The Low Carb Diabetic

Promoting a low carb high fat lifestyle for the safe control of diabetes. Eat whole fresh food, more drugs are not the answer.


Welcome to the Low Carb Diabetic forum,have you signed up yet? if not then sign up and join us in the low carb community today!

    Impact of Carbohydrates in Diabetes Patients

    graham64
    graham64
    Member

    Status :
    Online
    Offline

    Male Posts : 3730
    Join date : 2014-08-10
    Location : Lancs

    Impact of Carbohydrates in Diabetes Patients Empty Impact of Carbohydrates in Diabetes Patients

    Post by graham64 on Mon Aug 29 2016, 22:30

    Are very-low carbohydrate, low saturated fat diets the best choice for A1c control?

    Adequate diet and exercise has become the cornerstone strategy for diabetes management. Different diet modalities have been investigated in order to achieve proper glycemic control in diabetes patients. A calorie-restricted diet might seem feasible based on its strong evidence of achieving adequate control. However, adherence seems to limit the use of this diet modality, as it may appear too complex for several patient populations. Other diets focus on reducing fat content due to evidence demonstrating rates of insulin resistance increasing proportionally to fat content. On the other hand, some diets focus on the carbohydrate content due to evidence suggesting that limiting the carbohydrate content can lead to improvements in glucose levels. However, food culture greatly impacts diet and exercise therapy. In the American population, it is estimated that approximately 50% of the total diet is comprised of carbohydrates, followed by fat (~34%) and protein (~16%), making it difficult to properly manage patients.

    In an open-label, two-arm, randomized controlled trial conducted in the Japanese population, Juko Sato and colleagues evaluated the safety and efficacy of 130 grams/day of carbohydrates in patients with diabetes who were poorly controlled despite receiving education about their disease state. Patients were ages 20-75 with inadequate A1c control (>7.5% for more than 3 months), and BMI >23 kg/m2, and received two education sessions on calorie-restricted diets. Patients were followed up for 6 months by the same clinician and dietitian. Sixty-six patients were recruited for the study, out of which 33 patients were placed in the low carbohydrate diet (LCD) group and 32 patients were part of the calorie-restricted diet (CRD) group. Once the study concluded, significant changes were noted in BMI and A1c. The decrease in A1c was by −0.65% (−1.53 to −0.10) in the LCD group and 0.00% (−0.68 to 0.40) in the CRD group (p < 0.01). The BMI decrease in the LCD group was greater than in the CRD group (p = 0.03). These findings suggest the usefulness of a low carbohydrate diet; however, challenges will rely on defining and standardizing carbohydrate content cut-offs.

    In another research study, Thomas Wycherley et al., examined the effects of very low carbohydrate, low saturated fat diet compared to a high carbohydrate-fat content diet over a 12-month period. 115 patients with type 2 diabetes mellitus were randomized in two groups, one consuming a low carbohydrate diet and the other an isocaloric high carbohydrate diet while undergoing exercise three times weekly for 60 minutes. Both groups were followed for 52 weeks. Flow mediated dilation was measured in each group in order to understand the effect of fat saturation in endothelial function. At the end of the study, both groups obtained a reduction in weight regardless of dietary approach (10.6 ± 0.7 kg; p < 0.001); similar reductions were obtained in A1c (1.05 ± 0.10%; p < 0.001). FMD did not change from baseline, highlighting the possibility that changes in FMD are not affected by weight. Nonetheless, these findings warrant further studies in order to better understand the metabolic effects associated with diet and vascular injury.

    These studies highlight the benefits of diet and exercise in patients with diabetes, with positive impacts on A1c and weight. The effects of low carbohydrate diet patterns can be translated to understanding cardiovascular disease risks and the potential role of decreasing these as part of diabetes management strategies. The pathophysiological effects of diabetes on the vascular endothelium can be improved with dietary approaches, including modified fatty acid content. For example, increasing unsaturated fats, while restricting saturated fat intake, can potentially favorably impact prognostic markers of FMD. However, this warrants further evaluation to provide stronger evidence. Marked improvements can be obtained in diabetes patients by providing a proper balance of carbohydrate, protein, and fat along with an adequate exercise routine. Therefore, the key to effectively managing diabetes in patients lies in preventing end-organ complications that can negatively impact health outcomes and overall quality of life. Proper education, more frequent follow-ups, and a personalized diet can help patients achieve their target goals and prevent these complications.

