Type 2 diabetic: 320 reasons to avoid dietitians

So more than half of them did NOT recommend carbohydrate reduction.

Who put the tit in dietitian?

chris c wrote:So more than half of them did NOT recommend carbohydrate reduction.

Who put the tit in dietitian?

Probably the same tit who put die in dietitian 

The BDA have a diabetes specialist group of tits    http://www.diabetesdietitians.org.uk/

On a serious note we are always told BDA advice is evidence based 

No studies exist that describe current practice amongst healthcare professionals giving carbohydrate advice in type 2 diabetes. 

Given that, our anecdotal evidence and that of other diabetics carries far more credence than non existent evidence touted by the BDA

I typoed "deitician" on someone's blog, then decided I'd leave it.

Frankly thousands of anecdotes way way outnumber a study of 30 diabetics bought and paid for by the Sugar Bureau and published by DUK.

Zoe Harcombe has done a review of the study some interesting figures and quotes  including the following:

Go Zoe! Nice to be able to read that in full for free.

One thing that struck me was their ages. Most dieticians will NEVER have experienced a time when there were no "epidemics" of obesity, diabetes and all the other "diseases of civilisation". Nor will an increasing percentage of doctors.

You have to sympathize. If you take out a food group you would need less than half the number of dieticians. 2 squared is four and 3 squared is nine!

You're not supposed to be able to do maths like that, didn't you know low carb causes brain damage???

Perhaps I'm being a bit harsh on the BDA  because they do mention this on their fact sheet

A lower carbohydrate diet could be an option for you but talk to a healthcare professional first, preferably a dietitian, as it may not be suitable or your medication may need adjusting.

Finding a dietitian that actually knows what a LC diet entails could be difficult though 

Well that's half an hour of my life I'll never get back.

They have noodle apps on their phones? They just can't keep away from the carbs, can they?

Complacent twerp, 0.8% - 1% reduction in A1c is the best they can do? Much like the ADA under John Buse, completely ignore what patients themselves actually achieve, more like 5 - 8% and sometimes over 10%. He should have speaks with David Unwin, Joanne McCormack. Jay Wortman, Eric Westman, etc. etc.

chris c wrote:Well that's half an hour of my life I'll never get back.

They have noodle apps on their phones? They just can't keep away from the carbs, can they?

Complacent twerp, 0.8% - 1% reduction in A1c is the best they can do? Much like the ADA under John Buse, completely ignore what patients themselves actually achieve, more like 5 - 8% and sometimes over 10%. He should have speaks with David Unwin, Joanne McCormack. Jay Wortman, Eric Westman, etc. etc.

Yes carbs but don't forget the all important calorie reduction, I doubt they have a clue when it comes to those like you and me or any other T2 that follow or need above the RDI of 2,500kcal 

But hey look they are still researching carbs 

Oh but they already know that all diabetics who improve their health are secretly lying about their low fat diet. And anyway they are all Eddie who is online 24 hours a day busily posting to forums and blogs in all countries, often several at once, in all time zones.

graham64 wrote:

chris c wrote:Well that's half an hour of my life I'll never get back.

They have noodle apps on their phones? They just can't keep away from the carbs, can they?

Complacent twerp, 0.8% - 1% reduction in A1c is the best they can do? Much like the ADA under John Buse, completely ignore what patients themselves actually achieve, more like 5 - 8% and sometimes over 10%. He should have speaks with David Unwin, Joanne McCormack. Jay Wortman, Eric Westman, etc. etc.

Yes carbs but don't forget the all important calorie reduction, I doubt they have a clue when it comes to those like you and me or any other T2 that follow or need above the RDI of 2,500kcal 

But hey look they are still researching carbs 

So they need to bribe dietitians to take part  when what they really need is a diabetic with a meter then they might fully understand the effects of carbs on BG simples

More on this nonsense here. http://www.hra.nhs.uk/news/research-summaries/carbohydrate-awareness-advice/

So the BDA member in question clearly knows the effect of carbs on a diabetic, yet the BDA and most of it's RD's push the carbs with every meal lunacy.

Eddie wrote:

graham64 wrote:

chris c wrote:Well that's half an hour of my life I'll never get back.

They have noodle apps on their phones? They just can't keep away from the carbs, can they?

Complacent twerp, 0.8% - 1% reduction in A1c is the best they can do? Much like the ADA under John Buse, completely ignore what patients themselves actually achieve, more like 5 - 8% and sometimes over 10%. He should have speaks with David Unwin, Joanne McCormack. Jay Wortman, Eric Westman, etc. etc.

Yes carbs but don't forget the all important calorie reduction, I doubt they have a clue when it comes to those like you and me or any other T2 that follow or need above the RDI of 2,500kcal 

But hey look they are still researching carbs 

So they need to bribe dietitians to take part  when what they really need is a diabetic with a meter then they might fully understand the effects of carbs on BG simples

More on this nonsense here. http://www.hra.nhs.uk/news/research-summaries/carbohydrate-awareness-advice/

So the BDA member in question clearly knows the effect of carbs on a diabetic, yet the BDA and most of it's RD's push the carbs with every meal lunacy.

Surely you don't want them to get into trouble by telling the truth. Look what's happened to poor old Boris!

