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  #1   ^
Old Mon, Oct-15-18, 12:03
JEY100's Avatar
JEY100 JEY100 is offline
To Good Health!
Posts: 10,591
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default American Diabetes Association & European Association Approve Low Carb Diets

American Diabetes Association & European Association Approve Low Carb Diets


Quote:
The American Diabetes Association (ADA) & the European Association for the Study of Diabetes (EASD) have just released their new joint position statement which includes approval of low carbohydrate diets for use in the management of Type 2 Diabetes (T2D) in adults. This comes on the heels of Diabetes Australia having recently released an updated position statement in August titled Low Carbohydrate Eating for People with Diabetes (you can read more about that here).

This is huge!

By releasing this updated joint position statement, the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) indicate that they now recognize a low carbohydrate diet as safe and effective lifestyle management of T2D in adults.

In the newly released joint position statement that was published online ahead of print on October 4, 2018 in the journal Diabetes Care, it was stated that the new recommendations were based on “a systematic evaluation of the literature since 2014” [1]. That is, approval for the use of low carbohydrate diets is based on current research.

A Full Range of Therapeutic Options

The new joint ADA & EASD position statement endorses “a full range of therapeutic options” including lifestyle management, medication and obesity management and indicate that:

“An individual program of Medical Nutrition Therapy (MNT) should be offered to all patients”.
The new joint position statement elaborates that Medical Nutrition Therapy (MNT) is made up of an education component and a support component to enable patients to adopt healthy eating patterns with the goal of “managing blood glucose and cardiovascular risk factors.” The goal is to reduce risk for Diabetes-related complications while preserving the pleasure of eating” with the two basic dimensions of MNT including diet quality and energy restriction.

DIET QUALITY AND EATING PATTERNS

The joint American and European position paper on the management of T2D states clearly;

“There is no single ratio of carbohydrate, proteins and fat intake that is optimal for every person with Type 2 Diabetes.”
but

“Instead, there are many good options and professional guidelines usually recommend individually selected eating patterns that emphasize foods of demonstrated health benefit, that minimize foods of demonstrated
harm and that accommodate patient preference and metabolic needs, with the goal of identifying healthy dietary habits that are feasible and sustainable.”
Included in this category are;

the Mediterranean Diet
the Dietary Approaches to Stop Hypertension (DASH) Diet
Low Carbohydrate Diets
Vegetarian Diets
The joint position paper noted that;

“Low-carbohydrate diets (<26% of total energy) produce substantial reductions in HbA1c at 3 months and 6 months with diminishing effects at 12 and 24 months.”
Unfortunately the paper failed to note that the one-year Virta study data that reported that HbA1C continued to decline at one year but yes, a diminished rates.

Continues....with charts, screen shots and links....at:


http://www.lchf-rd.com/2018/10/07/a...-low-carb-diets
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  #2   ^
Old Mon, Oct-15-18, 13:16
Ms Arielle's Avatar
Ms Arielle Ms Arielle is offline
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Plan: atkins
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Why am I suspicious of their motives??

When I have looked to the ADA website for info and support, their info imo was in the dark ages. Yet low carb options have been known since 1972, DANDR. Though I bought my first copy and understanding about 2002.

Praying more changes to come.
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  #3   ^
Old Mon, Oct-15-18, 14:20
JEY100's Avatar
JEY100 JEY100 is offline
To Good Health!
Posts: 10,591
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

Quote:
Originally Posted by JEY100
[B]American Diabetes Association & European Association Approve Low Carb Diets[/B

http://www.lchf-rd.com/2018/10/07/a...-low-carb-diets



Also Low Carb Diets Get a Seat at the Table by Dr. Bret Scher

https://www.dietdoctor.com/low-carb...at-at-the-table

Quote:
.......On the one hand, this is fantastic news. The ADA and EASD can no longer ignore the data supporting low-carb nutrition. That should pave the way for more doctors freely using low-carb diets with their patients. That will lead to more success, more physician knowledge, and thus perpetuate more use. Hopefully the end result will be a safer, more effective treatment of type 2 diabetes.

The bad news in this consensus is that dietary intervention was listed on half of one page. The remainder of the 27-page document was almost entirely devoted to prescription drugs. The drug-first bias of these societies is palpable, but that shouldn’t keep us from celebrating this initial step with them acknowledging low-carb diets. We just can’t be satisfied and let it stop here.

