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Why A Low Carb Paleo Diet Is Best For Diabetes…

Published on July 16, 2013,

Dr. Richard K. Bernstein is a long-time advocate for a low-carb approach to the management of type 1 and type 2 diabetes. Diagnosed 60 years ago with type 1, Dr. Bernstein pioneered the concept of reducing insulin use and blood sugar levels by reducing carbohydrate intake.. This is his response in DiabetesHealth to a question about his philosophy on diabetes management, and why he believes it is important to control blood sugars…

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Dr Richard Bernstein (www.diabetes-book.com)

My philosophy is that people with diabetes are entitled to the same blood sugar as people who don’t have the disease. This is exactly the opposite of the policy of the American Diabetes Association.

To get normal blood sugars you have to do certain things, and one of the key things is a very low-carbohydrate diet. This is because nothing else works. I’ve tried other approaches throughout my 69 years of having diabetes. I got my first meter in 1969, so I’ve had plenty of time to experiment and see what works.

There’s no way the ADA diet or any high-carbohydrate and low-fat diet will enable you to control blood sugars. It turns out that the kind of diet I recommend is essentially a Paleolithic diet, which is what humanity evolved on. Our ancestors did not have bread, wheat, sweet fruits, and all of the delicious things that we have today. These have been specially manufactured for us nowadays. For food, our ancestors had a paucity of roots, some leaves, and principally meat to eat. If they lived near the shore, they had fish.

My dietary recommendations boil down to what our ancestors ate. The ADA repeatedly says that while low-carbohydrate diets may work, they’re an experiment and we haven’t enough years of trial of these diets to see if they do any harm. But in reality the ADA diet is an experiment that was never based on any history. In fact, it is the cause of the epidemic of obesity and diabetes that is currently shaping our nation. Whereas the original diet, the Paleolithic diet, has been tested for hundreds of thousands of years and it’s only when you deviate from it that you end up where we are now.

More at:  Q&A With Dr. Richard K. Bernstein

Visit Dr Bernstein’s Diabetes Solution website here

Calorie Restricted Study Ends Early After Complete Fail

Published on October 25, 2012,

A large study of whether a calorie restricted diet and exercise can prevent heart attacks and strokes in overweight and obese people with Type 2 diabetes has ended two years ahead of schedule because the intensive program did not help. This is from the NY Times…

Americans are Getting Obese, Quickly

Americans are Getting Obese, Quickly (Photo credit: Nolan O’Brien)

“I was surprised,” said Rena Wing, the study’s chairwoman and a professor of psychiatry and human behavior at Brown University’s medical school.

Like many, she had assumed diet and exercise would help, in part because short-term studies had found that those strategies lowered blood sugar levels, blood pressure and cholesterol levels.

But, Dr. Wing added, “You do a study because you don’t know the answer.”

Still, medical experts said there were many benefits to diet and exercise even if they did not reduce cardiovascular disease in people with diabetes.

About 25 million Americans have Type 2 diabetes. Many are overweight or obese. On average, the disease increases heart disease risk by 2 to 2 ½ times, said Dr. Ronald Kahn, chief academic officer at the Joslin Diabetes Center in Boston.

It seemed logical that diet and exercise would help reduce that risk. An earlier federal study found that an intense diet and exercise program helped prevent overweight or obese people with elevated blood sugar levels from crossing the line into diabetes. The hope was that a similar program could also protect people from heart disease.

The study randomly assigned 5,145 overweight or obese people with Type 2 diabetes to either a rigorous diet and exercise regimen or to sessions in which they got general health information. The diet involved 1,200 to 1,500 calories a day for those weighing less than 250 pounds and 1,500 to 1,800 calories a day for those weighing more. The exercise program was at least 175 minutes a week of moderate exercise.

But 11 years after the study began, researchers concluded it was futile to continue — the two groups had nearly identical rates of heart attacks, strokes and cardiovascular deaths.

The investigators are analyzing their data and will be publishing them in research papers.

But the outcome is clear, said Dr. David Nathan, a principal investigator and director of the Diabetes Center at Massachusetts General Hospital. “We have to have an adult conversation about this,” he said. “This was a negative result.”

More at:  Diabetes Study Ends Early With a Surprising Result

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