Hi All

This has probably been posted before - I've forgotten.

For those looking for a different (and, IMO, better) view on
diet by a major diabetes authority, this was published by
Joslin in Time magazine last November. I didn't read the
magazine but it's available on Joslin's web-site.  There is
an unfortunate tendency to presume obesity with type 2, but
it is still a very different philosophy to the ADA approach.
As a side-note, I have to give the second author my bravery
award for not changing his name in today's USA:

http://joslin.org/managing_your_diabetes_3231.asp

"Diet and Diabetes: A Personalized Approach

By James Rosenzweig, M.D., Director, Joslin Disease
Management;
Osama Hamdy, M.D., Ph.D., Director, Joslin Obesity  Clinical
Program;
Amy Campbell, M.S., R.D., C.D.E., Joslin Education Program
Manager

Despite the new fad diets published and diet aids marketed
each year, Americans’ waistlines and the epidemic of obesity
and diabetes continue to expand. With current scientific
knowledge and clinical experience, however, health care
providers and industry influencers can make a difference.

In 2005 for the first time in 13 years, the United States
Department of Agriculture (USDA) updated the Food Guide
Pyramid. The USDA touts the latest version as no longer a
“one size fits all” approach, but rather an “individualized
approach to improving diet and lifestyle.” Though this
long-awaited update to the nation’s only federal nutrition
guidelines offers healthier food choices for healthy
Americans, for the 17 million Americans with type 2 diabetes
and the 41 million more who are at high risk for developing
the disease, these guidelines are not enough.
One Size Fits Some

Joslin’s approach to diabetes management has always been to
focus on the individual, and not dictate a “one size fits
all” strategy. At a time when the diet advice waters are
muddied with thousands claiming the answer to the battle of
the bulge, Joslin offers evidence-based clinical nutrition
guidelines for overweight and obese people with type 2
diabetes, prediabetes or at high risk for developing type 2
diabetes. The ultimate goal is to help these populations
improve cardiovascular health, reduce body fat and increase
sensitivity to insulin. This decreases their risk for
devastating diabetes complications, including kidney
disease, heart disease and amputations.
The Basics

The biggest difference between the USDA’s guidelines and
Joslin’s is the recommendation of fewer carbohydrates and
more protein in the diet, as recent studies have shown that
this helps people eat less and lose weight.

The following are Joslin’s guideline essentials (shown as
approximate percents of daily calories):

Carbohydrate: 40 percent from carbohydrates, including at
least 20-35 grams of fiber. Best carbohydrate/high-fiber
sources: fresh vegetables, fruits, beans and whole-grain
foods. Eat less of these carbs: pasta, white bread, white
potatoes and sugary cereals.

Protein: 20-30 percent from protein (unless you have kidney
disease). Best protein sources: fish, skinless chicken or
turkey, nonfat or low-fat dairy products, tofu and legumes
(beans and peas).

Fat: 30-35 percent from fat (mostly mono- and
polyunsaturated fats). Best fat sources: olive oil, canola
oil, nuts, seeds and fatty fish like salmon.
Lifestyle Change

With 80 percent of people with type 2 diabetes overweight,
and weight loss directly related to improved diabetes
control, these guidelines are meant to help people with
diabetes or at risk for the disease lose weight and keep it
off. To initiate and maintain weight loss, Joslin recommends
losing just one pound every one to two weeks by reducing
daily calories by 250 to 500 calories.

An essential component of any healthy lifestyle is physical
activity.Joslin encourages a target of 60–90 minutes of
modest-intensity physical activity (including
cardiovascular, stretching and strength training) most days
of the week, with a minimum of 150–175 minutes per week.

Joslin’s bottom line: There is no fad diet that will help
people with type 2 diabetes lose weight and reduce their
risk for serious complications—just a lifestyle change.

This article appeared in the Special Diabetes Insert of the
November 21, 2005 issue of TIME Magazine."

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg