1/7 My 7sugar infographics are back! They help people with T2D predict the glycaemic consequences of dietary choices. Carbs are the main drivers of blood sugar. Here I reinterpret the glycaemic load as approx. 4g teaspoons of table sugar. Freely available phcuk.org/sugar/
2/7 The 7 sugar infographics are now available in 14 languages and no copyright, so please use freely. Starchy carbs like bread or rice digest down into surprising amounts of glucose look. If you have #T2D perhaps turn the white stuff green?
3/7 This used to be the breakfast I recommended for my patients but a heavy glycaemic load was the result and a higher blood sugar for many of them. Using a lower carb approach my GP practice now uses far fewer drugs for T2diabetes Read about it here nutrition.bmj.com/content/early/…
4/7 As you see below cereals may affect blood sugar more than expected If you have T2D a low carb breakfast of scrambled eggs and smoked salmon would not put blood sugar up by nearly so much and so may be a better choice Starch is 'soon to be sugar'
5/7 Its odd to lump fruit and veg together into your '5 a day' They have very different effects on blood sugar look. Raisins are not like cabbage. If you have #T2D green veg may be better than fruit, though some fruit is worse than others
6/7 The longer fruit spends growing in the sun the more sugar photosynthesis can produce, so tropical fruits tend to be more sugary than Scottish raspberries or other berries. Juicing fruit also makes the effect on blood glucose worse than eating whole fruit.
7/7, part 1.Often i am asked about the difference having brown bread or rice makes to the glycaemic load and blood sugars for people with T2D. It improves the load by <a third Compare that to foods like broccoli which produce a fraction of the sugar Turn the white stuff green!
Finally! I encourage my patients with #T2D to think about where the sugar comes from in their diet. Avoiding dietary sources of sugar is the key to good blood glucose control and avoiding diabetes medications. This last sugar infographic may help you too! phcuk.org/sugar/
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A short thread on joint pain and low carb: Ten years ago both @jen_unwin and I suffered with chronic joint pain, particularly the morning after exercise. For Jen it was her knees for me ankles which throbbed ++ the morning after a long walk. Over the years this got worse 😞
Jen also developed Heberden's nodes on her fingers We assumed it was wear & tear arthritis & accepted it would just get worse BUT ten years later GONE! Here we are walking 25km (15 miles) The next morning NO PAIN! We were both able to go for a (slow) run, & I am over 60 now cont
I used to see osteoarthritis as a slow inevitable decline as the lining of my joints wore down, like the tread on a tyre. BUT I WAS WRONG! Our joints are a dynamic system with inflammation at the core of osteoarthritis, so improvement is possible But it may be slow, for me years
1/8 My latest teaspoon of sugar infogram is here! nice.org.uk/guidance/ng28/… … These represent the glycaemic load of portions of various foods to help you predict the glycaemic consequences of dietary choices. Based on this paper insulinresistance.org/index.php/jir/… The others will follow
2/8. I wanted to show that glucose can come from three sources: Naturally sugary foods. Foods with added sugar. Starchy foods that digest down into surprisingly large ammounts of glucose The glycaemic load of each food is re-worked out in terms of 4g. teaspoons of table sugar
3/8 This is the first infogram. Diet makes such a difference to #T2D This has been downloaded hundreds of thousands of times. All have been translated into five languages so far. Find them and the translations here: phcuk.org/sugar/ There is no copyright so share at will.
1/4: GRAPH OF THE WEEK! Abnormal liver function, fatty liver #NAFLD#NASH now affects 20% of the developed world BUT WHY? For years I thought it was drugs or alcohol, so did the Three gastroenterologists who saw this lady between 1996 and 2009 Look rapid improvement on low carb
2/4 Who knew but we make liver fat not from dietary fats but sugar and starchy carbs Its called De novo lipogenesis. Guess what insulin and glucose is involved, look doi.org/10.1172/JCI134… The liver fat produced is called triglyceride and is more important than I used to think
Low carb helps BP Our paper out today🥂 #mdpiijerph Substantial & Sustained Improvements in Blood Pressure, Weight & Lipid Profiles from a Carbohydrate Restricted Diet: An Observational Study of Insulin Resistant Patients in Primary Care 1/5 mdpi.com/1660-4601/16/1…@IJERPH_MDPI
2/5 Low carb helps BP As Insulin via renal sodium (salt) retention helps put BP up. Low carb helps sort this Our paper out today🥂 #mdpiijerph An Observational Study of Insulin Resistant Patients in Primary Care 1/5 mdpi.com/1660-4601/16/1…@IJERPH_MDPI
3/5 Low carb helps BP despite 21.5% #deprescribing of drugs for hypertension that are usually lifelong Our paper out today HURRAH 🥂 #mdpiijerph An Observational Study of Insulin Resistant Patients in Primary Care 1/5 mdpi.com/1660-4601/16/1…@IJERPH_MDPI