The Use Of Low-carbohydrate Diet In Type 2 Diabetes - Benefits And Risks.
Department of Chemistry and Clinical Biochemistry, Poznan University of Medical Sciences, Poland. Department of Physiology, Poznan University of Medical Sciences, Poland, Department and Clinic of Plastic, Reconstructive and Aesthetic Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Poland. Ann Agric Environ Med. 2014;21(2):320-6. doi: 10.5604/1232-1966.1108597. The pharmacological treatment of type 2 diabetes is increasingly being supported by the recommendation of an appropriate diet. The purpose of this study is to identify the potential benefits and risks arising from the use of one of the modern models of low-carbohydrate diet in patients with type 2 diabetes. Research shows that diet can favourably affect the health of diabetic patients. It has been shown that diet affects positively the concentration of blood glucose, glycosylated haemoglobin, and also contributes to the reduction of insulin taken in the course of drug therapy. At the same time, short-term studies have demonstrated a positive relationship of nutrition with reduction in body weight, as well as favourable changes in lipid profile of HDL cholesterol and levels of triglyceride. Attention is also drawn to the negative health effects of a low-carbohydrate diet; these include an increased risk of mineral deficiency, hypovitaminosis and reduced intake of dietary fibres. This diet may be associated with very high levels of protein which, in turn, raises the risk of renal dysfunction and the appearance of irregularities in the water and electrolyte balance. The impact of changes in the skeletal system and the development of osteopenia and osteoporosis is also observed. Besides the positive impact of this model of diet on the lipid profile parameters, its use significantly increases the risk of adve Continue reading >>
How To Start A Low-carb Diabetes Diet
There is strong evidence that eating fewer carbohydrates helps improve blood sugars. This makes sense intuitively: carbohydrates are broken down by the body into sugar, directly leading to high blood sugars. Eat fewer carbohydrates and you will typically end up with less sugar in your blood. For those with type 2 diabetes or are newly diagnosed with type 1, fewer carbohydrates mean that your body’s natural insulin production will have an easier time processing your blood sugars. If you take insulin, you will have a much easier time taking the appropriate amount of insulin. Before you start a low-carbohydrate diet, talk with your healthcare provider. If you are taking blood sugar-lowering medications, then eating fewer carbohydrates without lowering your medication dosage may cause dangerous low blood sugars. There are studies that show that people with diabetes can achieve success on both low-carbohydrate and high-carbohydrate diets. Those pursuing high-carb diets are often primarily eating more vegetarian or vegan diets that are high in complex carbohydrates and fiber. They are also frequently athletes who burn large amounts of sugar during exercise. We will look at other dietary approaches in a future article. If you would like to dive into the research on low-carb diets for diabetes, please skip to the last section in this article. Also, be sure to read Key Facts About Carbohydrates Everyone with Diabetes Should Know. What Is a Low-Carb Diet? There are many different ways to define and follow a low-carb diet. In this article, we are generally looking at people who wish to eat fewer carbohydrates than they are currently eating. There is no one way to follow a low-carb diet. Generally, people try different amounts of carbohydrates until they reach an amount per day t Continue reading >>
A Guide To Healthy Low-carb Eating With Diabetes
Diabetes is a chronic disease that has reached epidemic proportions. It currently affects over 400 million people worldwide (1). Although diabetes is a complicated disease, maintaining good blood sugar control can greatly reduce the risk of complications (2, 3). One of the ways to achieve better blood sugar levels is to follow a low-carb diet. This article provides a detailed overview of low-carb diets for managing diabetes. If you have diabetes, your body cannot process carbohydrates effectively. Normally, when you eat carbs, they are broken down into small units of glucose, which end up as blood sugar. When blood sugar levels go up, the pancreas responds by producing the hormone insulin. This hormone allows the blood sugar to enter cells. In healthy people, blood sugar levels remain within a narrow range throughout the day. In diabetes, however, this system doesn't work the way it is supposed to. This is a big problem, because having both too high and too low blood sugar levels can cause severe harm. There are several types of diabetes, but the two most common ones are type 1 and type 2 diabetes. Both of these conditions can be diagnosed at any age. In type 1 diabetes, an autoimmune process destroys the insulin-producing beta cells in the pancreas. Diabetics must inject insulin several times a day to ensure that glucose gets into the cells and stays at a healthy level in the bloodstream (4). In type 2 diabetes, the beta cells at first produce enough insulin, but the body's cells are resistant to its action, so blood sugar remains high. To compensate, the pancreas produces more insulin, attempting to bring blood sugar down. Over time, the beta cells lose their ability to produce enough insulin (5). Of the three nutrients -- protein, carbs and fat -- carbs have the grea Continue reading >>
Diabetes & Ketogenic Diet: Can You Manage Your Diabetes On A Ketogenic Diet?
