Re: Diet, testing, and DA
- From: Quentin Grady <quentin@xxxxxxxxxxxxxxx>
- Date: Sat, 06 Aug 2005 13:03:52 +1200
This post not CC'd by email
On Fri, 05 Aug 2005 14:32:59 -0700, Chris J. <chris@xxxxxxxxxxxx>
wrote:
>>You have to remember that they're still operating out of the mindset
>>that goes from "a diabetic is liable to die of heart attack" and "a
>>low-fat/high-carb diet is necessary to prevent heart attack" to
>>"diabetics should eat low-fat, and thus necessarily high-carb in order
>>to prevent them from dying of heart attacks."
>
>>Of course now the thinking that supported that second plank of their
>>platform is turning to sawdust under their feet, and those who are on
>>the cutting edge of diabetic treatment believe that the best way to
>>prevent heart attack in diabetics is to -- gasp -- treat the diabetes!
>
>Do they actually say that a higher carb diet results in higher BG's?
>Or has this never been studied?
G'day G'day Chris J,
It seems the prevailing point of view at least until recently has
been that high blood glucose would lead to complications over a period
of decades. Heart attacks could kill long before that. The accepted
method of reducing heart attacks was to reduce saturated fat (and
trans fat which was thought to be much the same) in the diet to reduce
the production of LDL cholesterol. Other alternatives were not as
well established as they are now.
At the time ultra low car diets such as Atkins first emerged the ADA
was very forthcoming about the logic employed to arrive at their
conclusions. They would have been happy if the whole ultra low carb
diet movement was still born.
Their starting point was that diets should have about 15% protein to
avoid risks to diabetics with undiagnosed kidney disease. Their second
plank was to restrict fats especially saturated fats to prevent raised
LDL cholesterol. Total fats were restricted to 30% and saturated fats
to 7 or 10% depending on coronary heart disease history. Simple
addition produced a 55% by calorie carbohydrate intake. Frankly
raised blood glucose appeared to be less important. It could be
controlled with insulin.
Times change. Which way they are changing could almost be left to
someone with a horoscope. Recommendations for LDL cholesterol have
fallen and appear to be continuing to fall thanks to the introduction
of later generations of statins. After all it is pretty pointless
having a recommendation if no can meet it. What may happen is that as
statins become more and more affective the balance of opinion will
change from condemning saturated fats to controlling A1c to levels
well below 7.0
Best wishes,
--
Quentin Grady ^ ^ /
New Zealand, >#,#< [
/ \ /\
"... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
.
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