Dean's World

Defending the liberal tradition in history, science, and philosophy.

Low-Carb Diets Help Control Diabetes (And Other Heresies)

Those of us who have personal experience with very low-carb diets, and who've been part of support groups for those using the diets, have long known that the Atkins diet works remarkably well for helping many diabetics achieve blood sugar control. Indeed, many diabetics who stick to the diet can give up all their medications, or at least go from a fistfull of pills a day to perhaps one or two. Even insulin-dependent diabetics can often reduce their daily injections to only a few small ones a day when they're on this diet.

I was at one point in contact with literally hundreds of diabetics (and more than one working physician) reporting such results. The most amusing thing being that medical authorities continued to fulminate at us that such results were impossible, were voodoo medicine, could not possibly work and would almost certainly mess these patients up badly.

Now researchers in New Zealand have given scientific confirmation that the very-low-carb "Atkins" diet substantially improves diabetes.

This on top of many studies released the last few years showing that Atkins-style diets work well for weight loss for many people--and do not cause the liver damage, kidney damage, hypercholesterolemia, or other harm that medical authorities long claimed.

This is no surprise to those of us who've spent time exploring and studying such diets. Indeed, it's just confirmation that the conventional wisdom from medical authorities is often wildly at odds with reality. The years I spent in the 1990s being abused by medical authorities for saying "low carb diets work, and aren't dangerous, and help diabetics!" have served as a model for me about the dangers of simply accepting conventional medical wisdom. Yes, doctors are often right about many things--but they're often wrong.

They're human, as it turns out.

Speaking of questioning standard medical advice, Cinomed has a review of a film which questions standard medical advice on a completely different issue.

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DSmith (mail) (www):
I guess I don't get it, not being a doctor. Carbs just turn to sugar when they hit the stomach. So how could a low-carb diet *not* help diabetics? Under what hypothetical circumstances?
5.24.2005 1:16pm
Scott Kirwin (mail) (www):
Dean
Pro-Atkins. Anti-HIV hypothesis...

Ever consider becoming a doctor? We need some skeptics like you in the profession.
5.24.2005 1:37pm
Bryan Costin (mail) (www):
A co-worker of mine was recently diagnosed with diabetes, and was ordered by his doctor to go an Atkins-like diet almost immediately. He noticed an immediate change for the better and has kept his blood sugar under control since then. I suppose some doctors have already seen the light.
5.24.2005 1:58pm
Frank Harrison (mail) (www):
I don't have diabetes, but I am looking to lose about 20-30 pounds. I've tried low-carb in the past, but gave up too early. I'm ready to give it another go, and this research just gives me more encouragement!
5.24.2005 2:15pm
Bill from INDC Journal (mail):
As far as one diet can be labeled a "one-size-fits-all" diet, a low(er) carb diet focusing on clean proteins (fish, chicken) and anti-inflammatory (plant based) fats is the standard for good health.
5.24.2005 2:28pm
Dean Esmay:
The best expert on the value of low-carb diets isn't Robert Atkins, it's a guy named Richard Bernstein--who happens to be the world's oldest living Type I diabetic, and makes his entire practice treating diabetics (and hypoglycemics) with a diet quite similar to Atkins.

When I was on Atkins my cholesterol got better and my energy levels were better. Problem: I lack the discipline, and the cravings are a bitch.

(Mind you, hunger's an even bigger bitch on other diets, so it's Hobson's choice.)

I studied low-carb diets for years, and talked to all sorts of scientists and physicians about it. The pattern was always the same: those with direct experience with it were cautious but believed it was efficacious for many people, while those who didn't routinely trashed it in the most angry and hysterical of ways.

It appears to be a recurrent pattern whenever there's solid scientific reason to question a reigning medical paradigm. Look at how many med students are STILL being taught that all that's cut away in a circumcision is "a flap of skin," when we've known--with rigorous scientific proof--that that's a bunch of bullshit for a long time now.
5.24.2005 2:45pm
Bill from INDC Journal (mail):
Problem: I lack the discipline, and the cravings are a bitch.

To be honest with you, this surprises the heck out of me. I've gone through two transitions to no sugar - lower carb diets, and what always strikes me is how hard it is at the beginning, but once into it for a month or two, the cravings for carbs nearly evaporate.

Your body actually reprograms its desires, to some extent, and much of this is based on breaking the cycle of sugar/insulin/seratonin/etc. spikes followed by precipitous valleys. There is so much overwhelming evidence, beyond just diabetes, of how a diet low in sugar is good for so many aspects of health. It's really remarkable.
5.24.2005 3:26pm
Jeremy Parker (www):
I was taught this at Clemson in a biochemistry course entitled...gasp..."Metabolism".

