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Diabetes Soapbox - Have Your Say
"The Truth About Carbs"?
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<blockquote data-quote="AdamJames" data-source="post: 1803204" data-attributes="member: 459333"><p>I liked the programme on the whole.</p><p></p><p>In terms of negatives, the thing that most frustrated me was exactly the same thing that most frustrated me about the 'crash diet' programme last week. The whole idea of diabetes and reversal and what it is they actually measured.</p><p></p><p>In last week's crash diet programme, someone was told they were no longer diabetic, even though they clearly had impaired glucose tolerance in an OGTT test they took, and were quite probably no more able to safely eat a slice of white bread than I am.</p><p></p><p>This programme was much the same in that regard, in fact I think it was actually worse. It gave the impression that someone would soon have reversed their diabetes, but this time with even <em>less</em> investigation as to their actual metabolic health. That someone can lower their average blood sugar by drastically reducing their carb intake should not be surprising, and that is all that they seemed to investigate unless I missed something?</p><p></p><p>It's a great thing if someone with diabetes can switch to a lifelong low carb diet and enjoy it, and it is very likely to greatly improve their health due to keeping their blood sugars lower. But it says nothing about how their body can handle carbohydrates and whether that has actually improved, and that's kind of what diabetes is.</p><p></p><p>If someone sticks to low carb for life then it's kind of a moot point, but it's an important point in terms of understanding what exactly is happening. I don't see a great distinction between a documentary that suggests "go on a crash diet for a while and you'll reverse diabetes" and a documentary that suggests "go on a low carb diet for a while and you'll reverse diabetes". They are both, to put it politely, over-selling an idea.</p><p></p><p>If they had just added the point "You really do need to keep the low carb diet up permanently in order to keep blood sugars low and get good results in an HbA1c test" then I'd have been much happier with the message.</p></blockquote><p></p>
[QUOTE="AdamJames, post: 1803204, member: 459333"] I liked the programme on the whole. In terms of negatives, the thing that most frustrated me was exactly the same thing that most frustrated me about the 'crash diet' programme last week. The whole idea of diabetes and reversal and what it is they actually measured. In last week's crash diet programme, someone was told they were no longer diabetic, even though they clearly had impaired glucose tolerance in an OGTT test they took, and were quite probably no more able to safely eat a slice of white bread than I am. This programme was much the same in that regard, in fact I think it was actually worse. It gave the impression that someone would soon have reversed their diabetes, but this time with even [I]less[/I] investigation as to their actual metabolic health. That someone can lower their average blood sugar by drastically reducing their carb intake should not be surprising, and that is all that they seemed to investigate unless I missed something? It's a great thing if someone with diabetes can switch to a lifelong low carb diet and enjoy it, and it is very likely to greatly improve their health due to keeping their blood sugars lower. But it says nothing about how their body can handle carbohydrates and whether that has actually improved, and that's kind of what diabetes is. If someone sticks to low carb for life then it's kind of a moot point, but it's an important point in terms of understanding what exactly is happening. I don't see a great distinction between a documentary that suggests "go on a crash diet for a while and you'll reverse diabetes" and a documentary that suggests "go on a low carb diet for a while and you'll reverse diabetes". They are both, to put it politely, over-selling an idea. If they had just added the point "You really do need to keep the low carb diet up permanently in order to keep blood sugars low and get good results in an HbA1c test" then I'd have been much happier with the message. [/QUOTE]
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