Low Carb Diet in 2019 American Diabetes Association Standards of Care

On Monday, December 17, 2018, the American Diabetes Association released its new 2019 Standards of Medical Care in Diabetes including its Lifestyle Management Standards of Care which includes use of a low carbohydrate diet saying it may result in lower blood sugar levels and also has the potential to lower the use of blood sugar lowering medications[1] in … Read more

The Difference Between Reversal and Remission of Type 2 Diabetes

Some speak of having “reversed” Type 2 Diabetes (T2D) as a result of dietary changes whereas others refer to having achieved “remission”. What is the difference and why is the distinction important? What is meant by Type 2 Diabetes “reversal” “Reversal” of a disease implies that whatever was causing it is now gone and is … Read more

Insulin Resistance, Hyperinsulinemia and Hyperglycemia

The distinction between insulin resistance and hyperinsulinemia is often unclear because these terms are frequently lumped together under “insulin resistance”, but they are separate concepts. Hyperinsulinemia (“too high insulin”) is when there is too much insulin secreted from the pancreas in response to high levels of blood sugar (hyperglycemia) and insulin resistance is where the taking … Read more

There Are Now Two Stages BEFORE a Diagnosis of Type 2 Diabetes

This past Wednesday (November 28, 2018) the American Association of Clinical Endocrinologists (AACE) announced publication of a new Position Statement which identifies four separate disease stages associated with an abnormal glucose response including Type 2 Diabetes; Stage 1: Insulin Resistance Stage 2: Prediabetes Stage 3: Type 2 Diabetes Stage 4: Vascular Complications — including retinopathy (disease of … Read more

The Three Stages of Carbohydrate Intolerance — before type 2 diabetes

In the previous article titled When Normal Fasting Blood Glucose Results Aren’t Necessarily “Fine” I explained how normal results on a fasting blood glucose (FBG) test may simply mask ‘silent Diabetes’ and that even when fasting blood glucose is normal and results from a 2-hour Oral Glucose Tolerance Test (2-hr OGTT) do not indicate glucose intolerance, a person can still have a … Read more

American Diabetes Association & European Association Classify Low Carb Diets as Medical Nutrition Therapy

The new joint American Diabetes Association (ADA) / European Association for the Study of Diabetes (EASD) position paper [1] published online ahead of print on October 4th now classifies a low carbohydrate diet as Medical Nutrition Therapy. in the treatment of Type 2 Diabetes in adults. What this means is these two organizations which are responsible for educating over 30 million … Read more

American Diabetes Association and European EASD Approve Low-Carb Diets

The American Diabetes Association (ADA) & the European Association for the Study of Diabetes (EASD) have just released their new joint position statement which includes approval of low-carbohydrate diets for use in the management of Type 2 Diabetes (T2D) in adults. This comes on the heels of Diabetes Australia having recently released an updated position … Read more

Silver Bullet for Addressing Carb Cravings

I was asked an interesting question recently which was “have you found the silver bullet for reducing carb cravings“? This was an interesting way to phrase something I have been asked in many different ways the last few years. Some people have been told that it really doesn’t matter what or how much they eat … Read more

A Trial of the Evidence

In a landmark decision yesterday the Australian Health Practitioner’s Regulation Agency (AHPRA) dropped all charges of wrong-doing against orthopedic surgeon Dr. Gary Fettke for recommending a low carb high fat lifestyle to his patients. This is great news for a physician who had tired of amputating the gangrenous limbs of patients with uncontrolled Diabetes when lifestyle changes … Read more

Low Carbohydrate and Ketogenic Diets – more information

There are many popular articles available on the internet, but if you are looking for researched, credible articles about a therapeutic use of Low Carbohydrate or Ketogenic Diets as well as articles with practical applications then this article is for you. I have written 100+ “Science Made Simple” articles related specifically to this topic — most … Read more

Are Low Carbohydrate Diets Linked to Risk of Premature Death?

For a second week in a row dire warnings about the alleged dangers of “low carbohydrate diets” scream out from headlines across the internet. “Low-Carb Diets Linked to Higher Risk of Premature Death” ~Newsweek August 28, 2018, 12:51 PM “Low carbohydrate diets are unsafe and should be avoided, study suggests” ~ScienceDaily, August 28, 2018 The general … Read more

An Accurate New Estimator of Whole Body Fat Percentage

While DEXA scans (Dual Energy X-ray Absorptiometry) are intended to measure bone mineral density, they also provide an accurate estimate of body fat percentage but not everyone wants to- or is able to go for  this kind of testing to determine how much body fat they have. While most gyms and many pharmacies often have … Read more

Is Coconut Oil Pure Poison?

For the second time in the last few days, dire warnings about the dangers of eating certain foods and not eating others dominated the headlines. In a previous post, I addressed the Harvard-based study that claimed that low carb diets shorten lifespan. This post is about a claim made by an adjunct professor from Harvard … Read more

Do Low Carb Diets Shorten Lifespan – a closer look

INTRODUCTION: Headlines warned people this week of the dire risks of a shorter lifespan by eating a low carbohydrate diet, but is it true?  By asking a few simple questions it’s easy to see that this newly published study cannot be used to support this claim. Headlines are designed to attract readers to a story, … Read more

Low Carbohydrate Eating for People with Diabetes

INTRODUCTION Diabetes Australia, the national body responsible for making treatment and dietary recommendations for the 1.7 million people living with Diabetes in that country, has just released a new Position Statement titled Low Carbohydrate Eating for People with Diabetes [1], said to be based on the latest evidence on the subject.  The publication is designed … Read more

Alzheimer’s Disease as Glucose Dysfunction of the Brain

I’d heard of Alzheimer’s disease (AD) being referred to by some clinicians as ”Type 3 Diabetes” but until yesterday the link between AD and abnormalities in glucose metabolism in the brain was an academic interest. Now it’s personal. You see, yesterday I found out that my dad (90 years old) was diagnosed with Alzheimer’s disease. … Read more

When Fat Was Made the Villain

Those who are younger than 40 years old probably grew up hearing that saturated fat is ”bad” and polyunsaturated fat is ”good”, but where did we get this idea and is it true? The process of what I call the ”vilification of fat” began when researcher Ancel Keys presented a graph at a talk at … Read more

American Diabetes Association (ADA) is Making Sense of Carbs

A June 2018 article written by Sacha Uelmen, RDN, CDE, Director of Nutrition at the American Diabetes Association (ADA) sheds much light on the expanded role for low carb diets in the treatment and management of Type 2 Diabetes [1]. In answering the question “should people with Diabetes cut back on carbs?”, Uelmen says; “It’s true … Read more