Written by Annika Dahlqvist on 18 May, 2010 at 22:18
In February, 2008 the ACCORD study was presented http://www.lakartidningen.se/engine.php?articleId=8941 . They had studied two groups of type-2 diabetics, one with standard treatment, and the other with intensive blood glucose-lowering treatment for all possible pharmacological types. The result was increased mortality in the intensive group.
Then they encountered reading the recommendation that new onset type-2 diabetes should be treated intensively, but for those who have had the disease for many years they should accept a higher HbA1c (long sugar). Patients have been given by their doctors to know that it is dangerous to get low down in HbA1c to then increase the risk for death.
We LCHF representatives have consistently pointed out that by reducing their HbA1c by low carbohydrate diet, it can not be dangerous to come down to normal HbA1c, quite the opposite. But “no one” has listened to us, as usual.
Now it is a re-evaluation of the ACCORD study http://www.diabetesincontrol.com/index.php?option=com_content&view=article&id=9318 . They have then looked at who died in the intensive treatment group, and saw that it was those with high HbA1c.
It must then be the high medication that caused the poorly adjusted to die in the intensive treatment group. Any or some of the drugs increased the risk of death. For instance the glitazones (Avandia and Actos) have been shown to increase the risk of myocardial infarction.
Again, we LCHFs are by saying that if you reduce the carbohydrate intake that can bring down long-term blood sugar by decreasing medical charts rather than increased.
Sometime in the future they may start listening to us. In particular, the patient’s stories to their doctors on how they have become healthier with LCHF that can provide a pressure from below that can provide insight even with the higher professors.
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This has become commonplace in most (but not all) diabetes forums and newsgroups
ReplyDeletehttp://loraldiabetes.blogspot.com/2006/10/test-review-adjust.html
following such advice, inluding Test Test Test which protocol is now widely available from numerous websites, almost inevitably leads to a reduction in carbohydrate intake, followed by significant reduction and often normalisation of HbA1c, lipids and blood pressure.
Sadly what is also commonplace is doctors and especially dieticians telling their patients on no account to eat this dangerous and harmful diet :(
The ADA used to claim a maximum dietary improvement of 1 - 2% in A1c. When they (temporarily?) reduced their carbohydrate recommendation from 45 - 60% to 135g/day they expanded this to 1 - 2.9%
Yet in their very own forums people routinely reach 5 - 8% improvement and often over 10%. Inevitably by NOT following their dietary recommendations.
It looked briefly as if this was going to change, now it looks unlikely. It's worse in the UK where Official Advice is for doctors not to attempt to reduce A1c below 6.5%, and some doctors even tell their patients they must put their A1c UP, thanks to ACCORD.
Big major thanks to you for translating Annika's blog!