Re: Joslin on Diet

This post not CC'd by email
On Thu, 16 Mar 2006 09:45:48 +1100, Alan S
<loralweightandcarbs@xxxxxxxxxxxxxxx> wrote:

The following are Joslin?s guideline essentials (shown as
approximate percents of daily calories):

Carbohydrate: 40 percent from carbohydrates, including at
least 20-35 grams of fiber. Best carbohydrate/high-fiber
sources: fresh vegetables, fruits, beans and whole-grain
foods. Eat less of these carbs: pasta, white bread, white
potatoes and sugary cereals.

Protein: 20-30 percent from protein (unless you have kidney
disease). Best protein sources: fish, skinless chicken or
turkey, nonfat or low-fat dairy products, tofu and legumes
(beans and peas).

Fat: 30-35 percent from fat (mostly mono- and
polyunsaturated fats). Best fat sources: olive oil, canola
oil, nuts, seeds and fatty fish like salmon.
Lifestyle Change

G'day G'day Alan,

It is doubtful that many people will realise just how important are
these guidelines from Joslin. About five years ago the sacrosanct
macronutrient ratio associated with the ADA and some other US
organisations of

Carbohydrate 55% minimum
Fat 30% maximum
Protein 15%

began to fade from view. They might well be figures to aim at for
people of normal weight. The reality of weightloss as Joslin now
acknowledges is that maintenance levels (15%) protein don't work.
Twenty percent seems to be the threshold for success. Some push it as
far as 40% by calories. Notice that Joslin is admitting some people
have healthy kidneys and one shouldn't let the problems associated
with those who have kidney disease stand in the way of adopting a
strategy that encourages weightloss if one doesn't have kidney
disease. Put simply, if you are newbie faced with where to start, be
cautious, get the kidney and liver function tests done THEN either see
a registered nutritionist who understands the Joslin guidelines or
adopt their guideline essentials and start following the standard
procedure of testing, testing, testing.

Notice that fibre has been pushed up from the typical US figure of
about 10 grams per day to 20 to 35 grams per day. It helps with
satiety. So of course does the protein.

Notice how they are advocating a mix of animal and vegetable protein.
This seems to be the wisest strategy when pushing protein beyond the
20% mark. IMHO the optimal strategy is to have three days with lean
meat, one with fish, one with chickpeas, one with lentils, and one
seafood such as prawns, mussels and edible seaweed etc.

You might like to think of having two vegan nights, one Thai night,
one Moroccan night, and three more traditional nights.

With 80 percent of people with type 2 diabetes overweight,
and weight loss directly related to improved diabetes
control, these guidelines are meant to help people with
diabetes or at risk for the disease lose weight and keep it
off. To initiate and maintain weight loss, Joslin recommends
losing just one pound every one to two weeks by reducing
daily calories by 250 to 500 calories.

Best wishes and thanks.

I wonder if people really recognise the supreme gift Joslin has given
them by moving with the mainstream scientific position on diets for
overweight and obese people instead of indulging in obfuscation which
must be tempting in the demise of the low fat fad.

--
Quentin Grady ^ ^ /
New Zealand, >#,#< [
/ \ /\
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin
.

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