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Population Health Metrics + Incorrect Dietary Advice = A Driver of Diabetes Progression?

Tannith said:
Here are 2 articles which both say that even one fatty meal can damage the arteries immediately as well as in the long term. And that the effects are worse for diabetics etc:
https://www.newsmax.com/Health/Head...dall-Mediterranean-diet/2013/03/11/id/494050/

https://www.smithsonianmag.com/scie...affect-arteries-almost-immediately-101996025/
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I don't know...but this is my idea of a high fats meal without the buns, rice or potatoes...

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kokhongw said:
Pointing me to various EBM sources...saying that only the non-medically trained mind would accept anecdotal evidence :D.
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Sounds like he doesn't understand what evidence-based practice actually is - the most widely-known definition comes from the work of David Sackett and comprises a triad = research findings + clinical expertise + patient experience/preference (which can include anecodotal evidence).
 
Guzzler said:
it was a full ten years before the 'establishment' started treating these ulcers with simple antibiotics
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yep, the perennial problem of getting people to change their practice following recommendations from robust research studies. also bearing in mind that it can take years for research to be funded, and conducted, never mind getting to the point of publishing results.
 
Tannith said:
The problem possibly comes when going on to a maintenance diet.
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hmmm - i've been on a lchf diet for 18 months now. wasn't particularly overweight to start with, but i did lose some weight over the first year. don't think i've lost any more (not noticeably, anyway) over the last six months, so my weight seems to have stabilised, despite continuing with lchf.
 
i followed the recommended advice and got worse all i can say is thank goodness for this forum. unfortunate many blindly follow the advice of there gp and diabetic nurse as they know best .well in far too many cases they dont.
the pharmaceutical industry see us as cash cows to change would be like asking turkeys to vote for christmas

i have changed doctors then medical practices . my new doctor is at least open to ideas.
 
Tannith said:
It is not really losing weight that matters. You can lose weight on any lower calorie diet wherever you lose the calories from, be it carbs or fat.No doubt lots of people have successfully lost weight on low carb, myself included. The question I want answered by trials etc is what happens to people's cardiovascular health when they use low carb with high fat as a long term maintenance diet. By definition they then have to make up the lost carbs with extra fat, over and above the 30% that the eatwell and most other countries' versions of eatwell allow. If they are eating only,say, 20% of their calories from carbs they must be eating a total of 60% of their calories from fat. Diabetics in particular tend to have high levels of atheroma already and I would have thought would be the people least able to risk clogging their blood vessels further with fat. Even monounsaturated fat.
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Not everyone loses weight on a low cal diet. When I went on a vlc diet I only lost 6 lb in 3 months but, more worrying, it made me ill after my body began to shut down and my doctor told me to eat properly. I saw an endochronolist who told me that my metabolism was too efficient and I would find it extemely difficult or even impossible to lose weight. I have since started treatment for low thyroid and, in conjunction with eating low carb, I have started to lose weight slowly but surely.
 
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