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Medical guidelines don’t include a diet low in carbohydrates
- reeiwhatu 10y agoHey, buzzard, are you cloth-eared? Come on, look at hotchas here http://bit.ly/2cl5OQg http://bit.ly/2cl5OQg
- colanderman 10y ago"This" being a low-carb diet. Even NYT stoops to click-baity headlines these days; what is the world coming to.
- fabiandesimone 10y agoif the content of the article is valid then getting the most people to read it seems like a good objective. If Clickbait helps, why not?
- Waterluvian 10y agoBecause a headline is meant to let the reader decide if it's worth reading. The newspaper doesn't get to make that call via. trickery.
- thesmallestcat 10y agoThis shit is showing up in almost every major paper now. Look at it on the bright side: Articles with titles using the clickbait style guide are instantly recognizable as the tripe. Because no paper's going to lead a local crime story, for instance, with "Pregnant Mother shot -- you'll never guess where" or "Mayor indicted for corruption was silent until he heard this." Newspaper clickbait has some common traits: National story, sensational, dull. It's either lazy pop science or a shock story about what somebody did three time zones away. So it's always safe to ignore.
- disruptalot 10y agoI'm actually happy that I was baited into reading it. Had the title been "low carb diet recommended for obesity", I would be on my way to the next headline.
- sctb 10y agoThanks, we updated the title from “Before You Spend $26,000 on Weight-Loss Surgery, Do This” to a representative phrase from the article.
- sago 10y agoAt what point will the constant background noise of people complaining about click-bait be more annoying than the wording of the headlines themselves?
- juandazapata 10y agoI have been doing Keto for 3 months and lost 20kg without any exercise at all.
- soneca 10y agoI have been doing a very flexible diet using low carb, high fat as guidelines for the last 6 years and I lost so far 16kg. No ups and downs, just a slow process of down-stable-down-stable... It is incredible when you have the right knowledge to make your own right decisions (i.e., know that low fat diets are BS).
- crispyambulance 10y agoThat's good, but don't make it sound like 3 months of Ketosis is "easier" than a full and strict exercise routine. That's an extraordinarily hard diet to follow.
- ng12 10y agoSays who? I did very strict Paleo and didn't find it that difficult. Remember the saying "abs are made in the kitchen". Working out is fine and good, but if you don't control your diet first you won't get anywhere.
- crispyambulance 10y agoIf by "keto" we're talking about "ketogenic diet" that's means the body has fundamentally changed its metabolism away from using glucose and instead uses ketones for energy. That's what ketosis actually is. Getting to this state and maintaining it is far harder than, say, paleo or mere "low carb". I don't have anything against any diet, just saying that ketosis isn't necessarily an easy alternative, it is an extreme practice. Most folks can do just fine with a bit of moderation in eating and regular exercise over the long-term (by long-term, I mean forever).
- DrScump 10y agoinstead uses ketones for energy Mostly free fatty acids, actually; also ketone bodies. Some organs require glucose, which can be made from protein via gluconeogenesis.
- geomark 10y agoOr if you really need surgery get it done for about a third of that price at a hospital that's probably done more than any other.[1] [1] http://medicaltravelsite.com/blog/gastric-banding-at-yanhee-hospital/ http://medicaltravelsite.com/blog/gastric-banding-at-yanhee-...
- tkyjonathan 10y agoEnough with this dumb Paleo stupidity. Sure you lose weight temporarily. But its not sustainable and greatly reduces your chances of... being alive. Whole-foods plant-based - I know its boring, but there are decades of science behind it. Eat your greens.
- raverbashing 10y agoFunny how the article does not even mention paleo.
- strommen 10y agoThe biggest dietary change involved for Paleo is eliminating heavily-processed high-carb foods: bread, pasta, donuts, pizza, candy. This is a major nutritional improvement for everybody. The high-fat aspect just helps people stick with it by making them feel full and also allowing them to indulge.
- tremendo 10y agoPaleo is macro-nutrient agnostic. Eliminating heavily processed foods, yes, but no need to sneak in the "high-carb" part. That heavily processed foods are commonly high carb (the examples you give) is not central to the principle. Yams would be a completely natural, non-processed high-carb whole food. As are potatoes. The high-fat aspect is not to help with satiation (protein does that better), it's just the reality of many un-processed or minimally processed whole foods, especially of animal origin but also nuts for example.
- itg 10y agoWhy is cutting out processed foods not sustainable? I've been doing it for more than four years by now.
- charlesism 10y agoThe Inuit did pretty well on a diet of whale blubber, so I doubt that fat is a problem. The Italians and French are pretty healthy, and they don't skimp on fats either. However, I do agree that we should all eat more fresh produce.
- raverbashing 10y agoThank the "low-fat/fat-free" craze for that. Associating dietary fat with body fat has been one of the worse mistakes in "nutrition" in the past decades. Now most "low-fat" food has added carbs to deal with the loss of consistency. And even regular foods (especially in the US) have added sugar.
