Discussions' started by HSSS, Jan 8, 2020.

  1. HSSS

    HSSS Type 2 · Well-Known Member

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  2. Brunneria

    Brunneria Other · Moderator
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    Thank you for posting this.
    Fascinating reading.
     
  3. zand

    zand Type 2 · Expert

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    Thanks for posting this. It's nice to know that what most of us already knew to be true has at last been officially recognised.
     
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  4. Arab Horse

    Arab Horse Type 2 · Well-Known Member

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    Nothing new but nice to see that proper studies show a significant effect of the low carb diet. Is it too much to hope that the NHS will now change their advice to newly diagnosed diabetics?
     
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  5. ianf0ster

    ianf0ster Type 2 · Well-Known Member

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    I read it all (except for the references) and can only see positive statements about Low and Very Low Carb ways Of Eating.

    I'm unsure how influential X-Pert is, but this would still seem like a huge step in the right direction.

    It mentions Low Carb for treatment of Pre-Diabetes, of Hypertension and of Obesity.
     
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  6. pete254

    pete254 Type 2 · Well-Known Member

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    Thanks for the link @HSSS.

    My favourite snippet was:

    A 2019 consensus report from the ADA concluded that “a variety of eating patterns are acceptable for the management of diabetes” supporting the need to individualise approaches112. In relation to carbohydrate restriction specifically, this report acknowledges: Glucose requirements can be met by the body’s metabolic processes, thus there is no lower limit of necessary carbohydrate intake

    About time!
     
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  7. DCUKMod

    DCUKMod I reversed my Type 2 · Master
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    I haven't read the link yet, but bearing in mind how well informed Trudy Deakin is, I imagine it to be a pretty robust piece.

    I am particularly interested because X-pert has a T2 diabetes education programme, currently subscribed to by a number of CCGs.

    Not too many CCGs write their own programmes, most buy licenses from organisations like of X-pert and DESMOND. Once a CCG chooses their provider, if the provider updates their content, such as might happen on X-pert, I'm not altogether clear what the CCGs do about adopting said new content.
     
  8. ringi

    ringi Type 2 · Well-Known Member

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    One problem is that X-pert often does not control the staff who run the courses and if the CCG chooses a nurse with a "eatwell plate mindset", it can totally undermine any lowcarb message X-pert try to include.
     
  9. DCUKMod

    DCUKMod I reversed my Type 2 · Master
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    I guess that depends on whom the educators are employed by. Some CCGs buy the use of content, but deliver it themselves, and other buy the course, delivered by staff from the course owners.

    It's all a bit miss-mash.
     
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  10. ringi

    ringi Type 2 · Well-Known Member

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    It is one of the reasons I would love to see two weeks of freestyle libre use at the start and end of the course. As it will be very hard for educators to ignore the BG traces that they are leading the discussion about.
     
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  11. TriciaWs

    TriciaWs Type 2 (in remission!) · Well-Known Member

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    Good to see a robust analysis, especially as it points out that some of the 'inconclusive' research fails to address that fact that when low carb leads to reductions in medications just comparing the HbA1c of two groups is very misleading.
     
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  12. NicoleC1971

    NicoleC1971 Type 1 · Well-Known Member

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    Dr Trudy Deakin started X pert (it is a charity running diabetes education courses and has some contracts across the country and also sells training to be able to run franchised courses). She has spoken at Low Carb events but her courses do try to honestly discuss the options such as low fat presumably because they need to be 'balanced' to win NHS contracts.
    I think they also run type 1, pre diab and obesity courses from memory.
     
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  13. Hooty

    Hooty Prediabetes · Well-Known Member

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    I’m so pleased to read this. My Dad was diagnosed with prediabetes a year ago, shortly before me. While I’ve adopted a low carb diet and have brought my HbA1c down below the prediabetic range, he’s made very minimal changes and this week has found out he is now diabetic. He told me he’s going on a course, and my heart sank in case it was one that pushed the Eatwell regime, but today I found out it’s the X-pert course, so I am really relieved. It starts on Monday, so hopefully he’ll take on board the information and be ready to accept the advice.
     
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