There is no ADA diet

The recommendations of the latest nutritional therapy for the management of adults with diabetes from the American Diabetes Association (ADA) published found that the diet of people with diabetes and prediabetes should be tailored to the individual, and if a healthy diet low in carbohydrates helps patients to control sugar levels in the blood, it is within the parameters of what to advise them. People rays ADA emphasize that there is no ADA diet, and the amount of carbohydrates, fats and proteins in the diet should be adjusted to (to fulfill the objectives of treatment and mode of life of the patients are willing and able to do). For weight loss and controlling blood sugar, low-carb diet is one of the recommended options, if this approach works best for the individual. Spokesman for the state, that this is also for many years.

Problem: Many people do not seem the acceptance of low carb diets vis a vis know the management of diabetes. This is also true for diabetics (and others in the spectrum of diabetes, such as those with pre-diabetes), but also health care, including diabetes educators, and researchers from the diet, often with the "ADA standard" as a control group. Scheme turns out to be a source of frustration for those with ADA. I had the opportunity to work with Stephanie Dunbar, the nutritionist who is the director of nutrition and medical affairs at the American Diabetes Association, and speak Elisabeth Mayer-Davis, professor of nutrition at the University of North Carolina at Chapel Hill and a member of the Executive Board of American Diabetes Association. We discussed these and other issues related to low-carb diets and diabetes.

As the myth of the ADA to start diet? Dunbar says, it really is not known, but it was persistent. She says that for almost 30 years, has focused on the personalization of diabetic diet for each individual.

How about proposed with a low-carb approach, that to start the default method? Dunbar said most people, the amount of carbohydrates you suggest starting before () 45-60 grams of total carbohydrates (net per meal) is a strong reducing carbohydrates, for most people. "You can not underestimate the number of carbohydrates are already eating," he said, adding that the goal is that people gradually and sequential changes that can help. (I think there is merit in this approach for some people, but there are also advantages in the opposite approach.)

The importance of a healthy diet - Dunbar stressed that no matter how much carbohydrate in the diet, the focus should go on that diet is healthy. Healthy fats such as olive oil, avocado, nuts, etc., should be emphasized (avoiding saturated fats), eat a lot of different non-starchy vegetables and plenty of fiber, some of the most important points. More information on the website of the ADA

Both women said that the research shows is that some people are easy to control on a focus on low-fat blood sugar, but I noticed that the themes of most of these studies were to lose weight, and weight loss is a small time in a person's life. Mayer-Davis agreed, saying that "there is much we do not know the individual variability in response to diet" and the possible influence of diet on the risk factors for different people. There are many different genes which may contribute to the risk of diabetes, and can interact with a diet in different ways. and focus on the support of people, a personal their diet.

Dunbar believes that the absence of diabetes and diabetes educator training in general to be a big problem. There are over 26 million people with diabetes in the United States and only 17,000 diabetes educators. She believes that diabetics are often unable to obtain the advice they need to deal effectively with this difficult situation. She said some diabetes educators and providers of health care are not always aware of evolving standards, or have developed ideas about the best course of action. It also notes that accreditation for diabetes educators is not on the ADA together. This is done by the National Certification Board of Diabetes Educators.

I agree that people often feel they are located. I listen to the people who come to this site for help and often hear stories of patients whose diabetes is not supported educators and professionals of health or advise on the following low-carb approach to weight loss and blood sugar control. I think it's a little sad when I know healthy low-carb approach has been incredibly useful for many.

The Bottom Line: Everyone agrees that while the system is suitable for the same nutrients, the amount of carbohydrates are adapted to each person. One of the great tools have diabetes is that their blood glucose meters can help.

_Sources:

_{American Diabetes Association. Standards of medical care in diabetes Diabetes Care 2012. Jan. 2012 vol. 35 no. Supplement 1, S11-S63.}

_{Dunbar, Stephanie. The personal communication. 2012}

_{Mayer-Davis, Elizabeth. The personal communication. In 2012.}