Most Type 2s Consume Too Much Sodium and Fat, Says Wake Forest Study

Good eating habits, as well as exercise and medications, should be considered a vital part of type 2 treatment.

Sep 15, 2009

You might think that people with type 2 diabetes would know better than most what they should put into and leave out of their diets. At least, that was the expectation of researchers at the Wake Forest School of Medicine in Winston-Salem, North Carolina, when they set out to learn why people with type 2 are often overweight. What they found, however, surprised them. Their study of 2,757 type 2s showed that:

  • 93 percent exceeded the recommended daily percentage of calories from fat
  • 85 percent exceeded the recommended level of saturated fat
  • 92 percent consumed too much sodium
  • Fewer than half ate the daily servings of fruits, vegetables, grains, and dairy products recommended by the U.S. Department of Agriculture Food Guide Pyramid
  • On average, they obtained 44 percent of their calories from carbohydrates, 40 percent from fat, and 17 percent from protein

The researchers, who published their findings in the August 2009 issue of the Journal of the American Dietetic Association, had expected type 2 patients to be more aware of dietary pitfalls than people without diabetes. "It would seem likely that participants who had managed diabetes over a greater length of time would be more likely to understand the importance of consuming a healthful diet, but this was not supported by the data," they wrote.

To better understand the underlying reasons for their discouraging findings, the researchers would like to investigate the impediments that people with type 2 diabetes encounter when trying to maintain a healthy diet. At this time, however, they advised ongoing nutrition education for people with type 2 diabetes, regardless of how long they've had the disease. Good eating habits, as well as exercise and medications, should be considered a vital part of type 2 treatment, they said.

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Categories: Diabetes, Diabetes, Diets, Food, Research, Type 2 Issues

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Posted by catman on 22 September 2009

In fact many type diabetics do know better than to follow the toxic carbohydrate heavy food pyramid and the ADA recommendations which are heavily influenced by carbohydrate food industry lobbyists. Many of us type II diabetics also have a good grasp of the basic chemistry of fatty acids which apparently many highly educated health professionals lack. Because of our knowledge of fatty acids we know enough to avoid the per-oxidized and otherwise adulterated, highly processed PUFAs found in commercial vegetable oils and instead consume plenty of saturated fat and little carbohydrate. Because some of us type II diabetics are knowledgeable enough to avoid the heavily endorsed high carbohydrate, low fat diet which I personally consider to be doctor assisted suicide some of us are doing exceptionally well without having to resort to medication in order to achieve excellent results. And it shows in our lab tests.

The so-called impediment to some of us type Ii diabetics embracing the official high carbohydrate, low fat dietary protocol is founded in our superior knowledge and intelligence.

Posted by Green Lantern on 23 September 2009

Exactly! Rosedale's approach--which dropped my prediabetic blood glucose levels back to the normal range, and which helps folks who DO have diabetes--calls for 50-60% of calories from fat. His plan includes "good" fats like olive oil, walnuts, salmon, etc. We also include saturated fat from GRASS-FED (not corn-fed) beef.

Fat is not the enemy. Starches are.

Posted by Keithcrozier on 23 September 2009

The Diabetes Meal Planner software ( calculates the overall Glycemic Index (GI) and Glycemic Load (GL) for individual meals and for the entire day to help build a healthy diet for:
diabetes weight loss
sports performance It also provides:
carbohydrate calorie protein fat analysis future meal planning
for food items by meal and day.
The Glycemic Index - a measure of carbohydrate quality based on how quickly food raises blood glucose (blood sugar) levels - is a dietary key to health, say the authors of The New Glucose Revolution. Low-GI foods, by virtue of their slow digestion and absorption, produce gradual rises in blood sugar and insulin levels, and have proven benefits for health.

The Glycemic Index is highly recommended by Atkins, Fat Flush, and South Beach diets. A method of saving historical full meal information for future access allows easy reconstruction of the user's typical meals. Once these favorites are built, it is an easy matter to build a new day’s meal plan, including the ability to modify each favorite for today. Meal planning can be done for the next week. The software also provides a complete history of previous day’s meals to ease current day planning.

Posted by YODA on 23 September 2009

These researchers are clueless. Who is paying for this nonsense? Taxpayers?

Posted by Anonymous on 23 September 2009

Many people, including diabetics, do not do well with a diet featuring a lot of carbs, small amounts of fat. When we control for our meter, we no longer concern ourselves with our weight. Weight loss and diabetes do not go together well; it can be done, but without outside help, such as byetta, it is very difficult. I use insulin and low carb to control; albeit recently I have fallen somewhat off track. I am planning on dieting, gathering information to help myself, I need to reduce the amount of insulin I use. It is going to be very hard; but even if it takes a year to lose 20 pounds, that will be better for me than doing nothing and seeing myself a few pounds higher than this weight, rather than 20 pounds lower.

Researchers need to specifically ask diabetes with high fat diets, why they are eating this way and what their A1c shows about this form of diabetic control.


Posted by Anonymous on 23 September 2009

Ha Ha you guys really do make me laugh!!
You say Diabetics are consuming to much fat,yet your show a photo full of diabetic poison food...Carbohydrates!!! No wonder people are confused (although in your defense most media do the same)Still everyone needs a good laugh now and then.

Posted by seashore on 28 September 2009

The American Diabetes Association (ADA) recommends a low-fat diet, which inevitably leads to a high-carb diet. The ADA typically recommends 5 to 7 ounces of carbs per day, whereas a diabetic should ideally strive to achieve one ounce of carbs per day (about 30 grams). Carbs are converted into sugar, and the problem with diabetics is too much sugar in the blood.

Common sense tells us that diabetics should eat a low-carb diet, but the ADA is so confused it recommends a high-carb/low-fat diet. When will they wake up?

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