"Carb counting works for those who are vigilant, but has little impact in studies because most folks are not vigilant," said Skyler who was not involved in the study. Bell also noted that the lack of benefit seen in her meta-analysis may not be due to carbohydrate counting itself, given that many patients with type 1 diabetes have difficulty managing their postprandial blood glucose levels for other reasons. Indeed, some work has shown that having any prescribed meal plan -- whether it restricts carbohydrates significantly or not -- has been associated with lower HbA1c levels. Also, work has shown that carbohydrate counting may lead to unhealthy eating, not only for its reliance on packaged foods which make counting nutrients easier, but also because of the potential for exceeding dietary recommendations on other nutrients including fats and proteins.
Posted on: Mon, 24 Jun 2013 13:03:29 +0000
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