HOW TO READ A MEDICAL ARTICLE WITH A CRITICAL
ANTHROPOLOGICAL EYE?
A total of 41 studies published between 1963
and 2018 were included, of which 40 were classified as safe and effective for
inclusion in the primary analysis. Thirteen studies (13/40) were on very-low-CHO diets (<50 13="" 14="" 18="" 26="" a="" according="" ad="" adapted="" amount="" and="" d="" dietary="" diets="" encouraged="" energy="" fat="" g="" high-fat="" included="" intakes.="" libitum="" low-cho="" of="" or="" participant="" prescribed="" prescription="" progress.="" reported="" studies="" tei="" thirty-one="" to="" total="" twenty="" unrestricted="" were="" which="">35% TEI). Twenty-six studies reported a prescribed dietary pro<50 13="" 14="" 18="" 26="" a="" according="" ad="" adapted="" amount="" and="" d="" dietary="" diets="" encouraged="" energy="" fat="" g="" high-fat="" included="" intakes.="" libitum="" low-cho="" of="" or="" participant="" prescribed="" prescription="" progress.="" reported="" studies="" tei="" thirty-one="" to="" total="" twenty="" unrestricted="" were="" which="">tein amount, of which 22 were unrestricted or
were high-protein (>25% TEI). The types of dietary CHO, fat and protein
recommended were predominantly whole foods. Common delivery methods reported were
dietician and/or physician involvement, moderate to high frequency of contact
(=1 session/month) and use of participant self-monitoring.
CONCLUSIONS: Multiple approaches for
developing and delivering a low-CHO diet intervention for T2D management are
safe and effective. A comprehensive set of core dietary components to consider
in the formulation of low-CHO diet protocols were identified for use in
clinical practice and to inform evidence-based guidelines for T2D management.
The authors looked at
many studied about the effects of Low Carbohydrate Diets along with the
composition of other ingredients in the food
FAT PROTEIN . They found out that it did not matter whether it was high
or low Fat or Protein but the results were equally good. And their conclusion from these observations was a typical quantitative
one: they identified a core dietary components for consideration in a low
Carbohydrate diet.
Most medically
oriented readers would have stopped there and not paid any further attention. An
anthropologist would like to know WHY is that despite various fractions of Fats
and Proteins along with low Carbohydrate diet did not make much difference in
the outcome ?
You can see it
staring at you at the summary:
The types of
dietary CHO, fat and protein recommended were predominantly whole foods. Common delivery methods reported were
dietician and/or physician involvement, moderate to high frequency of contact
(=1 session/month) and use of participant self-monitoring.
All these INGREDIENTS
had nothing to do with proportion or size but
DIETICIAN OR PHYSICIAN
INVOLVEMENT
HIGHER FREQUENCY OF
CONTACT
ENCOURAGING
PARTICIPATNS TO SELF MONITOR
WHOLE FOODS RATHER THAN
FRAGMENTED PROCESSED AMERICAN DIET
Remember, whatever a
patient complains of, Arthritis or Diabetes, if the above qualitative
humanistic factors are taken into account, they would get better.
That has been my
experience as a Physician Anthropologist.
Get yourself a doctor
that you get along with
Eat Food and not
fabricated substitute
Have friends and spend
time with them.
