Disappointed with DUK to see this news article pop up on my feed today...

[rebrascora]

MSN

I would like to think that this is an old article, but continuing to perpetuate this information is so frustrating to those of us who know from experience that it isn't helpful. Porridge is cereal ie made from grain a cereal. Wholemeal has almost identical carb content to white. Eat banana instead of jam! Arrgh!

 

[Satan’s little helper]

MSN

I would like to think that this is an old article, but continuing to perpetuate this information is so frustrating to those of us who know from experience that it isn't helpful. Porridge is cereal ie made from grain a cereal. Wholemeal has almost identical carb content to white. Eat banana instead of jam! Arrgh!

It looks like it was cobbled together for the “daily Mirror” a day ago? The author Tim Hanlon seems to have sourced the NHS too.

 

[nonethewiser]

From own perspective can't really fault article as eat porridge wholemeal bread & fruit, also do try to cut back on processed meats so do opt for oily fish sometimes & have odd day where meals don't contain any meat.

Low fat advice is iffy if anything as I don't avoid it but don't deliberately overdo it as prefer meals to be balanced, cutting back on sugar & salt is good advice in article.

Can see advice might be problematic for those who are diet controlled though.

 

[Leadinglights]

As the article is specifically targeted at Type 2 diabetics and looking at the headline picture of a BIG bowl of cereal with what appears to be sliced banana is just the sort of misinformation that leads to people not getting to grips with the concept of needing to reduce carbohydrates. Even recommending 150ml fruit juice and smoothies, though to be fair it says whole fruit is best but pasta and starchy veg ????

 

[Dragonheart]

And this kind of advice is why it took me 5 yrs to join this particular forum (having looked at and discarded it initially) and makes me doubt what this organisation says about type 2. How can I take them seriously when they tell me to eat stuff that makes me sicker?

 

[rebrascora]

And this kind of advice is why it took me 5 yrs to join this particular forum (having looked at and discarded it initially) and makes me doubt what this organisation says about type 2. How can I take them seriously when they tell me to eat stuff that makes me sicker?

At least this forum and members like you are here to balance the information the main DUK site promotes.

 

[AndBreathe]

MSN

I would like to think that this is an old article, but continuing to perpetuate this information is so frustrating to those of us who know from experience that it isn't helpful. Porridge is cereal ie made from grain a cereal. Wholemeal has almost identical carb content to white. Eat banana instead of jam! Arrgh!

It's definitely a worry.

I remember nearly busting a gut when a registered dietician attending our local DUK group meeting, recommended malt loaf as a suitable snack for T2s.

Over the tea break, I challenged why malt loaf could be a great snack for a metabolically challenged individual. She explained that most T2s she saw were eating all manner o f stuff, but a slice of malt loaf would be a seismic shift in diet. Often they would be consuming multi bags of crisps followed by packets of biscuits, but in a group of relatively longstanding T2s, I felt it beyond bonkers.

WhatdoIknow?

 

[EmmaL76]

People should aim to eat fruit, vegetables, and starchy foods like pasta, while keeping sugar, fat, and salt to a minimum.

Im sorry but there may be a few who can get away with this but for the majority this is terrible advice, and as for banana porridge 😳

 

[Dragonheart]

She explained that most T2s she saw were eating all manner o f stuff, but a slice of malt loaf would be a seismic shift in diet. Often they would be consuming multi bags of crisps followed by packets of biscuits,

Whilst that may be true for SOME type 2 it’s one hell of an assumption that it’s everyone. And surely there are better options they could be recommending?

Ultimately, even if it is a small improvement, what they are doing is recommending and legitimising foods that are harmful to most type 2. They are infantilising adults and failing to provide staged advice. Eg. This is better than that but this is what you are ultimately aiming for. That last part is extremely important

 

[AndBreathe]

Whilst that may be true for SOME type 2 it’s one hell of an assumption that it’s everyone. And surely there are better options they could be recommending?

Ultimately, even if it is a small improvement, what they are doing is recommending and legitimising foods that are harmful to most type 2. They are infantilising adults and failing to provide staged advice. Eg. This is better than that but this is what you are ultimately aiming for. That last part is extremely important

I don't disagree with anything you say here.

