Diabetes
A collection of files for download on diabetes.

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AbstractDue to failure to achieve control twenty-two patients with type 1 diabetes with symptomatic fluctuating blood glucose started on a diet limited to 70-90 g carbohydrates per day and were taught to match the insulin doses accordingly. The caloric requirements were covered by an increased intake of protein and fat. The purpose was to reduce the blood glucose fluctuations, the rate of hypoglycaemia and to improve HbA1c. After three and 12 months the rate of hypoglycaemia was significantly lowered from 2.9 + 2.0 to 0.2 + 0.3 and 0.5 + 0.5 episodes per week respectively. The HbA1c level was significantly lowered from 7.5 + 0.9 % to 6.4 + 0.7 % after three months and was still after 12 months 6.4 + 0.8 %. The meal insulin requirements were reduced from 21.1 + 6.7 I.U./day to 12.7 + 3.5 I.U./day and 12.4 + 2.6 I.U./day after three and 12 months respectively. Furthermore the triglyceride level was significantly lowered whereas the levels for total cholesterol and HDL-cholesterol were unchanged. Conclusion: the present report shows that a 70-90 g carbohydrate diet is a feasible long-term alternative in the treatment of type 1 diabetes and leads to improved glycaemic control.
This is the updated ADA Nutrition Recommendations paper which finally supports the use of low carbohydrate diets in the management of diabetes. It is a first step in the right direction but there is still some work to do. Simply search for the term carbohydrate to see the multiple references in support of this means of diabetes management.
This response by the ADA is laughable, if it weren't so sad. I am going to make a full on write-up of this letter, but one of the things that irked me is the completely backwards nature of the medical community is assuming that diabetes is progressive and that the only direction for a person with diabetes is down. Give me a break--wake up, there is a SOLUTION.
Many negative comments have been made about the use of ketogenic diets (KDs) and experts today believe that the best way to lose weight is by cutting back on calories, chiefly in the form of fat. The international consensus is that carbohydrates are the basis of the food pyramid for a healthy diet. However, this review will clarify that low-carbohydrate diets are, from a practical and physiological point of view, a much more effective way of losing weight. It is also argued that such diets provide metabolic advantages, for example: they help to preserve muscle mass, reduce appetite, diminish metabolic efficiency, induce metabolic activation of thermogenesis and favor increased fat loss and even a greater reduction in calories. These diets are also healthier because they promote a non-atherogenic lipid profile, lower blood pressure and decrease resistance to insulin with an improvement in blood levels of glucose and insulin. Low-carbohydrate diets should therefore be used to prevent and treat type II diabetes and cardiovascular problems. Such diets also have neurological and antineoplastic benefits and diet-induced ketosis is not associated with metabolic acidosis, nor do such diets alter kidney, liver or heart functions.
file icon Blank DiabetesTrackerhot!Tooltip 01/10/2007 Hits: 347
A Microsoft Excel based spreadsheet that uses pivot tables to track and analyze blood glucose, medicine dosage, diet, and exercise.
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