Thread by @LCPamDevine

@garytaubes presenting at the Symposium for Metabolic Health – SD 2022 next week! 'Chasing Blood Sugar: Diet, Diabetes & the Limits of Medical Science'
lowcarbusa.org/smhp-symposium…
#Type2Diabetes #type1diabetes #insulin #medicalnutrtiontherapy #therapeuticcarbohydratereduction #CME

Learning Objectives:

1) Understand the history of the diet-diabetes relationship and science and how insulin therapy changed dietary therapy from carbohydrate-abstention to liberal, high-carbohydrate diets

2) Understand the basis of the AHA philosophy advocating, since 1971, the use of carbohydrate-rich diets (40-60 % of calories) for both type 1 and type 2 diabetes.

3) Understand the biological logic for carbohydrate-restricted diets for diabetes and the possible benefits with and without insulin therapy.

Abstract:
From 1780 & the work of the British military physician John Rollo through the early 1900s, the most widely prescribed diet for diabetes was essentially meat, fat sources & green vegetables, .....

based on the logic that if patients suffering from diabetes could not metabolize carbohydrates safely, they could live on a diet without them

With the introduction of insulin therapy in 1922 and the transformation of type 1 diabetes from an acute fatal illness to a long-term chronic disease, diabetic diets became ever more carbohydrate rich as physicians assumed their patients preferred to eat like everyone else.

By the 1970s, the AHA was advocating diabetic patients consume even more carbohydrates than those without diabetes, assuming the low-fat nature of these high-carb diets would prevent heart disease.

Major clinical trials since the 1980s have repeatedly demonstrated the inadequacy of this approach.

The lecture will discuss the history of this diet-diabetes relationship and the implications for medical nutrition therapy in the current era.

Citations, Resources, Books Supporting Content:

1) Sawyer, L., and E. A. M. Gale. 2009. “Diet, Delusion and Diabetes.” Diabetologia 52, no.1 (Jan.): 1-7.

2) Sansum, W. D., N. R. Blatherwick, and R. Bowden. 1926. “The Use of High Carbohydrate Diets in the Treatment of Diabetes Mellitus.” JAMA 86, no. 3 (Jan. 16): 178-81.

3) Newburgh, L. H., and P. L. Marsh. 2023. “Further Observations on the Use of a High fat Diet in the Treatment of Diabetes Mellitus.” Archives of Internal Medicine 31, no. 4 (April): 455-90.

4) Cahill, G. F. 1971. “Physiology of Insulin in Man.” Diabetes 20, no. 12 (Dec.): 785-99

5) Skyler, J. S., R. Bergenstal, R. O. Bonow, et al. 2009. “Intensive Glycemic Control and the Prevention of Cardiovascular Events: Implications of the ACCORD, ADVANCE, and VA Diabetes Trials.” Circulation 119, no. 2 (Jan. 20): 351-7.

#SMHSD2022

#TheSMHP #MetabolicHealthForAll

#StopTheEpidemics of #Type2Diabetes #PreDiabetes #metabolicsyndrome