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Program Description:

AHRQ and the National Diabetes Education Program (NDEP), a federally-sponsored program of the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC), collaborated to bring you this program about type 2 diabetes.

In Part 2 of this three-part series, you will learn that high blood glucose is an indicator of type 2 diabetes.

The symptoms of high blood glucose include: fatigue, blurred vision, frequent urination, and thirst, but many people with high blood glucose dont notice any symptoms. You can reduce your risk of developing complications by keeping your blood glucose in your target range. You and your diabetes care team will discuss your blood glucose goals and determine a target range thats right for you.

Duration : 0:5:52

The last video dealt with case damning the existing treatment or recommendations to follow a high carb diet managed with ever increasing doses of insulin. This video deals with the evidence for rather managing it with a low carb lifestyle. There are two great studies for advocating this method.

1:) Dietary carbohydrate restriction in type 2 diabetes mellitus and metabolic syndrome: time for a critical appraisal
Nutrition and Metabolism(Lond) 2008; 5: 9.
Numerous authors including Richard Bertstein, Mary Vernon, Jeff Volek, Eric Westman

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2359752&tool=pmcentrez

Conducted Multi-center trial in which 63 obese men and women were randomly assigned to either diet, 21 Low Carb, 21 Control, 21 High Carb for a one year study.
This discussion focuses on type 2 diabetes but many of the principles will apply to metabolic syndrome and possibly to type 1 as well[6,7].
1. Carbohydrate restriction improves glycemic control, the primary target of nutritional therapy and reduces insulin fluctuations.
2. Carbohydrate-restricted diets are at least as effective for weight loss as low-fat diets.
3. Substitution of fat for carbohydrate is generally beneficial for markers for and incidence of CVD.
4. Carbohydrate restriction improves the features of metabolic syndrome.
An important idea guiding current medical thinking is that clustering of seemingly disparate physiologic states, obesity, atherogenic dyslipidemia, hyperglycemia and hypertension, termed metabolic syndrome (MetS) suggests a common underlying cause. A recent review showed that carbohydrate restriction improves all of these markers[24].
5. Beneficial effects of carbohydrate restriction do not require weight loss. It’s not simply a weight loss argument or due to people losing weight do they achieve the benefits.

2.) Low-carbohydrate diet in type 2 diabetes: stable improvement of bodyweight and glycemic control during 44 months follow-up
Jörgen V Nielsen email and Eva A Joensson email

http://www.nutritionandmetabolism.com/content/5/1/14

Conclusion:
There is now little evidence for the claim that a fat-reduced diet for weight reduction has any particular value beyond caloric counting [10]. Current dietary recommendations seem to be a major part of their problem rather than being part of the solution. Carbohydrate restriction, however, reverses or neutralises all aspects of the metabolic syndrome [20,21].

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Duration : 0:2:15

Program Description:

AHRQ and the National Diabetes Education Program (NDEP), a federally-sponsored program of the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC), collaborated to bring you this program about type 2 diabetes.

In Part 1 of this three-part series, you will learn how to recognize the symptoms and risk factors associated with type 2 diabetes, and how diabetes affects the way your body uses the food you eat.

The pancreas releases insulin as your blood glucose rises. Glucose is used for energy or stored for later use. When you have diabetes your body cant keep your blood glucose in a healthy range without help. The higher your blood glucose goes, the more likely you are to develop harmful symptoms of diabetes. Understanding the symptoms of type 2 diabetes can lead to early detection and treatment.

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