A glucometer will soon tell them! Mine originally told me less than 15g at breakfast on a sliding scale to 30g in the evening.

After a while when I had kicked my IR into touch and kept it there for nearly twelve years now, it's around 10g at breakfast but more like 50 - 80g and sometimes 100g by evening.

I keep that as a party trick for eating out though, if I did it with any regularity the IR would return.

Mainly I stick around 50g/day, that gives me a VERY wide choice of nutritious foods and near-normal BG, BP and lipids, and energy all day.

Most of the well controlled diabetics I've known in numerous forums and newsgroups are in the 20 - 150g range, the latter end mostly active Type 1s on insulin, the vast majority are probably 20 - 60g

and none of them are dead yet.

I was going to ask Catherine Collins (I'm not fat, just big boned) which of my nutritious foods I should not have eaten in order to fit in my 230 - 300g carbs including 70 - 90g sugar, the Government's recommendation, but she went away. I know of not one diabetic who remains healthy and eats more than half that many carbs. Not one.

chris c wrote:I was going to ask Catherine Collins (I'm not fat, just big boned) which of my nutritious foods I should not have eaten in order to fit in my 230 - 300g carbs including 70 - 90g sugar, the Government's recommendation, but she went away. I know of not one diabetic who remains healthy and eats more than half that many carbs. Not one.

Careful what you say about Collins 

9)      The British Dietetic Assoctaion flatly DENIES that eating too much sugar causes Diabetes. This is stated clearly on their Sugar Factsheet. Their sugar fact sheet suggests that the only health issues with too much sugar is tooth decay. It is nothing short of shocking.

10)  The Sponsors of the British Dietetic Association are kept securely under wraps and this information is only available to its members. However we do know that one of them is the Sugar Bureau. Of course it is.

11)    The BDA annual report Profit and Loss Accounts showed a turnover of just under £2.5 million and profits of just under £2 million without detailing the sources of this revenue. This information is only available to its members.

http://blog.bitingfit.co.uk/?p=183

Catherine Collins is a clueless plank. If they never let her near a diabetic ever again it would be too soon. Notice she said bugger all when directly asked if she endorsed Chris Cashin appearing on John Briffa's blog as Ally, and Chris, and probably a male identity too, she turned up and backed her up though. You may remember the two interminable threads there about the extreme dangers of low carb diets for diabetics and the threats to pull Briffa's licence, though I think the latter occurred on another doctor's blog which has not only disappeared by also gone from the Wayback machine.

I saw a Medscape CME recently where the importance of NOT avoiding gluten unless you were actually diagnosed celiac was pushed. Maybe their grain-based foodlike substance manufacturers are hurting in the pocket.

Hey Catherine, guess what all the fit healthy old folks around these parts eat? Meat, poultry, game, fish and vegetables mostly. Unlike people like me whose metabolism has already been broken, they can get away with bread and even jam too. My gran lived to 90 and in her day there wasn't much processed food so she must have been "clean eating". Yeah it did her a lot of harm, eh?

And while we're on the subject, instead of insisting that diabetics must eat more fruit "to avoid amputations" why not suggest alternative sources of vitamin C which don't spike their blood glucose, I'm sure you could think of a few if you wanted to. I'll start you off, how about peppers? Greens? Berries? Oh but you couldn't eat enough high nutrition foods like that if you have to fit in all the starchy carbs and all the pills.

chris c wrote:A glucometer will soon tell them! Mine originally told me less than 15g at breakfast on a sliding scale to 30g in the evening.

After a while when I had kicked my IR into touch and kept it there for nearly twelve years now, it's around 10g at breakfast but more like 50 - 80g and sometimes 100g by evening.

I keep that as a party trick for eating out though, if I did it with any regularity the IR would return.

Mainly I stick around 50g/day, that gives me a VERY wide choice of nutritious foods and near-normal BG, BP and lipids, and energy all day.

Most of the well controlled diabetics I've known in numerous forums and newsgroups are in the 20 - 150g range, the latter end mostly active Type 1s on insulin, the vast majority are probably 20 - 60g

and none of them are dead yet.

I was going to ask Catherine Collins (I'm not fat, just big boned) which of my nutritious foods I should not have eaten in order to fit in my 230 - 300g carbs including 70 - 90g sugar, the Government's recommendation, but she went away. I know of not one diabetic who remains healthy and eats more than half that many carbs. Not one.

Sadly a glucometer is not standard kit for T2's  most are unaware of the benefits of BG testing or actively discouraged by their HCP's, these are the poor vulnerable souls who suffer the consequences of the BDA/DUK dietary guidelines 

Yes I was specifically told by my GP, the "diabetes specialist" that "we don't like out patients testing their blood", well of course not or they would see the harm the HCLF diet does (she gave me the typical I think Takeda leaflet with the "Diabetic Breakfast"

a bowl of oatmeal with a banana and low fat milk

a slice of toast with low fat spread and no-sugar-added marmalade

a glass of no-sugar-added orange juice

Guaranteed insulin sales for Takeda a few years down the line eh?

I'd preempted her by buying this house from a pharmacist who sold me a meter and the rest is history

"By now we would have expected you to be on two or three diabetes drugs"

instead I'm only on 5 unprofitable mg of amlodipine

and I still have most of my feet