In this article we will cover what a Ketogenic diet is and if you can manage your diabetes while on this diet. Ketogenic diet for diabetics is a highly controversial topic, but we will break down everything here for you! As a Certified Diabetes Educator (CDE), I have to tell you from the start I will have a biased view here. Sorry, but I feel that I need to be completely honest right up front! I will however, present all the evidence that is available currently on the subject. As a CDE, I have been taught to follow the American Diabetes Association Dietary Guidelines for Americans which is low in carbohydrates, high in fiber, with fresh vegetables, fruits and whole grains. The Ketogenic Diet this article will be discussing is much lower in carbohydrates, in order to promote the state of nutritional ketosis, or the fat burning state for weight loss. What is a Ketogenic Diet? The Ketogenic Diet is a low carbohydrate diet, consisting initially of less than 20 carbohydrates per day. Not per meal, yes, you heard me correctly, per day. It is not for the faint of heart and yes I am writing from experience. Of course I have tried it! Hasn’t everybody in America at some point who has wanted to lose weight? Does it work you ask? Of course it does! The problem is how long can you keep it up? Your body uses the carbohydrates you eat for energy, so if we restrict how many carbohydrates we eat, the body has to get its fuel source from fat. A byproduct of this fat burning state are ketones which are produced; this is called nutritional ketosis. You can determine if you are in this fat burning state by purchasing urine ketone testing strips from your local pharmacy. The Ketogenic Diet with Diabetes Some precautions must be made clear; this diet is not appropriate for people with any Continue reading >>
Diabetes And Your Diet: The Low-carb Debate
A few years ago, Richard Kahn, the now-retired chief scientific and medical officer of the American Diabetes Association, was charged with organizing a committee to prescribe a diet plan for people with diabetes. He began by looking at the evidence for different diets, asking which, if any, best controlled diabetes. “When you look at the literature, whoa is it weak. It is so weak,” Dr. Kahn said in a recent interview. Studies tended to be short term, diets unsustainable, differences among them clinically insignificant. The only thing that really seemed to help people with diabetes was weight loss — and for weight loss, there is no magic diet. But people want diet advice, Dr. Kahn reasoned, and the association really should say something about diets. So it, like the National Institutes of Health, went with the Department of Agriculture’s food pyramid. Why? “It’s a diet for all America,” Dr. Kahn said. “It has lots of fruits and vegetables and a reasonable amount of fat.” That advice, though, recently came under attack in a New York Times commentary written by Sarah Hallberg, an osteopath at a weight loss clinic in Indiana, and Osama Hamdy, the medical director of the obesity weight loss program at the Joslin Diabetes Center at Harvard Medical School. There is a diet that helps with diabetes, the two doctors said: one that restricts — or, according to Dr. Hallberg, severely restricts — carbohydrates. “If the goal is to get patients off their medications, including insulin, and resolve rather than just control their diabetes, significant carb restriction is by far the best nutrition plan,” Dr. Hallberg said in an email. “This would include elimination of grains, potatoes and sugars and all processed foods. There is a significant and ever growing Continue reading >>
Low-carb Diet For Diabetes: Should You Try It?