 

[Eddy Edson]

My guess is that this is less harmful than messaging seeking to make people nervous about fruit and whole grains, which are great for BP and lipids (generally at least as important as BG) and which, despite the Internet, do not cause eg insulin resistance or T2D.

Maybe it's necessary to limit portion sizes while getting a handle on a new T2D DX, if you get a big & long-lasting BG rise from individual examples of grains and fruit, and that should certainly be part of the messaging.

But that should go along with the message that it may well be that you won't need to restrict them forever, which is great, because in general they are super-healthy.

EDIT: Nutrition scientist Mario Kratz had a nice blog post & video yesterday, walking through the studies looking for a signal of increased insulin resistance due to carb consumption, and not finding it.

Do Carbs Cause Insulin Resistance? - Nourished by Science

A common claim on social media and in several nutrition books is that eating a high-carb diet causes insulin resistance. In this blog post, we review whether this claim is supported by scientific evidence.

nourishedbyscience.com

I guess increased insulin resistance => new or worsening T2D, obesity etc etc etc is the main claim for why all carbs are evil, apart from transient BG increases. It has been refuted over & over but it's one of those beliefs which seem pretty much evidence-proof, unfortunately.

 

[AndBreathe]

My guess is that this is less harmful than messaging seeking to make people nervous about fruit and whole grains, which are great for BP and lipids (generally at least as important as BG) and which, despite the Internet, do not cause eg insulin resistance or T2D.

Maybe it's necessary to limit portion sizes while getting a handle on a new T2D DX, if you get a big & long-lasting BG rise from individual examples of grains and fruit, and that should certainly be part of the messaging.

But that should go along with the message that it may well be that you won't need to restrict them forever, which is great, because in general they are super-healthy.

EDIT: Nutrition scientist Mario Kratz had a nice blog post & video yesterday, walking through the studies looking for a signal of increased insulin resistance due to carb consumption, and not finding it.

Do Carbs Cause Insulin Resistance? - Nourished by Science

A common claim on social media and in several nutrition books is that eating a high-carb diet causes insulin resistance. In this blog post, we review whether this claim is supported by scientific evidence.

nourishedbyscience.com

I guess increased insulin resistance => new or worsening T2D, obesity etc etc etc is the main claim for why all carbs are evil, apart from transient BG increases. It has been refuted over & over but it's one of those beliefs which seem pretty much evidence-proof, unfortunately.

I'll read the full article later, when I've finished my time critical tasks today, but these studies are hardly large or long, so in my world they weaken his arguments. At this point (and I apologise that I haven't read the article end to end), it is unclear if those study participants were healthy or metabolically challenged.

My better half is 76, eats as many carbs a day as he wants, with no evident insulin resistance and serial A1cs in the 20s, so, as we all know, we're not all the same.

 

[Dragonheart]

fruit and whole grains, ……which, despite the Internet, do not cause eg insulin resistance or T2D.


I guess increased insulin resistance => new or worsening T2D, obesity etc etc etc is the main claim for why all carbs are evil, apart from transient BG increases. It has been refuted over & over but it's one of those beliefs which seem pretty much evidence-proof, unfortunately.

In your opinion, and some scientists. Other scientists, researchers, doctors and people with type 2 disagree with your assessment of the evidence.

And I think the point usually is that fruits and whole grains (with the same carbs in as white versions) exacerbate a predisposition or existing type 2 rather than outright cause it. It’s not a black or white fact as you imply. They may well have other benefits, like fibre and micronutrients, but not to type 2 and those benefits are available from other sources like nuts, seeds and vegetables

A simple blood glucose check after a sandwich versus a salad with the same ingredients but no bread can demonstrate how whole grains can be an issue in type 2. Excess fructose contributes to non alcoholic fatty liver disease as the liver is the only place this can be stored as fat, and that in turn makes glucose control worse.

Arguing extremes either way is rarely accurate and creates straw man arguments.

 

[helli]

I think the text at the top of every page on the Forum is worth highlighting here

• ... Everyone manages their health differently. Please be mindful of this.

It's disappointing when clickbait news items do not consider this but it is harder to say that in a headline and not very interesting for headline grabbing.