The Australian body CSIRO has just published the results into a study into T2 diabetes.
They say:
This programme is based on the findings from a $1.3 million National Health and Medical Research Council funded study which compared the low carbohydrate eating pattern with the current best practice approach of managing Type 2 diabetes with a high-unrefined carbohydrate low fat diet.
The results are groundbreaking…
The most amazing benefit of the low carbohydrate diet was the reduction in the patient’ smedication levels, which was more than doubledouble the amount that the volunteers following the lifestyle programme with the high carbohydrate diet plan.
The full report can be found on the CSIRO website.
@Pastelpainter the anecdotal evidence I was referring to is that which comes from those who already know what this study proves. I was actually applauding the research because it legitimizes our views.
a bit more detail to the 52 week trial http://ajcn.nutrition.org/content/early/2015/07/29/ajcn.115.112581
Objective: We compared the effects of a very-low-carbohydrate, high–unsaturated fat, low–saturated fat (LC) diet with a high-carbohydrate, low-fat (HC) diet on glycemic control and cardiovascular disease risk factors in T2D after 52 wk.
(as long as the low sat is a mono, I’m ok with that, I don’t want the polly. they can do a fat study after… they now got the carbs on the bad list by a bunch of respected scientists)
Conclusions: Both diets achieved substantial weight loss and reduced HbA1c and fasting glucose. The LC diet, which was high in unsaturated fat and low in saturated fat, achieved greater improvements in the lipid profile, blood glucose stability, and reductions in diabetes medication requirements, suggesting an effective strategy for the optimization of T2D management. This trial was registered at www.anzctr.org.au as ACTRN12612000369820.
It has been on tv here and in local newspapers, not hidden at all. But it will probably be ignored because people have been told for so long that eating high carb low fat is the way to go.
How many people will be able to comply with this diet long term? The sample diet looks tasteless and unfilling. I don’t know any successful older type1 who eats anything like this.
Cohort studies, case control studies, N-of-1 trials are not anecdotal evidence. I certainly haven’t been eating low fat high carb for the last 20 years because a randomised trial hadn’t been done until now. Evidence based medicine is about using the best evidence, not maintaining the status quo until an RCT proves it wrong.
@nickm unfortunately, for some people (especially the medical community), if there’s no science to back it, it doesn’t exist or its labeled “woo science.”
I think the takeaway is that the esteemed CSIRO has found that low carb high fat is good for your heart and better than a high carb diet.
@pancreaswanted The grain corporations are very powerful. Because USA doesn’t produce a lot of sugar, I think this is the best one to prioritize as bad. Later on when that is accepted, the fact that grain turns to ‘sugar’ can be said.
I think it is simplistic to say that the industry controls the fda and research results. The associations and medical groups have had more impact in not recommending low carb diets for diabetes. Research has been there on alternatives but the associations will NOT consider it until large scale, randomized, double-blind placebo controlled studies (like the CSIRO study) have been done, duplicated and confirmed. It is quite frustrating.
100% agree that there is a strong political resistance to talking about flour being bad as well.
With respect to diet, the FDA has a somewhat “marginal” role. It is in fact the USDA which establishes dietary guidelines and they have always had a conflict of interest as they are the government agency responsible for assuring the health of the farm industry. And their guidelines have reflected that even to this day.
The FDA does have control over proper labeling, supplements and even some quality to a certain degree. But they don’t establish health policy with respect to macronutrients, let alone suggest anything specific to diabetes. The CDC actually has a bigger role with respect to diabetes but they have historically just bowed to whatever lobbyist has the strongest voice without establishing their own evidence based foundation for anything they put out as recommendations for the public related to diabetes diets.
ps. The CDC still recommends the DPP which suggests a low fat high carb calorie restricted diet to lose weight and manage diabetes. For instance they recommend that you replace your breakfast of 2 fried eggs with a cup of cornflakes (no milk?).