Many diet-related conditions rely on medication. But the primary treatment for type 2 diabetes is diet and lifestyle change. There is growing evidence a low-carb diet may be a useful alternative to conventional diet advice. In fact, it may even be better. This article provides a transparent look at the best evidence available, and whether you should consider it. What Is A Low-Carb Diet? A low carb diet is an eating pattern that limits carbohydrate foods, such as sugary foods, flour and bread. There are several different versions, but they are generally high in protein, fat and healthy vegetables. The standard American diet is at least 50% carbs, which is about 300 grams per day. Low-carb diets range from about 30% down to 5%. Given the amount of carbs in your diet is the main determinant of blood sugar levels, it makes sense that reducing carb intake could be beneficial for diabetes care (1). Low- Carb and Diabetes: What Do Controlled Trials Show? Randomised controlled trials are considered the “gold standard” of scientific evidence. In this case researchers would feed one group of diabetics a standard American diet (typically 50-60% carbs), and another a strict low-carb diet for several months or more. They can then compare which group does better. A 2015 study looked at 93 type 2 diabetic men and women for one year. Half were randomly put on a high-carb diet (53% carbs) and the others on a low-carb diet (14% carbs, less than 50 grams per day). Each subject’s diet plan was individualised to provide a 30% calorie reduction for weight loss, and all participated in a supervised physical activity program for the year. Both diets showed significant improvements in daily blood sugar stability, diabetes medication usage, weight loss, fat loss, insulin resistance, HDL-ch Continue reading >>
Low Carb Vs. High Carb - My Surprising 24-day Diabetes Diet Battle
Twitter summary: What I learned from doubling my carb intake: the same average blood sugar, but four times as much hypoglycemia, more work, stress, & danger. As a teenager, I ate a high carb diet that included lots of Goldfish crackers, white sandwich bread, pasta, and white potatoes. It was tasty, but it put my blood sugars on a wild roller coaster every single day. Things turned around in college when I learned about nutrition, got on CGM, and spent time with health conscious friends. I soon realized that eating less than 30 grams of carbs at one time was a complete gamechanger. I’ve stuck with that approach ever since. But is this lower carb method actually better for my blood sugars, or have I just been fooling myself? To find out, I took on a somewhat terrifying self-tracking experiment: 12 days of my usual, lower-carb diet, which averaged 146 grams of carbs per day (21% of daily calories). My carbs were primarily from nuts, seeds, vegetables, and a bit of fruit. 12 days of a higher-carb, high whole-grain diet, which averaged 313 grams of carbs per day (43% of my daily calories). My sources of carbs were NOT junk food: plain oatmeal, whole wheat bread, quinoa, wild rice, and fruit. Neither of these was unrealistic. My lower-carb diet was nowhere near Atkins level (20 grams per day), and the higher-carb diet was consistent with the “average” 45% carb diet in people with diabetes (according to ADA). Even though this was a one-person (n=1) experiment, I wanted to be as scientific and fair as possible: eating whole, unprocessed foods in both periods; counting and tracking every single gram of carbohydrate (LoseIt! app); wearing CGM 24/7 and downloading the glucose data to document what happened (Dexcom G5 and Clarity); taking insulin before meals (5-15 minutes pr Continue reading >>
Low Carbohydrate Diets: Understanding The Grim Long-term Effects
Diabetes is growing faster now than at any point in human history, yet despite this doctors continue to prescribe low carbohydrate diets, a strategy that is often viewed as the most effective nutrition approach for optimal diabetes health. On the surface, this appears to make sense because low carbohydrate diets often result in rapid weight loss, reduced A1c values, and decreased blood glucose. However, more than 85 years of research has clearly demonstrated that low carbohydrate diets cause insulin resistance, the behind-the-scenes condition that complicates and worsens all forms of diabetes (1–30). A growing body of evidence now shows that diets low in fat and high in unrefined carbohydrates from fruits, vegetables, beans, lentils, and whole grains are remarkably effective at reversing insulin resistance in patients with type 1 diabetes, prediabetes, and type 2 diabetes (20–25,31–42). Insulin resistance results from the accumulation of fat in tissues that are not designed to store fat, mainly in your liver and muscles (2,3,9–14,16–18,27,43,44). When you eat a low carbohydrate diet high in fat and protein, fatty acids are burned for energy, however they also accumulate in tissues like your muscle and liver. When your muscle and liver begin accumulating fat, both tissues begin rejecting insulin in an effort to block more energy from entering. Essentially, the more fat you eat, the weaker insulin becomes. Low carbohydrate diets are the easiest way to develop insulin resistance. In the research setting, scientists induce insulin resistance and diabetes by feeding laboratory animals a low carbohydrate diet high in fat and protein. These animals gain weight, develop severe insulin resistance, and show early signs of diabetes in as little as 8 weeks (1,45,46,46–5 Continue reading >>
