Category Archives: Carbohydrate

New Evidence Supports Extreme Carbohydrate Restriction in Type 2 Diabetes

Low-Carb Spaghetti Squash With Meat Sauce

Diabetes is a disease of carbohydrate intolerance. Doesn’t that suggest to you that diabetics should reduce or avoid dietary carbohydrates?

The new study at hand was done in Indiana, involving 262 folks with type 2 diabetes. Characteristics of the study subjects:

  • average age 54
  • 66% women
  • BMI 41 (very fat)
  • average Hemoglobin A1c 7.6%

The authors don’t use the term “ketogenic diet,” preferring instead “a diet designed to induce nutritional ketosis” (I’m paraphrasing). For most folks, that’s a diet with under 30 grams of carbohydrate daily, according to the researchers. The study lasted for only 10 weeks.

The drop-out rate was about 10% (25 participants), which is not bad.

Results:

  • Hemoglobin A1c (a test of diabetes control) dropped to 6.5%, a move in the right direction and equivalent or better than that seen with many diabetes drugs.
  • Average weight loss was 7.2% of initial body weight.
  • No severe symptomatic hypoglycemic events.
  • Number and dose of necessary diabetes drugs were reduced “substantially.”

What’s not to love? Why isn’t this the standard of care?

Click the link below to look for details of the Virta Clinic program used in this study.

I put together a Ketogenic Mediterranean Diet for my patients with diabetes. It reduces dietary carbs to 20-30 grams/day. There’s a free version, but consider the low-cost version that includes recipes and extensive initiation and management advice.

Steve Parker, M.D.

McKenzie AL, Hallberg SJ, Creighton BC, Volk BM, Link TM, Abner MK, Glon RM, McCarter JP, Volek JS, Phinney SD
A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
JMIR Diabetes 2017;2(1):e5
DOI: 10.2196/diabetes.6981

low-carb mediterranean diet

Front cover of book

7 Comments

Filed under Carbohydrate, Drugs for Diabetes, Weight Loss

How Walter White lost weight in “Breaking Bad”

Raw Brussels Sprouts, one of many low-carb vegetables.
Photo Copyright: Steve Parker

In 2014 Howard Stern interviewed Bryan Cranston and asked how he lost weight so quickly for his role as Walter White on Breaking Bad:

“Stern: When you had chemo and was getting sick playing the part of Walter White, in order to go through rapid weight loss you deliberately didn’t eat for 10 days? True or false?

Cranston: False.

Stern: How’d you lose all that weight?

Cranston: No carbohydrates. I just took out all the carbohydrates.

Stern: How much weight did you drop?

Cranston: 16 pounds, in ten days.

Stern: Painful?

Cranston: No. The first three days are really hard, ’cause your body’s changing and craving sugar and wants, you know, and then you deprive it of the sugar and it starts burning fat.”

Source: How Walter White lost weight in Breaking Bad, it wasn’t chemo – High Steaks

h/t Tom Naughton

Comments Off on How Walter White lost weight in “Breaking Bad”

Filed under Carbohydrate, Weight Loss

Karl Denninger Says He Can Cut Medicare’s Budget by 25% With One Simple Measure

Karl’s no physician, I don’t even think he has diabetes, but he’s a smart guy:

“You simply have to allow me to make the following policy change with regards to one disease — Diabetes:

  • For those with Type II diabetes we will provide unlimited metformin (cheap, off-patent generic medicine that costs pennies a day) to anyone with the disease.
  • We will provide no other care of any sort for Type II. You want or “need” it, pay cash or die. Period.
  • We will also make changes to how we deal with Type I diabetics’ insulin requirements, as detailed below, that will cut said requirements dramatically.

Now before you scream in horror that I’m a monster, listen up.

Instead of medicine and, inexorably, amputations, dialysis, hospitalization and death we’re going to prescribe a lifestyle of eating no more than 50g of carbs a day, all in green vegetables high in vitamin C (e.g. broccoli, brussels sprouts, etc.)

Caloric intake is to otherwise be 70% saturated (animal) fat and 20% protein. Sugars, grains and starches, including but not limited to “white” foods (pasta, potatoes, breads, etc) are all prohibited. Zero-calorie / zero-carb spices and condiments are unrestricted, of course.

In short you eat (and don’t eat) what’s described in this post, less the fruits (since they are all fairly high-glycemic and the vitamin C requirement is taken care of.)

For most Type II diabetics eating this way will reduce their need for other drugs, including insulin, to a literal zero and since their blood sugar will normalize their need for many-times-a-day testing will also disappear, getting rid of both the pain of sticking one’s finger repeatedly and the cost.

For those who it doesn’t the metformin is there to help.

We will also accommodate all actual, documented exceptions — that is, those people for whom this lifestyle change legitimately doesn’t work.

Those who claim “it doesn’t work” will be locked in an isolation ward where they will be fed that diet for two weeks (with no access of any sort to any other source of sustenance) and be able to prove that for them, individually, it doesn’t work. If they’re right then they will get whatever medication or other intervention is necessary provided they keep to the lifestyle change. But if that empirical test shows that it does work (and it will for virtually everyone) then their ass will be discharged, the fact that they refuse to change what they eat will be noted in their chart and further complaints of “impossibility” will be ignored.”

4 Comments

Filed under Carbohydrate

I Told You So: Low-Carb Diets Help Control Diabetes

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.

low-carb mediterranean diet

Front cover of book

Comments Off on I Told You So: Low-Carb Diets Help Control Diabetes

Filed under Carbohydrate, Drugs for Diabetes

Prevent Kids’ Cavities with a Low-Carb Diet, Says DietDoctor

More that a few dentists agree that carbs cause cavities.

From DietDoctor:

“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

3 Comments

Filed under Carbohydrate

Ivor Cummins Found a New Low-Carb Diet Convert: Priyanka Wali, M.D.

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.

1 Comment

Filed under Carbohydrate

Kelley Pounds Says Low-Carb Purists Are Not Helping the Cause

Kelley makes a lot of good points. Click here for them.

She starts:

“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.”

Comments Off on Kelley Pounds Says Low-Carb Purists Are Not Helping the Cause

Filed under Carbohydrate

Successful U.K. Rebellion Against Official Diabetic Diet Advice

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.

low-carb mediterranean diet

Front cover of book

1 Comment

Filed under Carbohydrate

Adam Brown Favors Lower-Carb Over Moderate-Carb Diet for His Diabetes

Use the search box to find the recipe for this low-carb avocado chicken soup

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.

A quote:

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.

2 Comments

Filed under Carbohydrate

Low-Carb Beats Low-Fat Diet for Weight Loss Once Again

…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.

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.

Comments Off on Low-Carb Beats Low-Fat Diet for Weight Loss Once Again

Filed under Carbohydrate, Mediterranean Diet, Weight Loss