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

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?

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

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