No, no, sunshine-girl, I think I’ve confused the issue without meaning to. Sorry folks.
I think that when you deal with nutritional advice to large populations, it is right to have good research to back up what you say and what you recommend. The Newcastle and other research is now coming to some very helpful conclusions about reducing refined carbs, and the benefits of low carbs to assist swift weight reduction, with consequent benefits on health in general and diabetic tendencies in particular. We are increasingly seeing this in terms of recommendations for Mediterranean diets.
I feel that it doesn’t help that doctors have extremely limited education on nutritional matters, and in addition have extremely limited time to spend with patients advising them. You only have to talk to friends and relations to get the ‘what, no bread!!!! what no potatoes!!! I could never do that…..” reaction. And of course, depending on what your diet has been, removing these refined carbs may make you feel a bit ill to start off with.
In addition, the cynical may point out (with some justification) that there may also be huge pressure from the food industry not to make changes to the ‘5 a day, low fat’ mantra we’ve all been living with. Let alone the ‘carbs with every meal’ Diabetic nurses’ lectures.
I simply jumped in to the discussion to add how frustrating it was that the advice about low-fat was not subjected to the same rigour.
In terms of buying everyone MMs book, we can all do our bit to demonstrate our own experience, and also quote what you yourself said in your reply to Theone on another thread (I’ve been repeating this to as many people as I can, thank you for writing it, by the way)
“a page printed from the Public Health Collaboration on Healthy Eating Guidelines and Weight Loss for the United Kingdom. The site is phcuk.org, an official government site for public health.
Conclusion on page 24 said in 2008 “Evidence from this systematic review demonstrates that low-carbohydrate/high-protein diets are more effective at 6 months and are as effective, if not more, as low-fat diets in reducing weight and cardiovascular
disease risk up to 1 year. More evidence and longer-term studies are needed to assessthe long-term cardiovascular benefits from the weight loss achieved using these diets.” That was in 2008
Finally, in February 2016 the fourth specific analysis was published in the British Journal of Nutrition finding that “Compared with subjects on low-fat diets, subjects on low-carbohydrate diets experienced significantly greater weight loss, greater triglycerides
reduction and greater increase in HDL-cholesterol after 6 months to 2 years of intervention.”
So between 2008 and 2016 the medical advice on nutrition has changed from thinking low carb might be a good idea to 2016 concluding it is a great idea. They go on to say that they are concerned that NICE are not taking up this advice and, in particular, still advocating high carb, low fat diets when it has been shown that low fat leads to fatter people. Apparently NICE are waiting for trial to end so phuk have carried out their own trials and their final final conclusion is:
In light of this scientific evidence the Public Health Collaboration recommends thatthe guidelines for weight loss in the UK should include an ad libitum low-carbohydrate-high-fat diet of real foods as an acceptable, effective and safe approach”
Onwards and upwards with the BSD.