From: bulldog23x@gmail.com   
      
   This article originally posted 01 August, 2014 and appeared in  Diet, Obesity,   
   Medication, Type 2 Diabetes, Type 1 Diabetes, Public Health, Issue 740,   
   Special Edition Best of 2014    
      
      
   Low-carb Diet Recommended for Type 1 and 2 Diabetes Patients    
      
      
   Low-carbohydrate diets should be the first line of attack for treatment of   
   type 2 diabetes, and should be used in conjunction with insulin in those with   
   type 1 diabetes....    
      
      
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   Conducted by a consortium of 26 physicians and nutrition researchers, the   
   study suggests the need for a reappraisal of dietary guidelines due to the   
   inability of current recommendations to control the epidemic of diabetes. The   
   authors point to the    
   specific failure of the prevailing low-fat diets to improve obesity,   
   cardiovascular risk or general health, and to the persistent reports of   
   serious side effects of commonly prescribed diabetes medications. By   
   comparison, the authors refer to the    
   continued success of low-carbohydrate diets in the treatment of diabetes and   
   metabolic syndrome without significant side effects.    
      
   Barbara Gower, Ph.D., professor and vice chair for research in the UAB   
   Department of Nutrition Sciences and one of the study authors, stated that,   
   "Diabetes is a disease of carbohydrate intolerance." "Reducing carbohydrates   
   is the obvious treatment. It    
   was the standard approach before insulin was discovered and is, in fact,   
   practiced with good results in many institutions. The resistance of government   
   and private health agencies is very hard to understand."    
      
   The authors say their review of the medical literature shows that   
   low-carbohydrate diets reliably reduce high blood sugar and at the same time   
   show general benefit for risk of cardiovascular disease.    
      
   Richard David Feinman, Ph.D., professor of cell biology at SUNY Downstate   
   Medical Center and lead author of the paper, added that, "We've tried to   
   present clearly the most obvious and least controversial arguments for going   
   with carbohydrate restriction."   
    "Here we take a positive approach and look to the future, while acknowledging   
   this paper calls for change. The low-fat paradigm, which held things back, is   
   virtually dead as a major biological idea. Diabetes is too serious a disease   
   for us to try to    
   save face by holding onto ideas that fail."    
      
   Gower added that, "For many people with type 2 diabetes, low-carbohydrate   
   diets are a real cure," said Gower. "They no longer need drugs. They no longer   
   have symptoms. Their blood glucose is normal, and they generally lose weight."    
      
   The authors caution that people with diabetes who are already on drugs for   
   type 2 diabetes or are on standard amounts of insulin should undertake   
   conversion to a low-carbohydrate diet only with the help of a physician.   
   Because the diet may have a similar    
   sugar-lowering effect, it is critical that drug doses be tapered off in order   
   to avoid dangerous low blood sugar.    
      
   Practice Pearls - As with all diabetes clinical recommendations, these should   
   be tempered to meet the individual needs and circumstances of the patient. The   
   12 points of evidence from the study backed up by 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.    
   Nutrition July 2014    
      
   Related Articles    
   ADA's 2014 Standards of Care Released    
   The 2014 Standards of Medical Care in Diabetes    
   Which Is More Important: Blood Sugar, Blood Pressure or Cholesterol Targets?    
      
      
   http://www.diabetesincontrol.com/articles/diabetes-news/16701-lo   
   -carb-diet-recommended-for-type-1-and-2-diabetes-patients   
      
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