Reviewers at London Metropolitan University wondered if carbohydrate restriction was a legitimate approach to controlling diabetes. No surprise to me, they conclude that it is:
“A carbohydrate restricted diet can provide a safe and effective solution for improving diabetes management and should have a place within the diabetic guidelines. The diet was effective in reducing postprandial hyperglycemia and glycaemic variability resulting in low levels of glycaemia without the risk of hypoglycaemia. The ability of the diet to reduce the symptoms of dyslipidemia is of particular importance and when compared to the traditional low fat diet for weight loss, the low carbohydrate diet was comparable and in some instances better. There were significant reductions or cessation of diabetic medication reported throughout the literature alongside a reduction in the psychological aspects of living with a long-term disease. It is possible that the current dietary advice may actually accelerate beta cell exhaustion with elevated blood glucose diminishing the islet cells ability to produce insulin.”
Action Plan. But it’s expensive: $16.95.
Front cover of book
More that a few dentists agree that carbs cause cavities.
“Roger W. Lucas, pediatric dentist, explains the link between carbs and cavities in his book More Chocolate, No Cavities: How Diet Can Keep Your Kid Cavity-Free. Simple carbohydrates such as flour and juice feed mouth bacteria that cause cavities. On the other hand, high fat and protein foods don’t.
Source: Prevent Kids’ Cavities with a Low-Carb Diet – Diet Doctor
Dr. Wali is an internist in San Francisco. In her medical practice, she saw first-hand how standard “diabetic diets” weren’t helping her patients and many others who have carbohydrate intolerance. Welcome to the club, Dr. Wali!
PS: She’s also a good stand-up comedian.
Kelley makes a lot of good points. Click here for them.
“There are some people who may NEED to be strict with low carb because they have a disease which requires it, those for whom excess carbs can cause an imminent, maybe even life threatening, problem, (such as those with an absolute insulin deficiency.) That’s not who I’m about talking about. Also, being strict with YOURSELF is not the problem. I am strict with myself. The problem is when you impose your standards on others.
The majority of us don’t have imminent, life threatening conditions. Often we are using low carb to address a chronic problem. We chose low carb to lose weight, control our blood sugar without any medication, or just because it is a healthy way to eat and makes us feel great!
Yet some folks have become so rigid that they cannot accept anything but perfection from themselves (which is their choice) OR ANYONE ELSE (which is the problem), especially people they know nothing about on social media. Some of these folks LOVE to comment and are quick to set others straight about what they should or shouldn’t be doing, about what low carb IS and what it ISN’T.”
DailyMail.com has a few of the details. A snippet:
More than 120,000 people signed up to a ‘low-carb’ diet plan launched by the forum diabetes.co.uk in a backlash against official advice.
More than 80,000 of those who ditched a low-fat high-carbohydrate diet found their blood glucose level drop after ten weeks.
By rejecting official guidelines and eating a diet high in protein and low in starchy food – along with ‘good saturated fats like olive and nuts – more than 80 per cent of the patients said they had lost weight.
An article at The Times says, “The results have led doctors to call for an overhaul of official dietary guidelines.”
Regular readers here won’t be surprised by these findings.
The road to this revolution is paved with scientific studies showing that dietary saturated fat has little or nothing to do with causing cardiovascular disease. I crossed that Rubicon in 2009.
If you want the benefits of low-carb eating, check out my free Low-Carb Mediterranean Diet. The book is even better.
Steve Parker, M.D.
PS: If you think carbs are bad, my books have zero net carbs.
Front cover of book
Use the search box to find the recipe for this low-carb avocado chicken soup
Read his amazingly detailed post at Diatribe. Adam, who has type 1 diabetes, figured out during his college days that eating no more that 30 grams of carbs at a time was “a complete gamechanger” for improving his blood sugars. He experimented on himself to see if there was a difference between his usual lower-carb diet (146 grams/day) versus 313 grams/day.
To my utter surprise, both diets resulted in the same average glucose and estimated A1c. But there were major tradeoffs:
The higher-carb, whole-grain diet caused four times as much hypoglycemia, an extra 72 minutes per day spent high, and required 34% more insulin. (A less healthy high-carb diet would have been far worse.)
Doubling my daily carbs also added much more effort and produced far more feelings of exhaustion and diabetes failure. It was not fun at all, and the added roller coaster, or glycemic variation, from all the extra carbs made it more dangerous.
See more at: http://diatribe.org/low-carb-vs-high-carb-my-surprising-24-day-diabetes-diet-battle#sthash.pZOgCWVl.dpuf
I think the lower-carb approach is healthier over the long run. Check with your own healthcare provider before making any drastic change in your diabetic diet.
Steve Parker, M.D.
…according to an article at MedPageToday.
Many physicians have been reluctant to recommend low-carb diets out of fear that they increase cardiovascular risk. A recent study compared low-carb to low-fat dieting over 12 months and actually found better improvements in cardiovascular disease risk factors on the low-carb diet (max of 40 grams a day).
This Avocado Chicken soup is low-carb. Use the search box to find the recipe.
After 12 months, folks on a low-carbohydrate diet had lost 5.3 kg (11.7 lb), while those on a low-fat diet with similar caloric value had lost 1.8 kg (3.9 lb). Both groups showed lowering of LDL cholesterol, while the low-carbers had better improvements in HDL cholesterol and triglycerides.
DietDoctor Andreas Eenfeldt can add this study to his list of others that show better weight loss with low-carb diets compared to low-fat.
Regular readers here know of my Low-Carb Mediterranean Diet for diabetes and prediabetes. My Advanced Mediterranean Diet for non-diabetics also offers a low-carb option in addition to traditional reduced-calorie portion-control eating.
Steve Parker, M.D.