Diabetes nutrition information has, until now, been terrible! Nutritionists are still trying to follow the Canada Food Guide recommendations, which just doesn’t work with diabetes. A new study by a consortium of physicians and nutrition researchers suggests the need for a reappraisal of dietary guidelines due to the inability of current recommendations to control the epidemic of diabetes. In other words, what they have been telling people to do (low fat, calorie restriction, avoid saturated fats etc), isn’t working.
The 12 points of evidence from the study backed up by other clinical studies are:
- High blood sugar is the most salient feature of diabetes. Dietary carbohydrate restriction has the greatest effect on decreasing blood glucose levels.
- During the epidemics of obesity and type 2 diabetes, caloric increases have been due almost entirely to increased carbohydrates.
- Benefits of dietary carbohydrate restriction do not require weight loss.
- Although weight loss is not required for benefit, no dietary intervention is better than carbohydrate restriction for weight loss.
- Adherence to low-carbohydrate diets in people with type 2 diabetes is at least as good as adherence to any other dietary interventions and frequently is significantly better.
- Replacement of carbohydrates with proteins is generally beneficial.
- Dietary total and saturated fats do not correlate with risk of cardiovascular disease.
- Plasma-saturated fatty acids are controlled by dietary carbohydrates more than by dietary lipids.
- The best predictor of microvascular and, to a lesser extent, macrovascular complications in patients with type 2 diabetes is glycemic control (HbA1c).
- Dietary carbohydrate restriction is the most effective method of reducing serum triglycerides and increasing high-density lipoprotein.
- Patients with type 2 diabetes on carbohydrate-restricted diets reduce and frequently eliminate medication. People with type 1 usually require less insulin.
- Intensive glucose-lowering by dietary carbohydrate restriction has no side effects comparable to the effects of intensive pharmacologic treatment.
These are things I’ve been telling patients for 15 years! Finally, conventional medicine has caught up.
Source: Nutrition July 2014 and diabetesincontrol.com.