January 12, 2017
People with Diabetes Seldom Told the Truth
This long blog actually talks about why diabetics are not told the truth. Our Registered Dietitians are good at this and I am surprised that one would actually write about this topic and is essence telling the truth.
“I’m appalled constantly at the misinformation we nutrition experts are telling folks with diabetes. It’s all over the place. The “everything in moderation” mantra, and how we need to eat less meat, less fat, and more whole grains, is a pervasive theme drilled into young dietitians, and spread to the public through our dietary guidelines. This information is making people sick.”
In our quest to avoid the truth and focus on individual super foods that will save us, this post is telling diabetics that dates are so amazing because seven of them provide 4g of fiber. They forgot to mention that 7 dates equals 126g of carbs with no fat, so that’s pretty much like a syringe of sugar shot directly into your blood if eaten on an empty stomach. None of these top 10 lists had protein, and the only fat was flax seeds (for their omega-3’s) but what about fatty fish or fish oil, which is much more bioavailable? Why aren’t we instead telling them to avoid excess carbohydrates, because the last time I checked, you can actually reduce blood sugar by… not eating sugar!
How Many Carbs Do We Really Need? The short answer: ZERO.
“The lower limit of dietary carbohydrate compatible with life apparently is zero, provided that adequate amounts of protein and fat are consumed. However, the amount of dietary carbohydrate that provides for optimal health in humans is unknown. There are traditional populations that ingested a high fat, high protein diet containing only a minimal amount of carbohydrate for extended periods of time (Masai), and in some cases for a lifetime after infancy (Alaska and Greenland Natives, Inuits, and Pampas indigenous people) There was no apparent effect on health or longevity. Caucasians eating an essentially carbohydrate-free diet, resembling that of Greenland natives for a year tolerated the diet quite well. However, a detailed modern comparison with populations ingesting the majority of food energy as carbohydrate has never been done.”
They base the carbohydrate requirement of 87g-112 grams per day on the amount of glucose needed to avoid ketosis. They arrived at the number 100g/day to be “the amount sufficient to fuel the central nervous system without having to rely on a partial replacement of glucose by ketoacid,” and then they later say that “it should be recognized that the brain can still receive enough glucose from the metabolism of the glycerol component of fat and from the gluconeogenic amino acids in protein when a very low carbohydrate diet is consumed.” (Meaning, ketosis is NO BIG DEAL. In fact, it’s actually a good thing and is not the same as diabetic ketoacidosis that type 1 diabetics and insulin dependent type 2 diabetics can get.) The RDA of 130g/day was computed by using a CV of 15% based on the variation in brain glucose utilization and doubling it, therefore the RDA (recommended daily allowance) for carbohydrate is 130% of the EAR (estimated average requirement).
What are the Dangers of Overeating Carbohydrates? Answer: DIABETES (but they won’t actually say this)
So, How Many Carbs are We Telling Diabetics to Eat? Answer: TOO MUCH
Even though we have no actual need for carbs at all, and the RDA is 130g/day, the general guideline for adults with diabetes is 45 to 60 grams of carbohydrate per meal, and snacks having 15 to 30 grams of carbs. For the average adult eating three meals and two snacks a day (recommended) this equals a daily recommended intake of between 165g and 240g of carbs per day.
We’re Completely Failing Diabetics.
We nutrition experts are miserably failing at preventing and treating folks with diabetes. According to the CDC, 12.6% of Americans have diabetes, costing us $245 billion dollars in direct and indirect medical expenses. I’ve seen the incredible damage diabetes can do to people and it’s pretty ugly. It’s listed as the seventh leading cause of death, but because people don’t really die of “diabetes” but rather die of complications due to diabetes, like kidney failure and cardiovascular disease, the number is likely much higher. The rate is only increasing, especially in countries newly adopting our “heart-healthy” standard American diet. All over the world, people are giving up their healthy traditional diets and are drinking soda instead of water, using canola oil instead of traditional fats, and eating more refined junk foods – oh and it’s not only unhealthy but more expensive to eat this way too.
Why can’t we tell folks who have diabetes the truth: that eating an “everything in moderation,” high carb, low fat and low protein diet will increase your chances of a completely preventable disease (in the case of type 2) that can lead to a very uncomfortable death?
Please read the full article, which I have only skimmed, to learn the full truth about the lies those of us with diabetes are told.