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Nutritional Ketoacidosis

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Nutrition Recommendations And Interventions For Diabetes

A position statement of the American Diabetes Association Medical nutrition therapy (MNT) is important in preventing diabetes, managing existing diabetes, and preventing, or at least slowing, the rate of development of diabetes complications. It is, therefore, important at all levels of diabetes prevention (see Table 1). MNT is also an integral component of diabetes self-management education (or training). This position statement provides evidence-based recommendations and interventions for diabetes MNT. The previous position statement with accompanying technical review was published in 2002 (1) and modified slightly in 2004 (2). This statement updates previous position statements, focuses on key references published since the year 2000, and uses grading according to the level of evidence available based on the American Diabetes Association evidence-grading system. Since overweight and obesity are closely linked to diabetes, particular attention is paid to this area of MNT. The goal of these recommendations is to make people with diabetes and health care providers aware of beneficial nutrition interventions. This requires the use of the best available scientific evidence while taki Continue reading >>

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Popular Questions

  1. Yai

    To start with, I apologise for my ignorance, however Forum members have been so helpful, I wish to ask another question please:
    I have read many threads saying how successful people have been in lowering their blood glucose and losing weight by drastically cutting their intake of carbohydrates. I believe that fewer than 30g of carbohydrates a day is classed as a ketogenic diet. As a type 2 diabetic of many years, I am worried to try lowering my carbohydrates so much in case I make myself ill. Can anyone offer any comfort please, or have I got my proverbials in a twist?

  2. BrianTheElder

    Yai said: ↑
    To start with, I apologise for my ignorance, however Forum members have been so helpful, I wish to ask another question please:
    I have read many threads saying how successful people have been in lowering their blood glucose and losing weight by drastically cutting their intake of carbohydrates. I believe that fewer than 30g of carbohydrates a day is classed as a ketogenic diet. As a type 2 diabetic of many years, I am worried to try lowering my carbohydrates so much in case I make myself ill. Can anyone offer any comfort please, or have I got my proverbials in a twist? Hi
    @Yai Ketosis is the state in which your body burns ketones instead of glucose for fuel.
    Normally carbs supply glucose and insulin is produced by your body when it detects glucose so that the glucose can cross cell membranes and enter the system. Unfortunately, excessive carbs can lead to excess insulin and your body becomes insulin resistant, which is the start of T2D. One of the functions of insulin is to store fat, so this is a direct side effect.
    An alternative, which was common in the diet in pre-modern times, was to eat more meat and fat (especially) rather than carbs. Without carbs your body produces ketones as fuel as a direct replacement for glucose, ie ketosis replaces glycolysis.
    Ketosis is a natural state and not to be confused with ketoacidosis, which is a serious condition in T1D when the ketones are an order of magnitude higher.
    Generally to achieve ketosis, you should eat less than 20g of carbs/day. You should also eat moderate protein, about 0.8g/kg of body weight. The rest of your diet is fat and you can eat what you like as fat is filling and you will reach satiety before you exceed any calorie limit.

  3. Resurgam

    As you are diabetic lowering your carbs should make you better - but it isn't a one size fits all level of carbs - I used to lose weight easily on 80 gm of carb a day and had to go up higher to stop it - on 20 gm a day I was in a state of collapse and could not walk up stairs, but crawled up on all fours.
    When diagnosed diabetic I went to low carbing to control it, but did not try to get down to what for me are low levels, just went back to normal for me eating - and that seems to have fixed things, though I will be adding in more exercise as the weather improves.

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