    [url=http://www.diabetesincontrol.com/impact-of-carbohydrates-in-diabetes-patients/?xtor=-[Issue #848 (1)]--[www_diabetesincontrol_com_impa]-[MTExNjQyMzUxNjI0S0]--]http://www.diabetesincontrol.com/impact-of-carbohydrates-in-diabetes-patients/?xtor=-[Issue%20#848 (1)]--[www_diabetesincontrol_com_impa]-[MTExNjQyMzUxNjI0S0]--[/url]


    _________________
    I'm a skinny T2 diagnosed 4/4/2008, a high calorie LCHF diet and one metformin a day A1c 6.2 and no complications.

    Proving the LowCarb sceptics wrong for over ten years

    Not all cherubs are Angels  Wink nor all diabetics Bonkers  Rolling Eyes
    chris c
    chris c
    Member

    Status :
    Online
    Offline

    Posts : 4520
    Join date : 2015-07-26

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by chris c on Wed Aug 31 2016, 22:27

    130g carbs is NOT a very low carb diet. I expect you noticed that. 0.65% reduction in A1c is hardly stellar compared to what patients repeatedly report.
    Eddie
    Eddie
    Member

    Status :
    Online
    Offline

    Male Posts : 3806
    Join date : 2014-08-13
    Age : 69
    Location : London

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by Eddie on Thu Sep 01 2016, 18:16

    @chris c wrote:130g carbs is NOT a very low carb diet. I expect you noticed that. 0.65% reduction in A1c is hardly stellar compared to what patients repeatedly report.

    130 carbs per day would have me at BG ten or more most of the time. Is a reduction of 0.65 going to make much difference to most? I reckon no. I reduced BG 6 full points on a real low carb diet. 30 carbs per day for three months stepping up to 50. Time after time we see a diet being described as low carb, when it is anything but. This of coarse confuses the issue for many. i.e. why go low carb when all you can hope for is a 0.65 reduction. It's all part of the corrupt diabetes game from the usual suspects.


    _________________
    Type two diabetic-low carb diet (50 carbs per day) and two 500mg Metformin pills per day. Apart from diagnosis HbA1c almost 12-all HbA1c results none diabetic. For over eight years my diabetes medication has not changed. My weight has remained stable, I have suffered no ill effects from my diet whatsoever. Every blood test has proved, I took the right road to my diabetic salvation. For almost seven years, I have asked medical professionals and naysayers, how do I maintain non diabetic BG levels on two Metformin other than low carb ? The silence has been deafening !
    graham64
    graham64
    Member

    Status :
    Online
    Offline

    Male Posts : 3730
    Join date : 2014-08-10
    Location : Lancs

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by graham64 on Thu Sep 01 2016, 22:16

    Come on guys you know it takes a minimum of 130g carbs for the brain to function it's got to be true cos a dietitian told me facepalm


    _________________
    I'm a skinny T2 diagnosed 4/4/2008, a high calorie LCHF diet and one metformin a day A1c 6.2 and no complications.

    Proving the LowCarb sceptics wrong for over ten years

    Not all cherubs are Angels  Wink nor all diabetics Bonkers  Rolling Eyes
    chris c
    chris c
    Member

    Status :
    Online
    Offline

    Posts : 4520
    Join date : 2015-07-26

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by chris c on Sat Sep 03 2016, 21:56

    Yeah she's such a stellar example of a functioning brain.

    "Other diets focus on reducing fat content due to evidence demonstrating rates of insulin resistance increasing proportionally to fat content. "

    No, it'a the fat in the body not in the diet . . . which comes from carbs.

    ISTR when the ADA dabbled with reduced carb, they recommended a minimum of 135g carbs and for no longer than a year - and for weight loss only, not BG control. After that they accepted that "medical nutrition therapy" could decrease A1c by up to 2.9% from the previous 1.9%. Meanwhile on their forums people were routinely doing 5 - 8% and even over 10% reduction in A1c. That was over a decade ago but they still haven't listened.
    graham64
    graham64
    Member

    Status :
    Online
    Offline

    Male Posts : 3730
    Join date : 2014-08-10
    Location : Lancs

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by graham64 on Sat Sep 03 2016, 23:11

    @chris c wrote:Yeah she's such a stellar example of a functioning brain.

    "Other diets focus on reducing fat content due to evidence demonstrating rates of insulin resistance increasing proportionally to fat content. "

    No, it'a the fat in the body not in the diet . . . which comes from carbs.

    ISTR when the ADA dabbled with reduced carb, they recommended a minimum of 135g carbs and for no longer than a year - and for weight loss only, not BG control. After that they accepted that "medical nutrition therapy" could decrease A1c by up to 2.9% from the previous 1.9%. Meanwhile on their forums people were routinely doing 5 - 8% and even over 10% reduction in A1c. That was over a decade ago but they still haven't listened.

    It's clear the ADA just like DUK need to keep their big pharma corporate sponsors happy


    _________________
    I'm a skinny T2 diagnosed 4/4/2008, a high calorie LCHF diet and one metformin a day A1c 6.2 and no complications.

