ADA Weight-Loss Guidelines for 2011

Earlier this month the American Diabetes Association published its Standards of Care in Diabetes—2011

The ADA recommends weight loss for all overweight diabetics.

For weight loss, either low-carbohydrate [under 130 g/day], low-fat calorie-restricted, or Mediterranean diets may be effective in the short-term (up to two years).  For those on low-carb diets, monitor lipids, kidney function, and protein consumption, and adjust diabetic drugs as needed…The optimal macronutrient composition of weight loss diets has not been established. [Macronutients are carbohydrates, proteins, and fats.]

Until three years ago, the ADA recommended against carbohydrate-restricted diets for overweight diabetics.  In January, 2008, their position statement noted that such diets may be effective for up to one year.  My recollection is that their 2010 guidelines also said “up to one year” and didn’t mention the  Mediterranean diet. 


Looks like the timing of my Low-Carb Mediterranean Diet is good.

Steve Parker, M.D.


Filed under Carbohydrate, Mediterranean Diet, Weight Loss

4 responses to “ADA Weight-Loss Guidelines for 2011

  1. Emily Deans

    My patient who has her diabetes treatment at *insert world famous diabetes treatment center here* was finally supported in cutting carbs by her diabetes training nurse. She’s lost 15 pounds or so and her blood glucose is under much better control. Hooray!!!!

  2. Dr Malcolm Kendrick put it this way: “The reality is that over the years we have killed literally millions of diabetics by advising them to eat a high-carbohydrate diet and avoid fats”

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