Why is low carb recommended against for type 2 diabetics?

Bottle_of_Smoke

Missed a lecture there. Going through the notes and for the diet bit it specifically mentions low carb not being recommended.

Also recommends carbs making up 45-60% of the diet. This just seems bonkers to me given the effect carbs have on insulin. It is a reputable nutrition bsc by the way

I even read a paper about trialing a paleolithic diet against a standard diet and the paleo diet got great results. albeit with a small number of participants. I'd be really wary of bringing this up in class because the lecturers are so dogmatically anti-satfat.

So is there something about type 2 diabetes that is really incompatible with low-carb?

teacosy

Bottle_of_Smoke wrote: »

Missed a lecture there. Going through the notes and for the diet bit it specifically mentions low carb not being recommended.

Also recommends carbs making up 45-60% of the diet. This just seems bonkers to me given the effect carbs have on insulin. It is a reputable nutrition bsc by the way

I even read a paper about trialing a paleolithic diet against a standard diet and the paleo diet got great results. albeit with a small number of participants. I'd be really wary of bringing this up in class because the lecturers are so dogmatically anti-satfat.

So is there something about type 2 diabetes that is really incompatible with low-carb?[/Quo



Nutrition Recommendations and Interventions for Diabetes

A position statement of the American Diabetes Association2008
 

Optimal mix of macronutrients
Although numerous studies have attempted to identify the optimal mix of macronutrients for the diabetic diet, it is unlikely that one such combination of macronutrients exists. The best mix of carbohydrate, protein, and fat appears to vary depending on individual circumstances. For those individuals seeking guidance as to macronutrient distribution in healthy adults, the Dietary Reference Intakes (DRIs) may be helpful . It must be clearly recognized that regardless of the macronutrient mix, total caloric intake must be appropriate to weight management goals. Further, individualization of the macronutrient composition will depend on the metabolic status of the patient (e.g., lipid profile).

 

http://care.diabetesjournals.org/content/31/Supplement_1/S61.long

 

 

 



 

teacosy

Made a bit of a mess of that reply above - my bit is included in the quote- sorry!

El_Dangeroso

Because the are f*cking terrified of fat and diabetics can't eat protein all the time and nothing else. Diabetes patients have an extremely high risk of heart disease compared to the normal population and since saturated fat toootally causes heart disease (EXTREME sarcasm alert), that just leaves diabetics trying to desperately ride the hyper-insulin-hypo rollercoaster all day long trying not to lose a foot or go blind in the process.

I'm not anti-carb for genpop but it really does make sense to limit carbs for those with no innate ability to deal with carbs, probably not to constant ketosis, but to like 20% of carbs by calories. A lot of research now is pointed in that direction. Things like this don't turn on a pin. I'm involved in a new trial to prevent a certain type of diabetes in a susceptible population and one of the main recommendations is to limit carb portions.

mloc

Bottle_of_Smoke wrote: »

Missed a lecture there. Going through the notes and for the diet bit it specifically mentions low carb not being recommended.

Can I ask what course and college you are doing?

Some college nutrition lecturers are not up to date on diet strategies for disease states, nor on many areas of current research. This may be because their own research field is limited to another area, or often, they do not have a strong scientific background in biochemistry and therefore their thinking is "locked" a certain way.

RE*AC*TOR

Your conclusion makes sense, a heavy carbohydrate diet for someone with diabetes is adding fuel to the fire.

The issue is of course the (most likely) erroneous belief in the lipid hypothesis of heart disease and obesity, which remains conventional wisdom despite a multitude of evidence. In a scenario where the lipid hypothesis was true, by advocating a low carb diet (and hence a high fat one) you would expect to increase the risk of heart disease.

chessguy

Hi it goes like this ,

By the way the Swedish medical profession also agree

carbs cause insulin spikes this raises cholesterol and blood sugar levels ,
bad especially for diabetics, then they put you on a statin for the cholesterol.

so basically stay of all starch veg like potatoes , no bread at all,no cereals either.

Fat does not cause insulin spikes , protein causes very small and delayed insulin spikes,which is desired,

I came of all diabetic medication within 5 weeeks easily,

I have been like this 3 years.

hydrogenated fat is bad ,( it is used in biscuits , and all margarines)

Fat on unprocessed meat (natural fat) is fine,feks the fat on lamb chops when the lamb has been grass fed ,

and wild salmon not farmed salmon as farmed salmon are fed junk with the pink colour to stain their flesh,.

Always read the back of a salmon pack if it says farmed or organic do not buy it it has been farmed.

Organic salmon what a joke should not be allowed.

Normally all tinned salmon and frozen salmon is real wild salmon.
these are the best choices.Aldi Lidl have great choices.

Example of a lowcarb meal would be
2-3 lamb chops with fat on , some spinatch or cauliflower
herbs parsley etc.choice of ~asparagus , celery, artichoke , sprouts
Organic creme fraiche or organic sour cream with herbs to taste.

try this then check your blood sugars 2 hours after you will be surprised

watch if you dare learn somthing new the food revolution sweeping Scandanavia.

the video the food revelation


Dr.Andreas Eenfeldt
http://www.dietdoctor.com/about

post back let me know what you think..

goodluck


chessguy.

danlen

chessguy wrote: »

Hi it goes like this ,

By the way the Swedish medical profession also agree

carbs cause insulin spikes this raises cholesterol and blood sugar levels ,
bad especially for diabetics, then they put you on a statin for the cholesterol.

so basically stay of all starch veg like potatoes , no bread at all,no cereals either.

Fat does not cause insulin spikes , protein causes very small and delayed insulin spikes,which is desired,

I came of all diabetic medication within 5 weeeks easily,

I have been like this 3 years.

hydrogenated fat is bad ,( it is used in biscuits , and all margarines)

Fat on unprocessed meat (natural fat) is fine,feks the fat on lamb chops when the lamb has been grass fed ,

and wild salmon not farmed salmon as farmed salmon are fed junk with the pink colour to stain their flesh,.

Always read the back of a salmon pack if it says farmed or organic do not buy it it has been farmed.

Organic salmon what a joke should not be allowed.

Normally all tinned salmon and frozen salmon is real wild salmon.
these are the best choices.Aldi Lidl have great choices.

Example of a lowcarb meal would be
2-3 lamb chops with fat on , some spinatch or cauliflower
herbs parsley etc.choice of ~asparagus , celery, artichoke , sprouts
Organic creme fraiche or organic sour cream with herbs to taste.

try this then check your blood sugars 2 hours after you will be surprised

watch if you dare learn somthing new the food revolution sweeping Scandanavia.

the video the food revelation


Dr.Andreas Eenfeldt
http://www.dietdoctor.com/about

post back let me know what you think..

goodluck


chessguy.

tbh I think the OP already knows all what you have posted. What the OP is actually looking for confirmation on, is why, despite the things you mentioned above, there are still experts persuading type 2 diabetics to avoid low-carb eating.

Personally I can't find a valid reason for this recommendation either OP.

chessguy

fyi

this post to actually clarify why doctors do not actually follow this logical thinking

http://www.dietdoctor.com/about

good luck
chessguy

Transform

chessguy wrote: »

fyi

this post to actually clarify why doctors do not actually follow this logical thinking

http://www.dietdoctor.com/about

good luck
chessguy

emmm call me crazy but it keeps them dependent on taking insulin which is nice and expensive.