The ultimate goal is for individual providers and patients across the globe to realize that low-carb diets can prevent and reverse diabetes without the use of medications. Nutrition can serve as first line and last line treatment for the vast majority of individuals with diabetes.

That is the big victory I am hoping for. In the meantime, I will quietly celebrate the smaller victory and thank the ADA and EASD for acknowledge the benefits of low-carb diets. Onward and upward.

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  #4   ^
Old Mon, Oct-15-18, 14:59
GRB5111's Avatar
GRB5111 GRB5111 is offline
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Plan: Ketogenic (LCHFKD)
Stats: 227/186/185 Male 6' 0"
BF:
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Location: Herndon, VA
Default

Good, we are now starting the transition to Phase 3 in the 4 phases of adopting a new dietary and nutrition belief system:

Phase 1) Individual believers who adopt changes on their own with little research and only N=1 experiences. Grass roots. This can be encouraged by early adopters of experts who risk reputation and credibility like Banting, Atkins, Bernstein, Westman, Taubes and others.

Phase 2) Some experts from the medical and research communities start to confirm research in clinical settings (Westman, Atkins, Unwin, Hallberg, Gerber, Cummins, Phinney, Volek, Fung, D'Agostino, etc.) fueling broader adoption of N=1 individuals and generating some media recognition, publications, videos in the process. This phase starts to reach more people who are frustrated with current, ineffective recommendations like the DGA. I believe we are in the latter stages of Phase 2 today.

Phase 3) Work and recognition from Phases 1&2 start to become adopted by additional organizations who are more risk averse when lending credibility to methods against which they have campaigned in the past. Broader acceptance by the public results in increased awareness of physicians and food manufacturers race to produce products that are "friendly" with this new approach (keto friendly, Paleo friendly, Whole30 friendly, etc.) Dr. Oz has segments on his show strictly due to increased popularity to maintain relevance for his viewers (the ultimate indicator that we're in Phase 3!).

Phase 4) Broad adoption and recognition by the public, the medical community, food manufacturers, and other laymen. The pharmaceutical industry will force new drugs on the market to protect their revenue streams, but the tide turns when people realize they can achieve better health with whole foods and not a prescription. The DGAs are updated to recognize the various WOE that achieve health and eliminate all the myths about fats and substitute sugar, sugar producing, and processed foods as the negatives for consumption.
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  #5   ^
Old Thu, Oct-18-18, 10:16
GRB5111's Avatar
GRB5111 GRB5111 is offline
Posts: 2,451
 
Plan: Ketogenic (LCHFKD)
Stats: 227/186/185 Male 6' 0"
BF:
Progress: 98%
Location: Herndon, VA
Default

Quote:
Originally Posted by GRB5111
Good, we are now starting the transition to Phase 3 in the 4 phases of adopting a new dietary and nutrition belief system:

Phase 1) Individual believers who adopt changes on their own with little research and only N=1 experiences. Grass roots. This can be encouraged by early adopters or experts who risk reputation and credibility like Banting, Atkins, Bernstein, Westman, Taubes and others.

Phase 2) Some experts from the medical and research communities start to confirm research in clinical settings (Westman, Atkins, Unwin, Hallberg, Gerber, Cummins, Phinney, Volek, Fung, D'Agostino, etc.) fueling broader adoption of N=1 individuals and generating some media recognition, publications, videos in the process. This phase starts to reach more people who are frustrated with current, ineffective recommendations like the DGA. I believe we are in the latter stages of Phase 2 today.

Phase 3) Work and recognition from Phases 1&2 start to become adopted by additional organizations who are more risk averse when lending credibility to methods against which they have campaigned in the past. Broader acceptance by the public results in increased awareness of physicians and food manufacturers race to produce products that are "friendly" with this new approach (keto friendly, Paleo friendly, Whole30 friendly, etc.) Dr. Oz has segments on his show strictly due to increased popularity to maintain relevance for his viewers (the ultimate indicator that we're in Phase 3!).

Phase 4) Broad adoption and recognition by the public, the medical community, food manufacturers, and other laymen. The pharmaceutical industry will force new drugs on the market to protect their revenue streams, but the tide turns when people realize they can achieve better health with whole foods and not a prescription. The DGAs are updated to recognize the various WOE that achieve health and eliminate all the myths about fats and substitute sugar, sugar producing, and processed foods as the negatives for consumption.