Makes sense.
5.24.2005 6:49pm
Jeremy Parker (www):
Err...strike that.

I was confusing the fact that ketogenic diets are used to treat seizures with this information presented here.

So nevermind...but the diabetic thing still makes sense.
5.24.2005 6:50pm
Dean Esmay:
What I'm hearing is that most med students these days are being taught that the low-carb diets are not dangerous and can be efficacious--as opposed to 10-20 years ago, when they were teaching them that these diets would destroy your liver, your kidneys, impair brain function, impair athletic performance, raise cholesterol, etc. Unfortunately, decades of research has shown all that to be demonstrably false (in most cases--some people obviously don't react well to these diets, they're not a panacea).
5.24.2005 7:15pm
maggie may - labrat:
1. Diet shouldn't be about Hi-Carb vs Lo-Carb or Lo-fat vs High-fat, it should be about nourishing your body with nutritient dense real unadulterated and essential foods.
2. "Carbs" is newspeak in a way. To call highly processed products like refined sugar and flour, HFCS, etc "food" is a stretch. Sure they supply the body fuel (glucose), but the body isn't an engine or a bomb calorimeter, it's a complex biochemical marvel that requires and array of essential nutrients for optimim performance. Those who are proponents of lo-carb diets aren't really against eating foods that contain carbohydrates, they simply recognize that there is no real "food" value to a donut. Do you want to eat to give your body fuel or do you want to nourish it? By defining non-foods like sugar as a "carb" it legitimizes it as a food group.
3. The greatest mistake modern medicine ever made was the diet/choesterol/saturated fat myth. Saturated fat consumption and high cholesterol levels are not responsible for heart disease and the longest running study of the matter in Framingham demonstrated that quite clearly.
Or maybe it wasn't a mistake? In spite of all the evidence to the contrary it is oft quoted as a source for cholesterol phobic heart disease prevention strategies that drive millions of people to the lab for lipid panels and millions more to the drug store for their statins. We are brainwashed into thinking we are improving our health with this strategy on the basis of carefully designed clinical trials that show absolutely no change in overall mortality. None.

My own hypothesis on why Americans are getting fatter and fatter is that despite our high caloric intake, we are starving for essential micronutrients. We are eating fuel not food.
5.24.2005 10:21pm
maggie may - labrat:
oy! the typos!

I need sleep.

...another we deprive ourselves of. :(
G'night.
5.24.2005 10:24pm
Bill:
maggie may has a good take on things.

I do best when I limit myself to relatively lean meat/fish/fowl and generous portions of low-starch veggies. Trouble is, every once in a while I yield to the temptation of beer and pizza, and then I feel like crap for a few days. In the moment, it seems like a good bargain, but in my more lucid moments, I see the flaw in my reasoning.

Happy are those who seek virtue spontaneously. The rest of us have to struggle.

Bill
5.25.2005 1:03am
Bill from INDC Journal (mail):
maggie -

Those who are proponents of lo-carb diets aren't really against eating foods that contain carbohydrates, they simply recognize that there is no real "food" value to a donut. Do you want to eat to give your body fuel or do you want to nourish it? By defining non-foods like sugar as a "carb" it legitimizes it as a food group.

I couldn't agree with you more.
5.25.2005 9:01am
maor (mail):
I was taught in a biology course that low-carb diets don't cause ketosis, only no carb, low protein diets (which are really hard to achieve anyway) do.
Of course, that was less than 10 years ago, but not much less.

But my first thought was:
"Doctors don't recommend low-carb diets for diabetics?!
Then what the heck DO they recommend?"

A search on the internet reveals that they recommend diabetics eat what everybody else is supposed to eat. I don't think that really counts.
5.25.2005 10:00am
maggie may - labrat:
You didn't look hard enough maor, the ADA diet recommended for diabetics is the absolute worst. Go to their site, they have their own diabetic pyramid, with bread, pasta and cereal at it's base. The only "demon" is the dreaded saturated fat and transfats (which was introduced into the American diet as a direct result of the demonization of butter). Their recommendations are guaranteed to make you a patient for life. I have yet to meet a diabetic who followed their advice that didn't gain weight and find themselves on a minimum of 5 drugs within a few years of diagnosis, not one.
5.25.2005 12:52pm
Dean Esmay:
Ketosis is not a particularly dangerous state, nor is it unnatural; those are two of many common misconceptions about very low carb diets.

Very low-carb diets like Atkins are quite "natural," as much so as most dietary regimens and quite a bit more natural than, say, vegetarianism or that silly "food pyramid" the USDA puts out.

(Like I say, I almost wrote a book on this.)
5.26.2005 12:34am