Fad Diets in the Treatment of Diabetes |
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Authors: | Richard D Feinman |
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Institution: | Department of Cell Biology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA. richard.feinman@downstate.edu |
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Abstract: | Use of the term “fad diet” reflects the contentious nature of the debate in the treatment of diabetes and generally targets
diets based on carbohydrate restriction, the major challenge to traditional dietary therapy. Although standard low-fat diets
more accurately conform to the idea of a practice supported by social pressure rather than scientific data, it is suggested
that we might want to give up altogether unscientific terms like “fad” and “healthy.” Far from faddish, diets based on carbohydrate
restriction have been the historical treatment for diabetes and are still supported by basic biochemistry, and it is argued
that they should be considered the “default” diet, the one to try first, in diseases of carbohydrate intolerance or insulin
resistance. The barrier to acceptance of low-carbohydrate diets in the past has been concern about saturated fat, which might
be substituted for the carbohydrate that is removed. However, recent re-analysis of much old data shows that replacing carbohydrate
with saturated fat is, if anything, beneficial. The dialectic of impact of continued hemoglobin A1c versus effect of dietary saturated fat in the risk of cardiovascular disease is resolved in direction of glycemic control.
Putting biased language behind us and facing the impact of recent results that point to the value of low-carbohydrate diets
would offer patients the maximum number of options. |
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