- The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus
- How Low Can You Go? Expert Advice On Low Carb Diets and Diabetes
- The interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials
How To Reverse Type 2 Diabetes
Do you have type 2 diabetes, or are you at risk for diabetes? Do you worry about your blood sugar? Then you’ve come to the right place. The disease diabetes (any type) means that you have too much sugar in your blood. This page will show you how to best check this. You can normalize your blood sugar naturally as needed – without pills, calorie counting or hunger. Many people have already done so. As a bonus, a normalized blood sugar usually makes you healthier and leaner. Table of contents: A disastrous epidemic Two types of diabetes Normalize your blood sugar Become your own evidence A disastrous epidemic What’s wrong? Why do more and more people become diabetic? In the past, before our modern Western diet, diabetes was extremely rare. The disease is now becoming more and more common. Around the world, more and more people are becoming diabetic: The number of people with diabetes is increasing incredibly rapidly and is heading towards 500 million. This is a world epidemic. Will someone in your family be affected next? Your mother, father, cousin, your child? Or you? Is perhaps your blood already too sweet? Those affected by the most common form of diabetes (type 2) normally never regain their health. Instead, we take for granted that they’ll become a little sicker for every year that goes by. With time they need more and more drugs. Yet, sooner or later complications emerge. Blindness. Dialysis due to faulty kidneys. Dementia. Amputations. Death. Diabetes epidemic causes inconceivable suffering. Fortunately, there’s something that can be done. We just need to see through the mistake that has led to the explosion of disease – and correct it. This can normalize your blood sugar. Many have already succeeded in doing this. If you already know that you are diabe Continue reading >>
Does The Ketogenic Diet Work For Type 2 Diabetes?
You’ve probably seen dozens of headlines about the ketogenic diet by now, which has made its way into popular culture largely by celebrities and supermodels giving the long-standing fad diet a repeated stamp of approval. Is this the diet to follow if you have diabetes? Studies suggest the answer isn’t so simple. Some science shows its meal plan may be helpful, while other research, like one study published in September 2016 in Nutrients, highlights the importance of whole grains in the diets of people with diabetes — a restricted food category in the ketogenic diet. While the keto diet can offer many potential benefits for diabetes management, following it requires pretty serious commitment. So take a beat before you take the plunge — and consider these questions that can help you and your medical team determine if it’s right for you: How Does the Ketogenic Diet Work Exactly? There’s a good reason the ketogenic diet is also referred to as a low-carb, high-fat diet. Indeed, following the ketogenic diet means reducing carbohydrate intake to typically less than 50 grams (g) of carbohydrates per day, while increasing fat and protein intake, according to a review published in August 2013 in the European Journal of Clinical Nutrition. To put that into perspective, an individual on an average, non-restricted diet can easily eat more carbohydrates than that in one typical meal — for instance, a turkey, cheese, and veggie sandwich on whole-grain bread with a small, 1 ounce (oz) bag of classic potato chips would come in at around 51 g of carbs. These dietary changes drive down insulin levels, eventually leading your body into a state of ketosis, during which it is burning fat rather than carbohydrates. What Are Some of the Potential Benefits of a Ketogenic Diet for Continue reading >>
Discover A Low Carb Diabetic Diet And Low Carb Recipes For Diabetics
