Posted on 12/12/2022 7:40:49 PM PST by ConservativeMind
A trial of persons with type 2 diabetes found a low-carbohydrate, high-fat, calorie unrestricted diet helped patients achieve better weight loss and glucose control over a 6-month intervention compared to a high-carb, low-fat diet. The changes were not sustained 3 months after, suggesting a need for long-term dietary changes to maintain meaningful health benefits.
More than half of persons with diabetes also have nonalcoholic fatty liver disease (NAFLD). Prior studies suggest that weight loss improves both diabetes control and NAFLD and restriction of carbohydrate intake improves the control of blood sugar.
Researchers assigned 165 persons with type 2 diabetes to either a LCHF diet or a HCLF diet for 6 months. Participants were to eat the same number of calories equal to their energy expenditure. Participants on the low carb diet were asked to eat no more than 20% of their calories from carbohydrates but could have 50- 60% of their calories from fat and 20-30% from protein. Patients on the low-fat diet were asked to eat about half of their calories in carbohydrates and the rest evenly split between fats and proteins.
The authors found persons on the low carb diet reduced hemoglobin A1c by 0.59 percent more than the low-fat diet, and also lost 3.8 kg more weight compared to those in the low-fat group. The low carb dieters also lost more body fat and reduced their waist circumference. Both groups had higher high-density lipoprotein cholesterol and lower triglycerides at 6 months. However, changes were not sustained 3 months after the intervention, suggesting that dietary changes need to be sustained over the long term to maintain effects. The liver was not affected by the high fat intake in the low-carb group: The researchers found no difference on the amount of liver fat or inflammation between the two groups.
(Excerpt) Read more at medicalxpress.com ...
Of course patients reverted back to a problem status three months after stopping their diets, right?
My sister got rid of diabetes via low carb
So Captain Obvious is now Doctor Obvious?
That’s why you need lifestyle changes, not diets.
Follow a path for life. I’ve read enough books on health/fitness/nutrition to not sweat the details anymore.
It’s why I’m a big proponent of being process oriented vs goals oriented.
Also, use the Pareto Principle in life.
Talk about a Captain Obvious article.
They’re just figuring this out now?
Participants on the low carb diet were asked to eat no more than 20% of their calories from carbohydrates but could have 50- 60% of their calories from fat and 20-30% from protein.
When I tried the 40-30-30 Zone diet, I did well, but even better when I further reduced my carbs, possibly approaching 20%,
I'm not a fan of zero carbs (many are, and that's fine w me). The 20% carb appears to be a rational approach, many opinions vary.
Read about the Zone Diet by Dr Barry Sears. Been following it for 25 years.
While zero-carb is not easy, it’s a worthwhile target for those that can without suffering adverse health consequences.
Remember the stories about destroying a car’s paint job with a can of Coke? Well, that’s what carbs (Coke, sugars, glucose) do to blood cells and organs when insulin deficiencies are a factor. Imagine corroded cells (rust) floating around the bloodstream.
I prefer avoiding the insulin coverage. I’d rather not consume the carby stuff. The otherwise “boring” food will/does taste better.
If you’re diabetic and have high numbers (or haven’t been checking), please take that inconvenient step of checking-in and returning to the norm.
Of course!
Who can live without samiches, pizza and pasta?
It’s a doable but very hard slog of self denial.
+1
Repetition matters.
Um, duh.
CC
bkmk
“Who can live without samiches, pizza and pasta?
“It’s a doable but very hard slog of self denial.”
Exactly. I did as close to zero carbs as I knew how for six months because a blood test for sugar was 108. At my six-month check-up - was disappointed that the number went down to only 104. I was expecting more because the diet had been so extreme. BUT I had lost about 20 pounds. No pizza, rice, potatoes, sandwiches. It was “doable”, but terrible.
That was in June, and I added some carbs, but hardly any rice, potatoes, or bananas. I may have gained back a little weight but extreme self denial was “a hard slog”.
I agree, it is a very hard slog.
Dietician: how’s it going?
Me: it is winter, Christmas and cold. Tell me how it is going!
I like my crockpot meals in the winter. Coming home from a cold morning of pet visits/dog walks to a hot lunch is rewarding. Now if I could just convince my clients to NOT LEAVE more candy/cookies for me! I am not a kid.
Just walked by the candy dish myself. Couldn’t resist a chunk of dark chocolate to go with my coffee. The struggle is hugh, like my waistline!
One would think “0.59 percent” would be statistically insignificant, but what do I know.
I went from 2yrs of Type 1 iabetes on 2 types of insulin — Novolog & Lantus — to Type 2 Diabetes, now on Metformin 1,000mg 2x/ daily. Zero sugar and low-carbs did it.
When it comes to type two diabetes as I understand it, you wouldn’t even have to go into ketogenesis to beat it, nor would you necessarily have to lose a lot of weight.. You simply have to void insulin spikes, and you have to do it vigilantly for a significant period of time to give your cells time to reset the insulin sensitivity baseline.
However, since a lot of type 2 diabetics also tend to be overweight, I would suggest going full keto too.
“Who can live without samiches, pizza and pasta?”
~~~
I went back on keto the monday before last. Pizza is the one thing I miss most. mmmmm pizza.
Taking bread or buns off of sandwiches is also annoying, but that can be avoided if you plan or prepare meals.
I don’t miss beer much. Used to be a beer drinker way back in the day, and would have hated a low carb diet. It’s much easier if you don’t drink at all, but an occasional dry wine is fine, or a martini, or vodka soda, or rum&dietcoke. There are lots of solutions. You just can’t drink much. Your liver can metabolize alcohol into calories just like it metabolizes fat into ketones.
It’s not self denial if you get yourself out of the habit of indulging.
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