Low Carbohydrate Diet (LCD) & Very Low Carbohydrate Diet (VLCD) in ADA Guidelines
ADA in its Apr’19 consensus recommends that people with diabetes be offered individualized medical nutrition therapy, rather than be given the “one-size-fits-all” advice to count carbohydrates and restrict calories. Included in options that should be offered to patients are low carbohydrate diet (LCD) & Very Low carbohydrate diet (VLCD). The LCD includes the intake of 26-45% of total daily calories as carbohydrate& very low carbohydrate diet eating pattern of 20-50 g carbs per day.
The report also includes the statement “Reducing overall carbohydrate intake for individuals with diabetes has demonstrated the most evidence for improving glycemia (blood sugar) and may be applied in a variety of eating patterns that meet individual needs and preferences.”
They have emphasised the benefits as below:
A1c Reduction
Weight Loss
Lowered Blood Pressure
Increased HDL-C & Lowered Triglycerides
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