Many people incorrectly believe that only sugar causes type 2 diabetes. In reality, the insulin resistance associated with type 2 diabetes can be thought of as carbohydrate intolerance; type 2 diabetes is a side effect of consuming too many carbohydrates relative to a person's carbohydrate tolerance, which can cause blood sugar to spike. While diabetics should be mindful of sugar intake, it's possible to manage type 2 diabetes by living a low carb lifestyle. Some people with type 2 diabetes have found low carb living to be so effective that they can manage their condition without medication. A low carb diabetic diet is a great way to manage your weight and blood sugar levels. If you have type 2 diabetes use the following tips to avoid eating more carbohydrates than your body can tolerate, help keep stabilize your blood sugar level and try these delicious low carb recipes for diabetics: Using a carb counter to monitor your carb intake is a great way to stay on track. Non-starchy vegetables such as colorful salad vegetables , broccoli, cauliflower, eggplant, and asparagus tend to have lower glycemic indexes, making them perfect to for a low carb diabetic diet. Make sure to get plenty of fiber—high-fiber foods like vegetables are a necessary component to a low carb diabetic diet. Avoid foods with added sugars and high fructose corn syrup. If you have a sweet tooth , try sugar-free desserts Don't skip breakfast! To keep your blood sugar levels steady, make sure to eat regularly throughout the day, starting in the morning. Try to fit in three meals and two snacks each day and pace yourself. Not all fats are bad for you. Healthy low carb recipes for diabetics often feature good natural fats like monounsaturated fats, such as the ones found in olive oil, which can help lower Continue reading >>
The Low-carb Diabetes Plan That Works
After hearing for years that a high-carb, low-fat diet is the only real road to weight loss, you might be wondering how a low-carb diabetes diet can help you finally drop the pounds and help you get control of your blood sugar. Let us explain. The high-carb, low-fat idea basically oversimplified how food works once it enters your body. It ignored the fact that not all carbs are good, and glossed over that not all fats are bad. Therefore, we loaded up on all the breads, pastas, and low-fat goodies, never realizing that it was making us fatter. Here's how it really works. All carbs are converted to glucose and raise your blood sugar, but they aren't all converted at the same rate. How fast they are absorbed--and how much--is what affects your weight. There are two general classes of carbs--refined and unrefined. Refined carbs (white breads, white flour, pastas) are essentially refined sugars, meaning once you eat them they are quickly turned into glucose in your system. Unrefined carbs are the kinds found in whole grains, beans, fruits, and many vegetables. The fiber in these foods helps to slow down your body's absorption of carbs, therefore slowing the process of turning carbs into glucose. The problem comes in when you eat too many carbs--especially too many refined carbs. If you eat excessive amounts of quickly absorbed carbs, you create a situation where more glucose becomes available than your body needs. That excess glucose gets turned into fat. What's the problem with eating lots of carbs if you have diabetes? If you eat excessive amounts of quickly absorbed carbs, you upset your body's precise balance of blood sugar. Simply put, eating too many carbohydrate grams may cause a situation where more glucose becomes available to the cells than the body needs. Obviousl Continue reading >>
Tweet Many people with diabetes are following a low-carb diet because of its benefits in terms of improving diabetes control, weight loss and being a diet that is satisfying and easy to stick to. Low-carb diets are flexible and can be followed by people with different types of diabetes. The diet has allowed many people with type 2 diabetes to resolve their diabetes, that is to get their blood sugar levels into a non-diabetic range without the help of medication. People with type 1 diabetes have also reported much more stable blood sugar levels, making the condition easier to predict and manage. The diet is a healthy way of eating as vegetables and natural, real foods are integral to the diet. Low-carb guidance and support The low-carb diet forum has been cited as a leading resource in providing support and encouragement for people that are looking to achieve lower HbA1c levels and sustain effective weight loss.  In 2015, Diabetes.co.uk launched the Low Carb Program which has helped thousands of people with type 2 diabetes to improve their diabetes control and reduce their dependency on diabetes medication. Why follow a low-carb diet? Carbohydrate is the nutrient which has the greatest effect in terms of raising blood sugar levels and requires the most insulin to be taken or be produced by the body. Lowering sugar levels is clearly a benefit for people with diabetes. Lower need for insulin is also particularly useful as lowering insulin in the body can reduce insulin resistance which can help towards reversing type 2 diabetes. Insulin is also the fat storage hormone in the body, so reducing insulin in the body with a low-carb diet can help with losing weight. Benefits of low-carb diets The benefits of a low-carb diet typically include: Lower HbA1c Improved weight lo Continue reading >>
Do Low-carb Diets Help Diabetes?
