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Friday 6 April 2012

Evidence based guidelines for diabetics 2012

Recommendations for management of diabetes

Macronutrients in diabetes management.

The mix of carbohydrate, protein, and fat may be adjusted to meet the metabolic goals and individual preferences of the person with diabetes. (C)

Monitoring carbohydrate, whether by carbohydrate counting, choices, or experience-based estimation, remains a key strategy in achieving glycemic control. (B)

Saturated fat intake should be <7% of total calories. (B)

Reducing intake of trans fat lowers LDL cholesterol and increases HDL cholesterol (A), therefore intake of trans fat should be minimized. (E)

It should be noted that the RDA for digestible carbohydrate is 130 g/day and is based on providing adequate glucose as the required fuel for the central nervous system without reliance on glucose production from ingested protein or fat. Although brain fuel needs can be met on lower-carbohydrate diets, long-term metabolic effects of very-low-carbohydrate diets are unclear, and such diets eliminate many foods that are important sources of energy, fiber, vitamins, and minerals and that are important in dietary palatability (129).

Evidence-based nutrition guidelines for the prevention and management of diabetes

Carbohydrate: Although the total amount of carbohydrate ingested is the primary
determinant of post-prandial blood glucose response, there is little evidence to support
specific strategies for recommendations about carbohydrate intake in Type 2 diabetes.

This is the from the link phoenix posted on the DCUK forum.

The recommended range of carbohydrate (CHO) intake
(45-60% total energy) is based on the limits for total fat
and protein intakes (see recommendations on protein and
fat intake in this paper), [3, 28, 112-113 (IV)].

Before I was banned from DCUK I had many a run in with phoenix who often accused me of being "selective" with my choice of studies in response to her anti low carb posts,  the link from her are the recommendations from 2004.  I'm sure she must have known about the latest evidence based guidelines, this begs the question who's being "selective" now.

Beware a Type 1.5 insulin dependant extolling the virtues of 45% to 60% cals from carbs as  good dietary advice for Type 2 diabetics.



Lowcarb team member said...

Excellent post Graham, you would think people you give credit for would appreciate the difference between the different types of diabetes. Apparently not.


Lowcarb team member said...

"Beware a Type 1.5 insulin dependant extolling the virtues of 45% to 60% cals from carbs as good dietary advice for Type 2 diabetics"

Not for anyone least of all a diabetic.


Anonymous said...

I cant understand why on earth a type 1.5 is getting involved with type two diets.