Joy Erdile, MSc, RD

This article was written on April 23, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface FODMAP is an acronym for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, which are the types of carbohydrate that are fermented by the microorganisms that live in our intestines, known as … Read more

Note: This article was originally posted on August 13, 2023, and was updated and reposted on November 25, 2025. Introduction In the interest of time, many people throw a cup or more of fruit, some green veggies, and maybe some protein powder into a blender to make a smoothie for breakfast. But most people don’t … Read more

This article was written on April 13, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface A therapeutic diet is used to treat a medical condition, and when prescribed by a Physician and implemented by a Dietitian, it is referred to as Medical Nutrition Therapy (MNT) … Read more

This article was written on April 12, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface People on social media argue about which is the “best diet” for humans — vegan or carnivore? Low carb or keto? Vegetarian or vegan? I avoid these “diet wars” largely … Read more

[NOTE: This is a combination Science Made Simple article and editorial, expressing my opinion.] This past Wednesday March 24, 2021, Dr. James Muecke, a South Australia ophthalmologist who was the 2020 Australian of the Year, posted on Facebook that Diabetes Australia reworded their webpage from ”Type 2 diabetes is a progressive condition” to ”Type 2 … Read more

This article was written on March 22, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface In November 2018, the American Association of Clinical Endocrinologists (AACE) released a Position Statement [1] which identified four separate disease stages associated with an abnormal glucose response, including Type 2 … Read more

This article was written on March 14, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface More than half of middle-aged people have a hiatal hernia (sometimes referred to as a “hiatus hernia“), but most people are only diagnosed when their symptoms become problematic, or inadvertently … Read more

This article was written on March 9, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface When people come to me because they think they may be allergic to certain foods, the first thing I ask is if they have an allergy to any trees or … Read more

This article was written on March 7, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface Most people know that prediabetes and diabetes are associated with “high blood sugar,” but just how much sugar is actually in the human body? And how does “grazing” all day … Read more

This article was written on February 24, 2021, and was reviewed and updated by Joy Y. Erdile, MSc, RD, on April 24, 2026. Practitioner’s Preface I often hear the question, “How much protein is best?” but that depends on who. Different people have different protein needs. A healthy man or woman seeking to build muscle … Read more

Note: This article was originally posted on February 16, 2021, and was updated on November 10, 2025, and reviewed on April 24, 2026. Practitioner’s Preface More than a hundred years ago, Dr. Russell M. Wilder and two Dietitians from the Mayo Clinic wrote a 69-page book titled A Primer for Diabetic Patients – A Brief … Read more

Note: This article was originally posted on February 3, 2021, and was updated on July 13, 2026. Is The Only Choice to Accept a Type 2 Diabetes Diagnosis? No. When people get diagnosed with type 2 diabetes, they have a choice to “live with it” or to seek remission from its symptoms.  Complete remission (no … Read more

Note: This article was originally posted on February 2, 2021, and was updated and reviewed on April 24, 2026. Practitioner’s Preface I was excited when I saw a thread on social media over the weekend about Diabetes Canada’s new 7-day Low Carb Meal Plan. After all, last May, they released a Position Statement summarizing the … Read more

Note: This article was originally posted on January 14, 2021, and was updated and reviewed on April 24, 2026. Practitioner’s Preface Several recent studies have found a relationship between the species of bacteria and fungi that live in our large intestine, carbohydrate intake, and Irritable Bowel Disease (IBD), including Ulcerative Colitis and Crohn’s disease. This … Read more

Note: This article was originally posted on January 4, 2021, and was updated and reviewed on April 24, 2026. Practitioner’s Preface The myth persists that a “keto” diet followed for weight loss or improved metabolic health is all about the fat…bacon, heavy whipping cream, and fat bombs. It’s about adding butter and MCT oil to … Read more

Introduction News outlets highlight when someone has died of complications of COVID-19, stressing that the person “had no underlying health conditions“, but the problem is that this is often assumed, not assessed. Just because a person wasn’t diagnosed with diabetes, heart disease or high blood pressure does not mean that they have no underlying health … Read more

Practitioner’s Preface One of the more frustrating things that I experience as a Dietitian who works with people with food allergy is when people come to me with a lab report listing foods they are ‘allergic’ to—only for me to get a multi-page report that they paid $650-750 out of pocket for, and which measures … Read more

Note: This article was originally posted on November 6, 2020, and was updated on July 12, 2026. What Are the Stages of Change? The Stages of Change were developed in 1979 by James Prochaska and expanded by Prochaska, Norcross, and DiClemente and include Precontemplation, Contemplation, Preparation, Action, Maintenance, and Relapse. People want to change, but … Read more

Introduction This post comes out of some recent lively discussion on social media where I was challenged to reconsider my position that a low-carbohydrate or keto diet can put people into remission of type 2 diabetes (T2D), but does not reverse it, and is not a cure. The discussion centred around whether metabolic diseases may … Read more

Practitioner’s Preface In addition to several types of therapeutic ketogenic diets, such as the Classic Ketogenic Diet (KD) used in the treatment of epilepsy, there is another type of therapeutic ketogenic diet used in the treatment of type 2 diabetes and for weight loss. This is referred to in the clinical literature as a Very … Read more

Introduction There is a common but mistaken belief that there is such a thing as “THE keto diet” (singular)—which is high in fat of all types, including cream, butter, bacon, and fatty cuts of meat. In fact, there are a wide range of “keto diets” (plural), including several different therapeutic ones as well as those … Read more

Introduction I’ve heard other Dietitians say that the keto diet is potentially dangerous because it focuses on ‘high intakes of processed meat, butter and cream’. Some have said harmful effects were seen years later, including newly diagnosed diabetes and non-alcoholic fatty liver disease (NAFLD). However, clinical evidence suggests these conditions often develop years before a … Read more

Introduction The recommendation to lower the consumption of saturated fat in the diet to reduce the risk of cardiovascular disease (CVD) has been a central theme in both the US and Canada since 1977. However, a landmark report published by the American College of Cardiology has stated that there is no beneficial effect on either … Read more

Introduction WorkSafeBC has released the requirements for regulated health professionals, such as Dietitians, to safely run an in-person clinical practice in British Columbia during the COVID-19 outbreak. These protocols are much more involved than initially imagined and are in addition to obligations prescribed by our professional college and the provincial health officer. Understanding the Risk … Read more