diabetesdiabetes follow very low carbohydrate diets? The American Diabetes Association (ADA) says "no", but a small study from Sweden suggests such a diet may be one of the best ways to manage the disease and reduce the need for medication. In the study, 16 obese patients with type 2 diabetes followed a calorie- and carbohydrate-restricted diet for 22 months. Most showed continuing improvements in blood sugar that were independent of weight lossweight loss; the average daily dosage of insulin among the 11 insulin-dependent patients was cut in half. "Many people are essentially cured of their [type 2] diabetes by low-carbohydrate diets, but that message is not getting out," says low-carb proponent and biochemistry professor Richard Feinman, PhD, of the SUNY Downstate Medical Center in Brooklyn, N.Y. While agreeing that carbohydrate restriction helps people with type 2 diabetes control their blood sugar, ADA spokesman Nathaniel G. Clark, MD, tells WebMD that the ADA does not recommend very low-carb diets because patients find them too restrictive. "We want to promote a diet that people can live with long-term," says Clark, who is vice president of clinical affairs and youth strategies for the ADA. "People who go on very low carbohydrate diets generally aren't able to stick with them for long periods of time." In the Swedish study, obese patients with type 2 diabetes were asked to follow two different low-calorie diets for 22 months. Sixteen patients were told to restrict carbohydrates to just 20% of their total calorie intake, with carbohydrate consumption limited to vegetables and salads. Bread, pasta, potatoes, rice, and breakfast cereals were not allowed. Fifteen more patients were asked to follow a low-fat diet, which had the same number of calories -- 1,800 calories- Continue reading >>
7 Ways To Follow A Low-carb Diet The Right Way
Feeling "hangry," the combination of hungry and angry, is what I hear a lot from patients who believe all carbs are evil, and that if you want to control your blood sugar or lose weight, they all have to go. Strong studies point to carbohydrate restriction as a main treatment for type 2 diabetes, but it doesn't have to be all or nothing. Many of my patients on very low-carb diets can’t sustain them long term. Eventually, they re-gain their weight and their blood-sugar problems come back. Those angry months of deprivation weren’t worth it. There’s a better way, which involves keeping some of the foods you love, and as a result, maintaining your sanity. Any time you eat a carbohydrate, your body has to redirect the glucose from your bloodstream to your cells. It calls on your pancreas, where insulin lives, to get the job done. Insulin’s role is to take the glucose and distribute it to your muscle and fat cells, where it’s either used for energy or stored for fat. When everything goes right, insulin is your friend. Eat too much or consume the wrong things and insulin becomes your enemy. Excess insulin circulating in your body may cause you to gain weight. Here’s how to do low-carb right. 1. Plan your meals around lean proteins and healthy fats. The reason many people fail at low-carb diets is because they are buying foods like low-carb chips, bars and drinks. These options are not always nutrient dense. They can leave you with a lack of satisfaction, increased hunger and the dreaded rebound binge. Instead, opt for real food. Find options that make you less hungry and more satisfied. Focusing on foods that are good sources of protein and healthy fats will help. A 2011 study found increased protein in the diet helped to satisfy hunger and promote weight loss. Cho Continue reading >>