Study:Dietary carbohydrate restriction in type 2 diabetes mellitus and metabolic syndrome: time for a critical appraisa

Abstract (provisional)
Current nutritional approaches to metabolism syndrome and type 2 diabetes
generally rely on reductions in dietary fat. The success of such approaches
has been limited and therapy more generally relies on pharmacology. The
argument is made that a re-evaluation of the role of carbohydrate
restriction, the historical and intuitive approach to the problem, may
provide an alternative and possibly superior dietary strategy. The rationale
is based on the accepted idea that carbohydrate restriction improves
glycemic control and reduces insulin fluctuations which are primary targets.
Experiments are summarized showing that carbohydrate-restricted diets are at
least as effective for weight loss as low-fat diets and that substitution of
fat for carbohydrate is generally beneficial for risk of cardiovascular
disease. These positive effects of carbohydrate restriction do not require
weight loss. Finally, the point is re-iterated that carbohydrate restriction
improves all of the features of metabolic syndrome.

http://www.nutritionandmetabolism.com/content/5/1/9

On Wed, 9 Apr 2008 20:18:07 -0400, "Roger Zoul"
wrote:

Abstract (provisional)
Current nutritional approaches to metabolism syndrome and type 2 diabetes
generally rely on reductions in dietary fat. The success of such approaches
has been limited and therapy more generally relies on pharmacology. The
argument is made that a re-evaluation of the role of carbohydrate
restriction, the historical and intuitive approach to the problem, may
provide an alternative and possibly superior dietary strategy. The rationale
is based on the accepted idea that carbohydrate restriction improves
glycemic control and reduces insulin fluctuations which are primary targets.
Experiments are summarized showing that carbohydrate-restricted diets are at
least as effective for weight loss as low-fat diets and that substitution of
fat for carbohydrate is generally beneficial for risk of cardiovascular
disease. These positive effects of carbohydrate restriction do not require
weight loss. Finally, the point is re-iterated that carbohydrate restriction
improves all of the features of metabolic syndrome.

http://www.nutritionandmetabolism.com/content/5/1/9


This is actually kind of funny. They're just now figuring that out?
:-D
---
Peter
270/220/180

"Marengo" wrote in message
...
On Wed, 9 Apr 2008 20:18:07 -0400, "Roger Zoul"
wrote:

Abstract (provisional)
Current nutritional approaches to metabolism syndrome and type 2 diabetes
generally rely on reductions in dietary fat. The success of such
approaches
has been limited and therapy more generally relies on pharmacology. The
argument is made that a re-evaluation of the role of carbohydrate
restriction, the historical and intuitive approach to the problem, may
provide an alternative and possibly superior dietary strategy. The
rationale
is based on the accepted idea that carbohydrate restriction improves
glycemic control and reduces insulin fluctuations which are primary
targets.
Experiments are summarized showing that carbohydrate-restricted diets are
at
least as effective for weight loss as low-fat diets and that substitution
of
fat for carbohydrate is generally beneficial for risk of cardiovascular
disease. These positive effects of carbohydrate restriction do not require
weight loss. Finally, the point is re-iterated that carbohydrate
restriction
improves all of the features of metabolic syndrome.

http://www.nutritionandmetabolism.com/content/5/1/9


This is actually kind of funny. They're just now figuring that out?
:-D

This information is dreadfully needed inside the established medical
community - for they are truly blind.

On Thu, 10 Apr 2008 01:32:09 -0500, Marengo wrote:

This is actually kind of funny. They're just now figuring that out?
:-D

I recognize many names on this as people who figured it out years ago:
Volek, Vernon, Bernstein, Wortman, and Feinman. This might be something
that has come out of the nutrition and metabolism symposium going on in
Phoenix this week. It's possible they're just trying to spread the good
word.