    Proving the LowCarb sceptics wrong for over ten years

    Not all cherubs are Angels  Wink nor all diabetics Bonkers  Rolling Eyes
    Eddie
    Eddie
    Member

    Status :
    Online
    Offline

    Male Posts : 3806
    Join date : 2014-08-13
    Age : 69
    Location : London

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by Eddie on Sun Sep 04 2016, 17:36

    @graham64 wrote:
    @chris c wrote:Yeah she's such a stellar example of a functioning brain.

    "Other diets focus on reducing fat content due to evidence demonstrating rates of insulin resistance increasing proportionally to fat content. "

    No, it'a the fat in the body not in the diet . . . which comes from carbs.

    ISTR when the ADA dabbled with reduced carb, they recommended a minimum of 135g carbs and for no longer than a year - and for weight loss only, not BG control. After that they accepted that "medical nutrition therapy" could decrease A1c by up to 2.9% from the previous 1.9%. Meanwhile on their forums people were routinely doing 5 - 8% and even over 10% reduction in A1c. That was over a decade ago but they still haven't listened.

    It's clear the ADA just like DUK need to keep their big pharma corporate sponsors happy

    As we know, the diabetes fraud is massive. Some of us old timers have put a bit of work in putting people straight, as to what is the best way to control diabetes. Now the big people have taken over, from A1 rated science Professors to clued up and non corrupted dietitians, low carb is now big news, all around the world. We have done our bit, we have re-paid the people that helped us. The only thing I find sad, is the fact some big names out there, have jumped on the payola band wagon and turned low carb into an earner.

    All diabetics need to know, is out there for free, as can be seen here https://thelowcarbdiabetic.blogspot.co.uk/2016/05/introduction-to-low-carb-for-beginners.html


    _________________
    Type two diabetic-low carb diet (50 carbs per day) and two 500mg Metformin pills per day. Apart from diagnosis HbA1c almost 12-all HbA1c results none diabetic. For over eight years my diabetes medication has not changed. My weight has remained stable, I have suffered no ill effects from my diet whatsoever. Every blood test has proved, I took the right road to my diabetic salvation. For almost seven years, I have asked medical professionals and naysayers, how do I maintain non diabetic BG levels on two Metformin other than low carb ? The silence has been deafening !
    chris c
    chris c
    Member

    Status :
    Online
    Offline

    Posts : 4520
    Join date : 2015-07-26

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by chris c on Mon Sep 05 2016, 20:01

    I read a while back that there were something like seventy "diabetes drugs" in the pipeline. Obviously they won't all come to market but it gives you some idea of the way the drug companies see us as a goldmine.

    The gap is widening between what people actually do (and more and more doctors and researchers are coming onside) and what The Authorities dictate with all that profit behind them. It's getting blatant enough that even dieticians of low intelligence might start to notice.
    graham64
    graham64
    Member

    Status :
    Online
    Offline

    Male Posts : 3730
    Join date : 2014-08-10
    Location : Lancs

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by graham64 on Wed Sep 07 2016, 21:43

    @chris c wrote:I read a while back that there were something like seventy "diabetes drugs" in the pipeline. Obviously they won't all come to market but it gives you some idea of the way the drug companies see us as a goldmine.

    The gap is widening between what people actually do (and more and more doctors and researchers are coming onside) and what The Authorities dictate with all that profit behind them. It's getting blatant enough that even dieticians of low intelligence might start to notice.

    Think your being a tad optimistic Chris most dieticians still preach from the same low fat plenty of starch hymn book  floggingdeadhorse

    A good example is the BDA's Healthy packed lunches

    BDA wrote:Packed lunches don’t have to be boring. With a little thought and imagination they can be fun, healthy and tasty too. Just include something from each of the four main food groups – starchy carbohydrates (bread, rice, potatoes,pasta), fruit and vegetables, protein containing foods (meat, fish, eggs and beans), and milk and dairy foods –pop in a drink and away you go!Start with the basics – bread, cereals and potatoes.

    https://www.bda.uk.com/foodfacts/PackedLunches.pdf


    _________________
    I'm a skinny T2 diagnosed 4/4/2008, a high calorie LCHF diet and one metformin a day A1c 6.2 and no complications.

    Proving the LowCarb sceptics wrong for over ten years

    Not all cherubs are Angels  Wink nor all diabetics Bonkers  Rolling Eyes

    Sponsored content

    Impact of Carbohydrates in Diabetes Patients Empty Re: Impact of Carbohydrates in Diabetes Patients

    Post by Sponsored content


      Current date/time is Sun Jul 21 2019, 18:13