1.6.2007




Ju mer tiden går, desto mer uppenbart blir det att den fettsnåla/kolhydratrika kosten har lett till ett ohyggligt högt pris för diabetiker, ja troligen gjort att unga människor har insjuknat eller kommer att insjukna i diabetes senare i livet.

En rad studier flyter oavbrutet in som visar hur ökat intag av fett förbättrar diabetessjukdom. Många som äter medicin eller tar insulinsprutor kan sluta med detta när man överger den fettsnåla kosten och äter kolhydratsnål kost i stället. Det är hög tid att diabetesorganisationer och andra patientföreningar ifrågasätter de självutnämnda auktoriteter som tvärtemot dagens nya kunskap (vetenskap och beprövad erfarenhet) fortsätter att mata diabetiker med fettsnål/kolhydratrik kost.

Det finns till och med bland läsare av detta nyhetsbrev de som tror att stora skadeståndskrav kommer att resas snart, ungefär som när det gäller de skador som uppstår genom läkemedel som är behäftade med fel.

Jag skulle önska att alla som har möjlighet, försöker pressa tillbaka den fettsnåla kosten i synnerhet när det gäller diabetiker.

Här finns några studier som visar lågkolhydratkostens fördelar för diabetespatienter:


R J Heine, M Diamant, J-C Mbanya, D M Nathan. Management of hyperglycaemia
in type 2 diabetes: the end of recurrent failure? BMJ 2006;333:1200-4.

Coulston AM, Hollenbeck CB, Swislocki AL, Chen YD, Reaven GM. Deleterious
metabolic effects of high-carbohydrate, sucrose-containing diets in patients
with non-insulin-dependent diabetes mellitus. Am J Med 1987;82:213-20.

Parillo M, Coulston A, Hollenbeck C, Reaven G. Effect of a low fat diet on
carbohydrate metabolism in patients with hypertension. Hypertension
1988;11:244-8.

Coulston AM, Hollenbeck CB, Swislocki AL, Reaven GM. Persistence of
hypertriglyceridemic effect of low-fat high-carbohydrate diets in NIDDM
patients. Diabetes Care 1989;12:94-101.

Fuh MM, Lee MM, Jeng CY, Ma F, Chen YD, Reaven GM.. Effect of low fat, high
carbohydrate diets in hypertensive patients with non-insulin-dependent
diabetes mellitus. Am J Hypertension 1990; 3: 527-32.

Rasmussen OW, Thomsen C, Hansen KW, Vesterlund M, Winther E, Hermansen K.
Effects on blood pressure, glucose, and lipid levels of a
high-monounsaturated fat diet compared with a high-carbohydrate diet in
NIDDM subjects. Diabetes Care 1993;16:1565-71

Campbell LV, Marmot PE, Dyer JA, Borkman M, Storlien LH. The
high-monounsaturated fat diet as a practical alternative for NIDDM. Diabetes
Care 1994;17:177-82

Garg A, Bantle JP, Henry RR, Coulston AM, Griver KA, Raatz SK et al. Effects
of varying carbohydrate content of diet in patients with
non-insulin-dependent diabetes mellitus. JAMA 1994; 271: 1421-8.

Parillo M, Giacco R, Ciardullo AV, Rivellese AA, Riccardi G. Does a
high-carbohydrate diet have different effects in NIDDM patients treated with
diet alone or hypoglycemic drugs? Diabetes Care 1996;19:498-500.

Low CC, Grossman EB, Gumbiner B. Potentiation of effects of weight loss by
monounsaturated fatty acids in obese NIDDM patients. Diabetes
1996;45:569-75.

Gutierrez M, Akhavan M, Jovanovic L, Peterson CM. Utility of a short-term
25% carbohydrate diet on improving glycemic control in type 2 diabetes
mellitus. J Am Coll Nutr 1998;17:595-600.

Hays JH, Gorman RT, Shakir KM. Results of use of metformin and replacement
of starch with saturated fat in diets of patients with type 2 diabetes.
Endocr Pract 2002;8:177-83

Gannon MC, Nuttall FQ, Saeed A, Jordan K, Hoover H An increase in dietary
protein improves the blood glucose response in persons with type 2 diabetes.
Am J Clin Nutr 2003;78:734-41.

Samaha FF, Iqbal N, Seshadri P, Chicano KL, Daily DA, McGrory J, Williams et
al. A low-carbohydrate as compared with a low-fat diet in severe obesity. N
Engl J Med 2003;348:2074-81

Vernon MC, Mavropoulos J, Transue M, Yancy WS, Westman EC. Clinical
Experience of a carbohydrate-restricted diet: Effect on diabetes mellitus.
Metabolic Syndrome and Related Disorders 2003;1:233-7.

Yancy WS, Vernon MC, Westman EC. A Pilot Trial of a Low-Carbohydrate,
Ketogenic Diet in Patients with Type 2 Diabetes. Metabolic Syndrome and
Related Disorders 2003;1:239-43.

Gannon MC, Nuttall FQ. Effect of a high-protein, low-carbohydrate diet on
blood glucose control in people with type 2 diabetes. Diabetes
2004;53:2375-82.

Shah M, Adams-Huet B, Grundy SM, Garg A. Effect of a high-carbohydrate vs a
high-cis-monounsaturated fat diet on lipid and lipoproteins in individuals
with and without type 2 diabetes. Nutr Res 2004;24:969-79

Stern L, Iqbal N, Seshadri P, Chicano KL, Daily DA, McGrory J. The effects
of low-carbohydrate versus conventional weight loss diets in severely obese
adults: one-year follow-up of a randomized trial. Ann Intern Med
2004;140:778-85.

Boden G, Sargrad K, Homko C, Mozzoli M, Stein TP.Effect of a
low-carbohydrate diet on appetite, blood glucose levels, and insulin
resistance in obese patients with type 2 diabetes. Ann Intern Med
2005;142:403-11.

Yancy WS Jr, Foy M, Chalecki AM, Vernon MC, Westman EC. A low-carbohydrate,
ketogenic diet to treat type 2 diabetes. Nutr Metab 2005;2:34-40.

Daly ME, Paisey R, Paisey R, Millward BA, Eccles C, Williams K. Short-term
effects of severe dietary carbohydrate-restriction advice in Type 2
diabetes--a randomized controlled trial. Diabet Med 2006;23:15-20.

Nielsen JV, Joensson E . Low-carbohydrate diet in type 2 diabetes. Stable
improvement of bodyweight and glycemic control during 22 months follow-up.
Nutr Metabol 2006;3:22.

Martin WF, Armstrong LE, Rodriguez NR. Dietary protein intake and renal
function. Nutr Metab 2005;2:25

Nielsen JV, Westerlund P, Bygren P. A low-carbohydrate diet may prevent
end-stage renal failure in type 2 diabetes. A case report. Nutr Metab
2006;3:23.