Edited to improve clarity.
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  #6   ^
Old Fri, Nov-16-18, 05:52
JEY100's Avatar
JEY100 JEY100 is offline
To Good Health!
Posts: 10,591
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

Or Not! In new guidelines for treatment of T2 overweight children, no mention of Low Carb diets. Frustrating.

The American Diabetes Association misses the mark… again (sigh)

https://www.dietdoctor.com/the-amer...mark-again-sigh
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  #7   ^
Old Fri, Nov-16-18, 07:09
Ms Arielle's Avatar
Ms Arielle Ms Arielle is offline
Senior Member
Posts: 9,212
 
Plan: atkins
Stats: 247/217/153 Female 5'8"
BF:
Progress: 32%
Location: Massachusetts
Default

rob, your accessment is nothing short of wow.
Quote:
Originally Posted by GRB5111
Good, we are now starting the transition to Phase 3 in the 4 phases of adopting a new dietary and nutrition belief system:

Phase 1) Individual believers who adopt changes on their own with little research and only N=1 experiences. Grass roots. This can be encouraged by early adopters or experts who risk reputation and credibility like Banting, Atkins, Bernstein, Westman, Taubes and others.

Phase 2) Some experts from the medical and research communities start to confirm research in clinical settings (Westman, Atkins, Unwin, Hallberg, Gerber, Cummins, Phinney, Volek, Fung, D'Agostino, etc.) fueling broader adoption of N=1 individuals and generating some media recognition, publications, videos in the process. This phase starts to reach more people who are frustrated with current, ineffective recommendations like the DGA. I believe we are in the latter stages of Phase 2 today.

Phase 3) Work and recognition from Phases 1&2 start to become adopted by additional organizations who are more risk averse when lending credibility to methods against which they have campaigned in the past. Broader acceptance by the public results in increased awareness of physicians and food manufacturers race to produce products that are "friendly" with this new approach (keto friendly, Paleo friendly, Whole30 friendly, etc.) Dr. Oz has segments on his show strictly due to increased popularity to maintain relevance for his viewers (the ultimate indicator that we're in Phase 3!).

Phase 4) Broad adoption and recognition by the public, the medical community, food manufacturers, and other laymen. The pharmaceutical industry will force new drugs on the market to protect their revenue streams, but the tide turns when people realize they can achieve better health with whole foods and not a prescription. The DGAs are updated to recognize the various WOE that achieve health and eliminate all the myths about fats and substitute sugar, sugar producing, and processed foods as the negatives for consumption.
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  #8   ^
Old Sun, Nov-18-18, 13:33
GRB5111's Avatar
GRB5111 GRB5111 is offline
Posts: 2,451
 
Plan: Ketogenic (LCHFKD)
Stats: 227/186/185 Male 6' 0"
BF:
Progress: 98%
Location: Herndon, VA
Default

Based on recent studies, supporting publications, and more professionals adopting and promoting a low carb approach, I believe we've now transitioned to Phase 3. Especially with the recent Dr. Oz segments.
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  #9   ^
Old Tue, Nov-20-18, 20:04
LiterateGr's Avatar
LiterateGr LiterateGr is offline
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Posts: 24
 
Plan: Atkins
Stats: 240.0/236.4/170 Female 5 '9"
BF:
Progress: 5%
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Here's the thing:

In the 1970's, I was being raised by my diabetic grandparents.

I went to the meetings. I heard ALL the ADA stuff. What they were preaching then was diet and exercise were the best treatment. They went into great detail on how diabetes works, and how bad starches & sugars of any kind are for your body. (My grandparents refused to give up their bread & potatoes, and so remained unhealthy and out of control).

Then I grew up.

In 2004, I was pregnant with my son, and -- following conventional wisdom and & lacking a support-group to feed me information -- I went OFF my strict Atkins for the baby's sake... and started having health problems. Talked to my OB, and he put me on the gestational diabetes plan....


...And I couldn't understand it. It was all the foods that -- in my memory -- the ADA had warned diabetics against eating.
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  #10   ^
Old Tue, Nov-20-18, 20:16
Ms Arielle's Avatar
Ms Arielle Ms Arielle is offline
Senior Member
Posts: 9,212
 
Plan: atkins
Stats: 247/217/153 Female 5'8"
BF:
Progress: 32%
Location: Massachusetts
Default

Yup. I dropped all that literature in the trash, and followed DANDR thru my pregnancy. All low carb stuff, just too much of it. A1c was too high at 7.1 and I wish I too had better support at the time.
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