Thu, May-14-20, 05:18
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Forum Moderator
Posts: 25,644
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Plan: Primal/P:E
Stats: 171/146/150
BF:
Progress: 119%
Location: Southern Ontario, Canada
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Diabetes Canada Position Statement on LC Diets
Baby-stepping their way toward accepting LC and VLC diets as an acceptable approach to diabetes care, without admitting they were wrong all along with that high-carb low-fat crap.
https://doi.org/10.1016/j.jcjd.2020.04.001
Quote:
Recommendations
1. Individuals with diabetes should be supported to choose healthy eating patterns that are consistent with the individual’s values, goals and preferences.
2. Healthy* low or very-low-CHO diets can be considered as one healthy eating pattern for individuals living with type 1 and type 2 diabetes for weight loss, improved glycemic control and/or to reduce the need for antihyperglycemic therapies. Individuals should consult with their health-care provider to define goals and reduce the likelihood of adverse effects.
3. Health-care providers can support people with diabetes who wish to follow a low-CHO diet by recommending enhanced blood glucose monitoring, adjusting medications that may cause hypoglycemia (sulfonylureas and insulin), or increase risk for DKA (SGLT2 inhibitors, underdosing insulin in those with insulin deficiency), and to ensure adequate intake of fibre and nutrients.
4. Individuals and their health-care providers should be educated about the risk of euglycemic DKA while using SGLT2 inhibitors and low-CHO diet, and further educated about the strategies to mitigate this risk (33).2
5. People with diabetes who begin a low-CHO diet should seek support from a dietitian who can help create a culturally appropriate, enjoyable and sustainable plan. A dietitian can propose ways to modify CHO intake that best aligns with an individual’s values, preferences, needs and treatment goals as people transition to or from a low-CHO eating pattern.
* Canadians, with and without diabetes, who prefer to adopt a low or very low-CHO dietary pattern, should be encouraged to consume a variety of foods recommended in Canada’s Food Guide. Regular or frequent consumption of high energy foods that have limited nutritional value, and those that are high in sugar, saturated fat or salt, including processed foods and sugary drinks, should be discouraged.
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Bold mine... where I'm cringing and slapping my forehead thinking, "you are SOOOOOO close!"
They make it sound like it's incredibly freakish to want to stop eating BG spiking sugar and grains in favour of eating real food, and that you need a dietitian's guidance to do this. What a turn-off. No wonder people feel intimidated by it. I fully support anyone who wants a dietitian's help, and the dietitians who can better explain it, but you lose people when you make it sound so much more complicated than it is.
Encouraging point: there are a ton of dietitians coming around. I follow a lot of them on twitter. They're good peeps.
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