For sugar lovers, carbs are no beasts!

Original title: For sugar lovers, carbohydrates are not the beast! American Diabetes Association Annual Meeting Express

Recently, at the 2022 annual meeting of the American Diabetes Association, Maureen Chomko, a nutritionist and diabetes management and education expert from Seattle, USA, pointed out that among diabetic patients, there are some questions about the calculation method of net carbohydrates and the impact of artificial sweeteners on health.

Recently, at the 2022 annual meeting of the American Diabetes Association, Maureen Chomko, a nutritionist and diabetes management and education expert from Seattle, USA, pointed out that among diabetic patients, there are some questions about the calculation method of net carbohydrates and the impact of artificial sweeteners on health.

Chomko emphasizes that for diabetics, carbohydrates are not a scourge, to stop counting Chomko emphasizes that for diabetics, carbohydrates are not a scourge, to stop counting Chomko emphasizes that for diabetics, carbohydrates are not a scourge, to stop Calculate net net carbs

Counting net carbs is a concept popularized about 20 years ago by the Atkins diet, an eating pattern that encourages people to track net carbs by subtracting fiber and sugar alcohol intake from total carbs.

However, not all fiber is created equal, insoluble fiber cannot be converted into carbohydrates or calories, and there is no clear evidence of how much carbohydrate and calories are digested from soluble fiber

In addition, contrary to the claims of many food manufacturers, sugar alcohols also affect postprandial blood glucose response, and the content of sugar alcohols varies depending on the substrate used in various foods and the country of production

The term net carbs assumes that all fiber and sugar alcohol-induced glycemic responses are easily predictable and have the same exact effect on everyone

Therefore, counting net carbohydrates is not recommended, especially in those undergoing dietary and exercise interventions or participating in non-drug diet programs

Chomko noted that the evidence that artificial sweeteners are harmful to health is weak

Many studies on artificial sweeteners have limitations, and it is currently difficult to establish that artificial sweeteners are harmful to health

A systematic review and meta-analysis published in 2017 showed that the effects of artificial sweeteners on metabolic health are complex

Chomko believes that the current study cannot prove that artificial sweeteners are beneficial for weight management or diabetes prevention, nor can they establish that artificial sweeteners are associated with each of these risks

Because of the potential adverse health effects of artificial sweeteners, healthcare providers should encourage patients to substitute water for other beverages

Chomko points out that for most people with diabetes, it is safe to eat a very low-carb diet in the short term

Numerous studies have shown the benefits of eating a very low-carb and ketogenic diet for up to 1 year in people with diabetes

However, a low-carb eating pattern may not be safe for everyone, so it is important to understand why patients are following this diet

People with diabetes who want to try the ketogenic diet need to pay extra attention to whether they have a family history of cardiovascular disease or dyslipidemia
.
Blood lipids should be checked when starting the ketogenic diet and after 1 to 3 months to ensure that LDL-C does not rise too much
.
People with diabetes who want to try the ketogenic diet need to pay extra attention to whether they have a family history of cardiovascular disease or dyslipidemia
.
Blood lipids should be checked when starting the ketogenic diet and after 1 to 3 months to ensure that LDL-C does not rise too much
.

The risk of hypoglycemia increases if the doses of insulin and sulfonylureas used by the patient are not reduced
.
SGLT2 inhibitors should not be used when eating a very low-carb or ketogenic diet because of the potential for normoglycemic diabetic ketoacidosis
.

The risk of hypoglycemia increases if the doses of insulin and sulfonylureas used by the patient are not reduced
.
SGLT2 inhibitors should not be used when eating a very low-carb or ketogenic diet because of the potential for normoglycemic diabetic ketoacidosis
.
The risk of hypoglycemia increases if the doses of insulin and sulfonylureas used by the patient are not reduced
.
SGLT2 inhibitors should not be used when eating a very low-carb or ketogenic diet because of the potential for normoglycemic diabetic ketoacidosis
.

There are differences in the safety of very low-carbohydrate diets in patients with diabetes and chronic kidney disease
.
Patients need to control their protein intake to 10% to 35%, otherwise there may be safety issues
.
In addition, patients with stage 4-5 chronic kidney disease may be at risk, and a very low-carbohydrate diet may lead to impaired urinary ketone excretion and electrolyte imbalance
.

There are differences in the safety of very low-carbohydrate diets in patients with diabetes and chronic kidney disease
.
Patients need to control their protein intake to 10% to 35%, otherwise there may be safety issues
.
In addition, patients with stage 4-5 chronic kidney disease may be at risk, and a very low-carbohydrate diet may lead to impaired urinary ketone excretion and electrolyte imbalance
.
There are differences in the safety of very low-carbohydrate diets in patients with diabetes and chronic kidney disease
.
Patients need to control their protein intake to 10% to 35%, otherwise there may be safety issues
.
In addition, patients with stage 4-5 chronic kidney disease may be at risk, and a very low-carbohydrate diet may lead to impaired urinary ketone excretion and electrolyte imbalance
.

In general, very low-carbohydrate and ketogenic diets are safe in the short term for most patients, as long as glucose-lowering medication is adjusted and laboratory monitoring is performed
.

In general, very low-carbohydrate and ketogenic diets are safe in the short term for most patients, as long as glucose-lowering medication is adjusted and laboratory monitoring is performed
.
In general, very low-carbohydrate and ketogenic diets are safe in the short term for most patients, as long as glucose-lowering medication is adjusted and laboratory monitoring is performed
.

Source: Use evidence to debunk myths about net carbs, artificial sweeteners, low-carb diets.
Healio, June 04, 2022

Source: Use evidence to debunk myths about net carbs, artificial sweeteners, low-carb diets.
Healio, June 04, 2022

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