Re: Nutrition Recommendations and Interventions for Diabetes-2006


"Alan S" <loralweightandcarbs@xxxxxxxxxxxxxxx> wrote in message
news:8bmhf29mldhp4mte0phm1v5a928g1s3uhd@xxxxxxxxxx
On Fri, 1 Sep 2006 12:14:37 -0700, "Sarah"
<sarahpa1980@xxxxxxxxx> wrote:

So, the real guidelines published in 2006 by the ADA for
dieticians are:

Fat: 25-35%, including <7% saturated and 0% trans-fat.
Protein: ~10%
Carbohydrates: 55-65%, not less than 130gm daily.


So Alan if your figs are correct the charge that the AdA/Diabetes Uk are
recommending High carb/low fat diets that don't work just won't stick. Your
figs ( presumably for percentage of calories derived from each food group )
are neither high carb nor low fat.
The other point which makes all these interminable lowcarb versus Ada diet
arguments so tiresome is that nobody seems to be discussing diet in CONTEXT.
Good control is a judicious mix of diet/exercise/medication/insulin. You
cannot say this or that diet is right/wrong in limbo without considering
what stage the diabetic is at and what mix of those elements they are using.
For the average T2 on max metformin and another oral anti-hypoglycemic drug
( such as a TZD or a sulf ) and healthy exercise the diet you summarised out
of the ADA recommendations should, IMO, pose no problems. IF they stuck to
it.
It seems to me that the whole of the low carb arguments against the standard
ADA diet are based on a non-sequitur - "I tried the standard diet and my
numbers were wrong therefore the diet is wrong". They never seem to consider
the possibility that the diet is right but their diabetes is more advanced
and more serious than they think it is.
I believe most T2s are several stages behind where they should be on the
medication ladder. As Oldal says probably half of T2s should be on insulin
injections. Shock, Horror !!!
I personally do not believe that any diagnosed T2 should be put onto/told to
try D&E ONLY at the start - everyone should start on metformin. They should
start on the recommneded diet, metformin and exercise and if there are
problems with that they should walk up through the standard pathway of
treatment increasing the quantity and quality of the meds. They should not
go "backwards" to low carbing.
As Jenny said on asduk recently there is a general anti-meds ambience on the
support groups as a far as T2s are concerned.
That's unfortunate and may be one of the factors which drives newbies away.
( As well as all the unpleasant anti-ADA ranting ).
OK, low carbing will work for an overweight newbie but it is essentially
avoiding the central issue which faces T2s. The ADa recommendations at least
have the merit of putting the problem facing T2s centre stage but they
expect T2s to be handling it with a god mix of those elements outlined
earlier - diet/exercise/medication/insulin. And of course low carbing is a
stunt you can only pull off once - what you going to do when your figs
continue to deteriorate with progression ?
IMO low carbing by T2s is an aspect of Denial - a means to avoid medication
and insulin and to avoid the ultimate admission that they have an incurable
disease. There also seems to be an enormous amount of control freakery in
the t" low carb fraternity. And of course Testing is a Godsend to
obsessive-cumpulsive personalities.


.

Relevant Pages

  • Re: Nutrition Recommendations and Interventions for Diabetes-2006
    ... The other point which makes all these interminable lowcarb versus Ada diet ... arguments so tiresome is that nobody seems to be discussing diet in CONTEXT. ... of the ADA recommendations should, IMO, pose no problems. ... low carbing will work for an overweight newbie but it is essentially ...
    (alt.support.diabetes)
  • Re: Beta cells usem or losem ?
    ... The ADA has never dictated a diet to doctors, and there has not been an ADA ... Whole grains and starches are good for you" ... These foods contain mostly carbohydrates. ...
    (misc.health.diabetes)
  • Re: Could there be a low carb diet that fiits the ADA guidelines?
    ... >> greater flexibility with regard to the fat components of diet than the ... The acronym ADA seems to stand for about three American ... inherent in expert opinion. ... basis for developing my own diet. ...
    (alt.support.diabetes)
  • Re: Nutrition Recommendations and Interventions for Diabetes-2006
    ... Carbohydrates: 55-65%, ... with Joslin they are high carb, low fat and low protein. ... arguments so tiresome is that nobody seems to be discussing diet in CONTEXT. ... Does the ADA? ...
    (alt.support.diabetes)
  • Re: If you ran the ADA...
    ... Glad to see the standard ADA strategies of diverting attention, ... balanced diet is important to ... The study included eight men who had mild type 2 diabetes ... 24-hour glucose area, a reduction in fasting glucose to near ...
    (alt.support.diabetes)