Active Low-Carber Forums - View Single Post - American Diabetes Association & European Association Approve Low Carb Diets

Following was written by an RD based in British Columbia.

https://www.lchf-rd.com/wp-content/...pxTcIgu3k-bdNy0

Quote:

SUMMARY: The American Diabetes Association updates its practice guidelines throughout the year as new scientific evidence warrants it [1]. Having conducted a systematic review of the scientific literature since 2014 the ADA has updated its guidelines to include the use of a low carbohydrate diet (<130 g carbohydrate) as Medical Nutrition Therapy (MNT) for adults* with Type 2 Diabetes [1,2].

In October 2018, the American Diabetes Association (ADA) released a joint Position Statement in conjunction with the European Association for the Study of Diabetes (EASD) which approved use of a low carbohydrate diet which it defined as <130 g of carbohydrate/day (<26% of daily calories as carbohydrate) as Medical Nutrition Therapy (MNT) for adults with Type 2 Diabetes [1].

At the end of December 2018, the ADA released its 2019 Standards of Medical Care in Diabetes which builds on the ADA / EASD joint consensus paper by including use of a low carbohydrate diet in the section on Nutrition Therapy and reflects the organization’s emphasis on a patient-centered, individualized approach. The ADA concludes that a low carbohydrate diet may result in (a) lower blood sugar levels, may (b) lower the use of blood sugar lowering medications and (c) is effective for weight loss [2] and cites one-year study data by Virta Health [3] which used a ketogenic approach (<30g carbohydrate/day), as well as two other studies [4,5]. The ADA concludes a low carbohydrate diet is safe to use in not pregnant or lactating adults without kidney disease or risk of eating disorders.

This moves a low carbohydrate diet from the realm of a popular lifestyle choice to Medical Nutrition Therapy for the purpose of disease management.

Dr. Berry's comment about this:

Quote:

"The ADA now recognizes a Low-Carb diet as a treatment option for Diabetes. Took them long enough, right?

Here is a 1-page announcement you can print out and take to your doctor. It will help wake him/her up, and get them off your back about eating KETO!!! This will give doctors the safety they need to stop hounding you that LCHF will Kill you!!! If you can't change your doctor with this, then you will need to change your doctor. They recommend less than 130grams/carbs daily, and that means 20 grams/day to me!
Share with every diabetic you know please, it will save LIFE & LIMBs."

Here is Joy Kidde's previous longer analysis of the 2019 guidelines, published Tuesday, after the 2019 guidelines were released on Monday. https://www.lchf-rd.com/2018/12/18/...ndards-of-care/ This short summary of where the ADA stands on LC may come in handy.