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In fact, I took a  poll of my patients for one week, which included 30 patients and 10 parents. Two recent articles published in the journal, Nutrition, (1,2) highlighted a proposed classification of diets based on carbohydrate content, quantifying the amount of carbohydrate within very low to high carbohydrate diets.
There are have been enough studies highlighting the benefit of lowering carbohydrate to reduce weight, but the studies have also proven that it is the total calories that lead to weight loss, not necessarily carbohydrates alone.
But, the biggest practical concern about eating a very-low carb diet is that doing it long-term can be boring and hard to sustain. And for people with diabetes, this term can bring a postive connotation for the most obvious reason, and yet it  can be confusing or left open to interpretation as there are several different aspects to this type of diet.


While the Institute of Medicine recommends eating no less than 130 grams of carb per day for adults, the body requires 50 grams of carb per day to avoid ketosis (the breakdown of fat for fuel in place of glucose).
In terms on how many carbs per day to improve blood sugars, if someone is eating less than 30 grams per meal and their blood sugars are still high, that is a clear sign that a conversation about adding or increasing medications with their healthcare professional is essential–no amount of reducing carbs is going to fix that.
Dietary carbohydrate restriction as the first approach in diabetes management: a critical review and evidence base.
Comparison of the Atkins, Ornish, Weight Watchers and Zone diets for weight loss and heart disease risk reduction: a randomized trial. Now, I am not discussing protein or fat intake here, which is included in all meals, but the point being is that carbohydrates are only part of the picture.


But, doing this for more than a few months can become harder to do since there are so few food items allowed. But, the upside is by reducing carbs it can have a beneficial effect on blood glucose control. Until we have a firm understanding of what we are shoving in our mouths, it is impossible to talk practically and realistically about reducing our carbohydrate intake.



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