Side note: I have an appointment scheduled with Dr. Vernon this coming
Tuesday. I have to say it's the first time I've actually been a bit
excited about going to a doctor. I just hope it doesn't get cancelled
(again). I had blood tests done by another doctor last week. My TG was
81, HDL 63, and calculated LDL was 183. The doctor had noted at the
bottom, "Cholesterol needs treatment." Shudder. While I realize the
LDL does look high, I'm certainly not going on statins based on
calculated LDL when the TG and HDL look like that.

L.

On Thu, 10 Apr 2008 12:36:07 -0400, Susan wrote:

Lorraine, your TGL and HDL ratio indicates that your LDL (mine is just
as high and I'm not concerned) is likely the large, bouyant type. You
might want a direct measurement to be sure. Also, elevated LDL is often
a sign of low adrenal/steroid hormones, all of which are made from LDL
cholesterol, so you should really look into that.

Well, since you brought it up... I'm wondering what additional tests to
request. She did run a test on DHEA (result=17.9 ref range=1.04-4.5),
but refused to run anything else in the adrenal realm. She noted on the
DHEA page, "can be PCOS or adrenal problem. Needs further testing."

Any suggestions on what to request, or anything I need to make sure she
runs?

Thanks,
L.

On Thu, 10 Apr 2008 04:01:08 -0400, "Roger Zoul"
wrote:


"Marengo" wrote in message
.. .
On Wed, 9 Apr 2008 20:18:07 -0400, "Roger Zoul"
wrote:

Abstract (provisional)
Current nutritional approaches to metabolism syndrome and type 2 diabetes
generally rely on reductions in dietary fat. The success of such
approaches
has been limited and therapy more generally relies on pharmacology. The
argument is made that a re-evaluation of the role of carbohydrate
restriction, the historical and intuitive approach to the problem, may
provide an alternative and possibly superior dietary strategy. The
rationale
is based on the accepted idea that carbohydrate restriction improves
glycemic control and reduces insulin fluctuations which are primary
targets.
Experiments are summarized showing that carbohydrate-restricted diets are
at
least as effective for weight loss as low-fat diets and that substitution
of
fat for carbohydrate is generally beneficial for risk of cardiovascular
disease. These positive effects of carbohydrate restriction do not require
weight loss. Finally, the point is re-iterated that carbohydrate
restriction
improves all of the features of metabolic syndrome.

http://www.nutritionandmetabolism.com/content/5/1/9


This is actually kind of funny. They're just now figuring that out?
:-D

This information is dreadfully needed inside the established medical
community - for they are truly blind.


That's true. Maybe this will help dispel some of the pre-conceived
notions of a low fat diet being ideal for diabetics rather than low
carb.
---
Peter
270/217/180

On Thu, 10 Apr 2008 11:49:45 -0500, Lorraine
wrote:

On Thu, 10 Apr 2008 12:36:07 -0400, Susan wrote:

Lorraine, your TGL and HDL ratio indicates that your LDL (mine is just
as high and I'm not concerned) is likely the large, bouyant type. You
might want a direct measurement to be sure. Also, elevated LDL is often
a sign of low adrenal/steroid hormones, all of which are made from LDL
cholesterol, so you should really look into that.

Well, since you brought it up... I'm wondering what additional tests to
request. She did run a test on DHEA (result=17.9 ref range=1.04-4.5),
but refused to run anything else in the adrenal realm. She noted on the
DHEA page, "can be PCOS or adrenal problem. Needs further testing."

Any suggestions on what to request, or anything I need to make sure she
runs?

Thanks,
L.

There is a test available called a "VAP" test that I've just been
reading about lately. It has to be requested, most doctor's don't
order it automatically, and most insurance covers it from what I
understand. I further breaks the LDL down by particle size and is a
better predictor of cholesterol and cardiovascular health than just
the total LDL. I plan on requesting a VAP test when I go in for my
next scheduled bloodwork (which is in June).

There are many articles about the VAP test online, this is just one of
them: http://www.atherotech.com/HealthcareProfessionals/
---
Peter
270/217/180