Dr. Laura Saslow, PhD serves on the nutrition review committee for the American Diabetes Association (ADA) and spoke on March 15, 2019 at the 42nd annual National Food Policy Conference in Washington, DC . She was on a panel of experts discussing the tremendous cost of diet-related disease and the role of public policy in encouraging healthier eating.
The talk was titled, Let Food Be Thy Medicine and Dr. Saslow said this;
“…The American Diabetes Association (ADA) reviewed all of the clinical trial evidence for the new 2019 ADA clinical guidelines and has noted that a very low carbohydrate diet (VLCD) of 20-35g carbohydrate per day (not low in fat or salt) is the most powerful eating approach for treating type 2 diabetes, leading to a 40-50% remission rate.
Current standard of care leads to less than a 5% remission rate.
VLCD can also be helpful for patients with type 1 diabetes, pre-diabetes, hypertension, nonalcoholic fatty liver disease, polycystic ovarian syndrome and Alzheimer’s disease, and there is now more clinical trial evidence for VLCD than for any other eating pattern…”
In December, the American Diabetes Association (ADA) released its 2019 Standards of Medical Care in Diabetes, including its Lifestyle Management Standards of Care which included use of a low carbohydrate diet (you can read about that here), but that the ADA has now noted that a very low carbohydrate diet of 20-35 g carbohydrate per day is “the most powerful eating approach for treating Type 2 Diabetes, leading to a 40-50% remission rate” compared to the current standard of care which leads only to “less than a 5% remission rate” is very exciting.
A very low carbohydrate diet listed as Medical Nutrition Therapy in the upcoming 2019 American Diabetes Association Clinical Guidelines will certainly pave the way for organizations such as Diabetes Canada to re-evaluate the strength of the evidence for use of carbohydrate restriction for significantly improving remission rates for those with Type 2 Diabetes in this country.
What an exciting time to be a Dietitian!
NOTE: The video of her speaking had been posted on YouTube at https://www.youtube.com/LEKw1Ri7ryA but has since been deleted as the individual posting it did obtain permission to post it.
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Reference
42nd Annual National Food Policy Conference, Renaissance Washington, DC Downtown Hotel, March 14 & 15, 2019, Panel 1: Let Food Be Thy Medicine
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