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I agree. If she is the founder of the courses advising people To eat low fat, and include starchy carbs at every meal, then she has done a lot of damage. It will take years to get the X-PERT courses changed to reflect this turnaround / paradigm shift.Gob smacked.. So what is she doing to re educate the course leaders that take these courses in hospital?
This is one of the many sites where she recommends carbs:
http://www.diabetes-education.net/pdf/annual_conference/2012/debate_carbs_for.pdf
If she has changed her thinking, what is she going to do about all of her previous online advice?
I believe she has changed her thinking on low fat and now says to eat fat. However, her low carb is not quite the low carb we recognise. Lower carbs is most likely the best description, possibly even a low GI style.
Just where do these official nhs and worldwide health care professional work out their data from that we need so many carbs? We just do not need so many carbs to keep us lean and nutritioned at a normal weight... So where's the data coming from that she quotes as neding to eat 130-260g a day?
Thats what I can't figure...
In the article she talks from experience delivering the structured education programmes and seeing the results after, look at the last paragraph above before the link.
Through our experience of delivering structured education, many people reduce their carbohydrate intake to between 130-260 grams per day and are able to improve their diabetes control and body weight as a result. To date, lower carbohydrate diets have not shown any negative effects.
There's a difference though between 'improving diabetes control' and 'controlling your diabetes'. The former could just include staying the same and not having to increase the meds. As for the last sentence, wow, no **** Sherlock.
Not in my lifetime!It's a step in the right direction.
Albeit a smaller step than I would like.
I wonder how long it will take to filter through to HCPs on the coal face?
I think Trudy is an advocate of lower carbs but not sure if she endorses LCHF diets where carbohydrates are severely restricted, she spoke at the DUK conference last April in a debate entitled Is it time to stop promoting carbohydrates to people with diabetes, here is a short extract of what she said but you can read the article in full following the link I've provided
I did XPert and we were told 130 carbs minimum per day
Carbohydrate requirement
Glucose is essential for survival. The brain requires 130 grams of glucose per day and the carbohydrate reference intake (RI) for a healthy adult is 260 grams per day, double the minimum requirement to ensures sufficient carbohydrate is available to meet physical activity demands. But three things should be noted:
Individual needs
- the 260g per day is not a target but a reference;
- it is a reference for a healthy adult who is moderately active and normal weight;
- if the relevant amount of carbohydrate is not consumed, the body can make it from protein and fat supplies.
The reference range of 260 grams of carbohydrate per day does not suit every person with diabetes. In Type 1 diabetes, people may not wish to take the high doses of insulin required to match that level of carbohydrate and, in Type 2 diabetes, insulin may not work properly at clearing the glucose from the blood (insulin resistance) and additional carbohydrate can aggravate the problem, especially if the person is overweight and not physically active.
People with diabetes require structured carbohydrate awareness education so that they understand which foods contain carbohydrate and develop the skills to assess their own diet and be able to work out the amount and type of carbohydrate they are eating.
They can then set themselves goals to ensure they are consuming the right amount of carbohydrate to match their physical activity levels, also taking into consideration their weight and level of diabetes control.
In the UK, many of the starchy staple foods release the glucose quickly into the blood i.e. they are high GI foods. But when people are advised to base their meals on carbohydrate, many of them end up eating over 300 grams a day.
Through our experience of delivering structured education, many people reduce their carbohydrate intake to between 130-260 grams per day and are able to improve their diabetes control and body weight as a result. To date, lower carbohydrate diets have not shown any negative effects.
http://www.diabetes.org.uk/About_us/News/Carbohydrates-and-diabetes-debate/
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