- jordanb 10y agoNot just added carbs, added sugars and starches, the worst kind of carbs.
- raverbashing 10y agoYes, but sugars and starches are carbohydrates (I think you mean high-glycemic index foods).
- heisenbit 10y agoNot all carbohydrates are processed equally. Complex starches are more difficult to break down in the gut and are absorbed slower often for the better. Some don't break down much like sorbitol. Most digestible carbohydrates eventually break down to glucose and fructose. The key insight here is that fructose is very different from glucose as it is processed primarily in the liver and converted to triglycerides - which is seen as a more problematic fat in the bloodstream. Since fructose does not contribute directly to blood sugar levels for a while it was recommended for diabetics to switch from glucose to fructose. Turns out the latter is not so good from an inflammation perspective, liver/body fat perspective, digestive perspective and perversely blood sugar regulation perspective. Sadly even that old fructose is ok for diabetics has not fully vanished. The medical establishment (like any establishment I guess) is slow to change. Speeding up the publication, curation and dissemination of such information may be IT's main contribution to human health.
- dogma1138 10y agoThe sugar free/carb free Atkins diet of the 90s and its modern versions isn't any better. Pretty much any diet which is free of anything should be avoided.
- firasd 10y agoLow carb is like magic for my health, fitness, and mental acuity. Reasons it's hard for me to stay on the bandwagon (1) it's more expensive to eat only meat, vegetables, eggs and fats v.s. eating stuff together with bread, rice etc. (2) Eating lots of vegetables means more fussy cooking of them (3) Carbs are nice 'comfort food' for when you're stressed.
- EpicEng 10y agoIt really doesn't have to be an all or nothing proposition though. Have you tried sticking mainly to low GI carbs, e.g., sweet potatoes, whole grain breads, etc? It takes a lot longer to digest these foods and, as a result, you get a smooth energy release instead of a huge insulin spike. I've been into fitness, mostly around powerlifting and contact sports, for most of my life. Your body needs carbs; the problem is typically the form in which we consume them.
- flipchart 10y agoThis paper [1] shows that the glycemic index is not necessarily a reliable indicator for an individual's insulin response [1]: http://ajcn.nutrition.org/content/early/2016/09/06/ajcn.116.137208.abstract http://ajcn.nutrition.org/content/early/2016/09/06/ajcn.116....
- healthnutter 10y agoFor the inconvenience of consuming lots of veggies, may I suggest a Vitamix and water? One full veggie+water Vitamix blend in the morning can cover the entire day's veggie requirements.
- thoughtsimple 10y agoI've been on a low carb diet since June. I've lost 30 pounds and my high blood pressure is now gone (I read 97/63 last week). My glucose went from 134 mg/do to 96 in 2 months. A1C from 6.5% to 5.5%. Now normal again. If you've been diagnosed with type 2 diabetes you should try a very low carb diet before anything else. It really seems to work.
- nxc18 10y agoWhether or not you believe in low/no carbs for everyday health, it is uniquely horrifying that the Diabetes association is promoting a high carb diet. Having recently made changes to my own eating, which still includes carbs but at a much less extreme amount, I'm amazed at the differences. I don't have diabetes and the doctors say my blood sugar control is very good, but the energy differences I feel before and after eating high carb food is insane. Diet soda, although technically not containing carbs, prompts a similar insulin response to drinking sugared soda- the result is a blood sugar drop and a loss of energy that makes me want to eat and do nothing; not the best for weight loss. I would like to see more attention given to what insulin really does: prompt your body to store blood sugar as fat. No wonder filling our bodies with sugar and then using insulin to 'remove' it is a bad idea.
- ng12 10y ago> I don't have diabetes and the doctors say my blood sugar control is very good I don't understand what this means for a non-diabetic. Are they measuring your A1c? How are you "controlling" your blood sugar? Secondly, even if you're not building fat your body still needs insulin.
- nxc18 10y agoI have some risk factors for diabetes (which I'm doing my best to minimize/eliminate/control) so my doctor had me get my blood sugar tested a few times. It always came back with results that looked good and at least to him weren't worth investigating further.
- mchmch 10y agoThis one minute video will save your life. FAT is the cause of type 2 diabetes. Fat in cells stops your body from processing sugar correctly. You need to reduce dietary fat to very low levels and your body will be able to process carbs correctly. https://www.youtube.com/watch?v=S51D07bvlPY https://www.youtube.com/watch?v=S51D07bvlPY
- charlesism 10y ago
- dvcrn 10y agoI've been on a low carb diet for a couple of months now. Went a tad stricter 3 weeks ago and am currently 11kg down. My bodyfat drastically reduced, my belly disappeared and I am feeling a lot healthier. Problem are the more expensive meat-heavy meals that go so far that I just don't enjoy or want to eat anymore - and of course very easy degeneration of muscle mass if you're not careful. Nevertheless, I'm loving it. I wish I tried this earlier instead of a half-assed diet. I won't be doing it forever but to fast chop down on some body fat, it's amazing.
