The American Diabetes AssociationÂ (ADA) & the European Association for the Study of DiabetesÂ (EASD) have just released their new joint position statement which includes approval ofÂ low carbohydrate diets for use in the management of Type 2 Diabetes (T2D) in adults. This comes on the heels of Diabetes Australia having recently released an updated position statement in August titledÂ Low Carbohydrate Eating for People with DiabetesÂ (you can read more about that here).
This is huge!
By releasing this updated joint position statement, the American Diabetes AssociationÂ (ADA) and theÂ European Association for the Study of DiabetesÂ (EASD) indicate that they now recognize aÂ low carbohydrate diet asÂ safe and effectiveÂ lifestyle management of T2D in adults.
In the newly released joint position statement that was published online ahead of print on October 4, 2018 in the journal Diabetes Care, it was stated that the new recommendations were based onÂ “a systematic evaluation of the literature since 2014” . That is, approval for the use of low carbohydrate diets is based on current research.
A Full Range of Therapeutic Options
The new joint ADA & EASD position statement endorses “a full range of therapeutic options” including lifestyle management,Â medication and obesity managementÂ and indicate that:
“An individual program of Medical Nutrition Therapy (MNT) should be offered to all patients”.
The new joint position statement elaborates that Medical Nutrition Therapy (MNT) is made up of an education component and a support component to enable patients to adopt health eating patternsÂ with the goal of “managing blood glucose and cardiovascular risk factors”. The goal is to reduce risk for Diabetes-relatedÂ complications while preserving the pleasure of eating” with the two basic dimensions of MNT including diet quality and energy restriction.
Diet Quality and Eating Patterns
The joint American and European position paper on the management of T2D states clearly;
“There isÂ no single ratio of carbohydrate, proteins and fat intake that is optimal for everyÂ person with Type 2 Diabetes.”
“Instead,Â there are many good options and professionalÂ guidelines usually recommendÂ individually selected eating patterns that emphasize foods of demonstrated health benefit, that minimize foods of demonstrated harm and that accommodate patient preference and metabolic needs,Â with the goal of identifying healthy dietaryÂ habits that are feasible and sustainable.”
Included in this category are;
- the Mediterranean Diet
- theÂ Dietary Approaches to Stop HypertensionÂ (DASH) Diet
- Low Carbohydrate Diets
- Vegetarian Diets
The joint position paper noted that;
“Low-carbohydrate diets (<26% of total energy) produce substantialÂ reductions in HbA1c at 3 months andÂ 6 months with diminishing effects at 12Â and 24 months.”
Unfortunately the paper failed to note that the one-year Virta study dataÂ that reported that HbA1C continued to decline at one year but yes, a diminished rates.
The new joint ADA and European Association for the study of Diabetes also noted that moderate carbohydrate restriction was of no benefit;
“no benefit of moderateÂ carbohydrate restriction (26â€“45%) wasÂ observed.”
The paper acknowledged that there are many different types of “low carbohydrate diets’Â and the particular benefits of a low – carbohydrate Mediterranean eating pattern was in reducing the requirement for medication over 4 years;
“people with new-onset Diabetes assigned to a low carbohydrateÂ Mediterranean eating pattern were 37% less likely to requireÂ glucose-lowering medications over 4Â years compared with patients assignedÂ to a low-fat diet”.
The paper outlines that the primary physiological actions depend on which diet is followed.
It listsÂ advantagesÂ of using diet, including aÂ low carbohydrate dietÂ in the management of T2D symptoms in adults is that dietary changes areÂ inexpensive and haveÂ no side effects.Â
Disadvantages of using diet, including aÂ low carbohydrate dietÂ in the management of T2D symptoms in adults is that it requires instruction, motivation, lifelong behaviour change and may pose some social barriers.
Yes, a well-designed low carbohydrate diet does require instruction, but for those that have the motivation to avoid the chronic health complications of Diabetes through diet and who are committed to maintaining the behaviour change, I can help!
Perhaps you’re curious about the types of services that I provide both in person in my Coquitlam, British Columbia office and via Distance Consultation? You can find out more under the Services tab or in the Shop.
If you have questions regarding getting started or would like more information, pleaseÂ send me a note using theÂ Contact MeÂ form above and I will be happy to reply as soon as I’m able to.
To your good health!
P.S. Read here why the ADA and EASD classifying a low carb diet as Medical Nutrition Therapy is so significant!
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Copyright Â©2018 BetterByDesign Nutrition Ltd.
LEGAL NOTICE: The contents of this blog, includingÂ text, images and cited statistics as well as all other material contained here (the â€œcontentâ€) are for information purposes only. Â The content is not intended to be a substitute for professional advice, medical diagnosis and/or treatment and is not suitable for self-administration without the knowledge of your physician and regular monitoring by your physician. Do not disregard medical advice and always consultÂ your physician with any questions you may have regarding a medical condition or before implementing anythingÂ you have read or heard in our content.
- Davies M.J.,Â Dâ€™Alessio D.A., Fradkin J., et al,Â Management of Hyperglycemia
in Type 2 Diabetes, 2018.Â A Consensus Report by theÂ American Diabetes AssociationÂ (ADA) and the European AssociationÂ for the Study of Diabetes (EASD), Diabetes Care, October 2018,Â https://doi.org/10.2337/dci18-0033. Click here for pdf of the full article (on an affiliate web page).
- Diabetes Australia,Â Low Carbohydrate Eating for People with DiabetesÂ â€“ Position Statement, August 2018,Â Â https://www.diabetesqld.org.au/media-centre/2018/august/low-carb-position-statement.aspxÂ andÂ https://www.diabetesqld.org.au/media/583017/da-low-carb-statement-21-august-2018.pdf
- Hallberg, S.J., McKenzie, A.L., Williams, P.T. et al. Diabetes Ther (2018). Effectiveness and Safety of a Novel Care Model for the Management of Type 2 Diabetes at 1 Year: An Open-Label, Non-Randomized, Controlled Study.Â https://doi.org/10.1007/s13300-018-0373-9