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Public Health England is reviewing the dietary advice conveyed in the "eatwell plate" -
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<blockquote data-quote="NicoleC1971" data-source="post: 1825534" data-attributes="member: 365308"><p>This is how it went:</p><p>Bottom line is that Sheila Dillon came down in favour of changing the guidelines and now I should get back to the day job!</p><p></p><p>Interview with woman whose husband had a heart attack despite following the Eatwell plate guide and rowing..She changed his diet to low carb and got him healthy again.</p><p>Mention of the campaigns of medical students and young docs campaigning to get better training to deal with NCDs..</p><p>Then Malhotra and Unwin discussing the low carb diet. Balanced review of Eatwell plate's good points (green veg) and the aim of cutting down on starchy carbs as well as sugar. Plate is overloaded with carbs given the proportion of the population with a tendency to be diabetic/pre diabetic. Even the fruit (bananas and raisins) are high GI so not useful to a diabetic.</p><p>£38,000 saved in David Unwin's practice and his work in reporting to the parliamentary group on diabetes. A patient who reversed his type 2 diabetes is interviewed.</p><p>Dr Asseem Malhotra reminds us that insulin resistance is the biggest risk factor for heart attacks with IR being driven by processed carbs/sugar. The 70's change to low fat diet caused this with an oversupply of cheap, starchy foods.</p><p>Thameside and Glossop Hospital (deprieved area) is making diet the lunchpin of a revolution in healthcare. July 4th the hospital is going sugar free to beat the high levels of cancer, heart disease, mental health. The chief exec admits that the current advice is confusing. Removing temptations and making it simple in the canteen and on the wards. No vending machines! Evidence based approach to get sugar out of the hospital to lead by example. Chef making sugar free biscuits (????).discussing high fibre from veg, reduced carbs level and grilled meat (so far all on the same song sheet!).</p><p>PFI built hospitals have a commercial underpinning so are given incentives to be have sugary drinks made available to the patients (a contractual obligation). This drives a revolving door of healthcare (Dr Malhotra) again.</p><p>Chief exec of T and G Hospital is working to change the contracts so that not all hospitals have to have a Costa Coffee etc.</p><p>Low fat diets produce high fat people.</p><p>What will it take to get the Eatwell plate revised? Malhotra says make sure that the guidance is based upon the TOTALITY of evidence. The recent revision of the Eatwell plate was biased by ties to Big Food.</p><p>Programme put these points to PHE speaking to Professor Levy (head of nutritonal science at PHE.</p><p>The comeback - lots of noise from the low carb but he claims that the reasons people are less healthy because they don't follow the Eatwell guide and that LCHF is faddy and carbohydrates are needed (claims that brain can only work on ingested carbohydrates!!!). He thinks the Eatwell committee looked at all the evidence and did not find any favouring a low carb approach.</p><p>He is challenged on the food industry bias on the committee (SACN) which he denies (conflicts are declared and the appointments process is vigorous and transparent.).</p><p>Finished with the type 2 who reversed his diabetes discussing his diet:</p><p>Full fat with no bread, pasta and rice which he really enjoys and wishes that other people could too!</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 1825534, member: 365308"] This is how it went: Bottom line is that Sheila Dillon came down in favour of changing the guidelines and now I should get back to the day job! Interview with woman whose husband had a heart attack despite following the Eatwell plate guide and rowing..She changed his diet to low carb and got him healthy again. Mention of the campaigns of medical students and young docs campaigning to get better training to deal with NCDs.. Then Malhotra and Unwin discussing the low carb diet. Balanced review of Eatwell plate's good points (green veg) and the aim of cutting down on starchy carbs as well as sugar. Plate is overloaded with carbs given the proportion of the population with a tendency to be diabetic/pre diabetic. Even the fruit (bananas and raisins) are high GI so not useful to a diabetic. £38,000 saved in David Unwin's practice and his work in reporting to the parliamentary group on diabetes. A patient who reversed his type 2 diabetes is interviewed. Dr Asseem Malhotra reminds us that insulin resistance is the biggest risk factor for heart attacks with IR being driven by processed carbs/sugar. The 70's change to low fat diet caused this with an oversupply of cheap, starchy foods. Thameside and Glossop Hospital (deprieved area) is making diet the lunchpin of a revolution in healthcare. July 4th the hospital is going sugar free to beat the high levels of cancer, heart disease, mental health. The chief exec admits that the current advice is confusing. Removing temptations and making it simple in the canteen and on the wards. No vending machines! Evidence based approach to get sugar out of the hospital to lead by example. Chef making sugar free biscuits (????).discussing high fibre from veg, reduced carbs level and grilled meat (so far all on the same song sheet!). PFI built hospitals have a commercial underpinning so are given incentives to be have sugary drinks made available to the patients (a contractual obligation). This drives a revolving door of healthcare (Dr Malhotra) again. Chief exec of T and G Hospital is working to change the contracts so that not all hospitals have to have a Costa Coffee etc. Low fat diets produce high fat people. What will it take to get the Eatwell plate revised? Malhotra says make sure that the guidance is based upon the TOTALITY of evidence. The recent revision of the Eatwell plate was biased by ties to Big Food. Programme put these points to PHE speaking to Professor Levy (head of nutritonal science at PHE. The comeback - lots of noise from the low carb but he claims that the reasons people are less healthy because they don't follow the Eatwell guide and that LCHF is faddy and carbohydrates are needed (claims that brain can only work on ingested carbohydrates!!!). He thinks the Eatwell committee looked at all the evidence and did not find any favouring a low carb approach. He is challenged on the food industry bias on the committee (SACN) which he denies (conflicts are declared and the appointments process is vigorous and transparent.). Finished with the type 2 who reversed his diabetes discussing his diet: Full fat with no bread, pasta and rice which he really enjoys and wishes that other people could too! [/QUOTE]
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