- soneca 10y agoThis is a good image to describe high low carb high fat diet works. For the critics, it shows that it does indeed work (also) because of pshycological effects and it doesn't go against the idea that less calories is important to weight loss. But it represents how LCHF diet achieves it better than any diet. For the supporters, this list all the headlines of the science involved if you want to dig it further. http://bjjcaveman.com/wp-content/uploads/2015/11/How-Low-Carb-Diets-Actually-Work.png http://bjjcaveman.com/wp-content/uploads/2015/11/How-Low-Car...
- OilDerek 10y agoI've been at or near ketosis levels of low carb since around 2013; I used it to get over a fourteen-year eating disorder (anorexia->bulimia->BED->freedom). If I had infinite money/time, I'd love to run trials on its effects on impulse suppression completely separate from weight loss. There are some interesting parallels between it and the off-label uses of anti-epileptics. It's been fun watching the sea change towards acceptance of it. When I first started, most people I encountered were weirdly confrontational about it, but now it's pretty pedestrian. Granted, I had a now-embarrassing proselytizing phase at the beginning and quickly learned to keep my mouth shut unless asked.
- analog31 10y agoWhile the article is about diabetes, it's been my understanding that the low fat diet thing was a response to an epidemic of heart disease. I recently eliminated a number of things from my diet: Butter, my daily cheese sandwiches with mayo, processed meats, and pretty much all restaurant and vending machine food. I went from 175 to 150 pounds in six months, and have felt no urge to put it back on. I eat more lean meat, and have found alternatives for my lunches that are good enough. The change in fat intake doesn't explain my weight loss. I simply eat less food overall because those ingredients were what made it tasty. I won't pretend that I enjoy eating as much as I did. On the other hand, I'm a good cook, and I like vegetables, so I'm far from miserable. All these things support the fact that diet is not just a biochemical problem, but a psychological and social one. Doctors know that sending someone home with a diet is going to kill them, because the diet won't happen. The people whose conditions improve on a diet are only the people who manage to follow the diet. So instead they load us up with statins, or prescribe surgery.
- scholia 10y agoCutting out most or all processed foods is a great start. There are plenty of nourishing high-fat foods that you can eat, and that are good for you. This includes eggs, avocados, salmon and mackerel, macadamia nuts etc [1] > All these things support the fact that diet is not just a biochemical problem, but a psychological and social one. Yes. Decades of experience has shown that "dieting" doesn't work, and it often results in people gaining weight (after losing weight temporarily). [2] It's better to make permanent lifestyle changes that result in long-term weight loss and increased fitness, even if it takes a few years. I assume this is what you've actually done. If you change what you eat, and the way you eat it, then you don't have to "cut down" on food -- which is how most people understand dieting. It's really easy to over-eat doughnuts but quite hard to over-eat on salad and veggies.... [1] https://authoritynutrition.com/10-super-healthy-high-fat-foods/ https://authoritynutrition.com/10-super-healthy-high-fat-foo... [2] http://www.nytimes.com/2016/05/02/health/biggest-loser-weight-loss.html http://www.nytimes.com/2016/05/02/health/biggest-loser-weigh...
- analog31 10y ago
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- pzh 10y agoI found Lyle McDonald's "The Ketogenic Diet" really helpful in explaining why low-carb diets work. It's also a great starting point for your own research into these diets (with lots of great references).
- richardboegli 10y agoI laugh to myself whenever I see weight loss articles like this. Just Eat Less! Worked for me* Shameless plug My Weight Loss Story 40kg in 40 Weeks (90lb in 9 months) Without Exercise http://40in40book.com http://40in40book.com The book is more for motivational reading of my story. *DISCLAIMER: The information and opinions set out in this publication are provided only to convey the author’s personal experiences and opinions for information purposes only and are not intended to constitute medical advice, guidance or recommendations as to the reader’s actions or omissions. Disclaimer truncated for brevity of comment. The rest of the disclaimer is available here: http://40in40book.com/disclaimer http://40in40book.com/disclaimer
- dylanz 10y agoI decided to start lifting heavy shit... everyday. When I say heavy shit, I mean getting close to the max I can lift in one lift, each day I dedicate to that lift. I've tired no-carb days, lifting on fasts, lifting on protein heavy mornings, etc... and it comes down to carbs being mental energy for me wanting to lift heavy. If I don't have carbs, I feel less energetic, and less willing to continue my lifting regimen for that day. Eat a lot of carbs when you want to accomplish a lot of shit... physically.
- itchyouch 10y agoCarbs are very popular in the lifting community. And for good reason. Ultimately, one needs ATP in order to exert movements and the ATP generated from carb sources is the most efficient for anything physically intensive. Protein has to go through gluconeogensis to get converted to carbs and lipids require double the oxygen to be converted to ATP. I think the religion of food would be much better understood if food was approached as workloads. CPU bound, memory bound, IO bound, etc. But in general, carbs for physical activity and fats for mental activity.