Just catching up on my blogging and continuing a closer look at nutrition and health.
This paper discusses a different and emerging approach about diet in people with diabetes, beginning with the declaration that we really don’t know what the optimal diet for people with diabetic is:
The optimal degree of caloric restriction and macronutrient distribution of medical nutritional therapy in T2DM is not well defined.
Traditionally, a low-fat diet has been prescribed, which really is a high-carbohydrate diet that brings with it questions about why feeding carbohydrates to people who are intolerant of them makes sense.
In some of the work I do, and the work I am doing now, it is a continual source of marvel that some of the most important scholars in a field (you name it) do not have an identity in social media (Do physicians tweet about environmental stewardship in health care?). I give presentations and talks to them about this…and some of them invite me to give them presentations and talks about this (oh, like this one: Dialogue about #hcsm at the 2013 #AAMCJtMtg – Academic Medicine and Social Media).
In this particular space, I think it’s even more critical because from my perspective, even as a physician, it’s not possible to understand the meaning of a published paper without asking questions.
For some reason, I have always had a keen interest in my personal health – I took nutritional sciences courses in college before I went to medical school, something only a few of us pre-med students did.
To this day, I still remember a curious statement in my Pathology textbook (and while writing this post, I confirmed that it was there, as of the 2005 Edition). It said:
Risk Factors for Atherosclerosis: Lesser, Uncertain, or Nonquantitated: High carbohydrate intake
I thought that was strange since we, and all of America, were/are being told to indulge in a high carbohydrate diet.
This book, by Nina Techolz, develops that theme in exquisite detail.
After reading the study about the impact of (a certain type of) wearable devices on weight loss (See: Just Read: Study – Wearables don’t improve weight loss – can you outrun a bad diet? ) – answer, not much – I also read this study at the same time that focused on exercise and diet in a very different way, and had much different outcomes.
“When I wore an exercise tracker, it DEmotivated me…” – quote from attendee at recent convening.
This study published in JAMA a few weeks ago (September, 2016), produced the unexpected (and curious) results.
Overweight and obese randomized to receive wearable devices as part of a weight loss program gained back more weight than users who did not receive wearables, after an initial 6 month weight loss.