Rethinking the Definition of Type 1 Diabetes: World Diabetes Day 2020

On World Diabetes Day 2020, we suggest rethinking Official definition of type 1 diabetes, This says almost nothing about carbohydrate intolerance.

If you live with diabetes and you are paying attention to your health, you probably know that is the only unavoidable fact of your condition Your body can’t handle carbohydrates properly, And you need to be critically aware of your carb consumption. This fact should be part of all of the most basic explanations and explanations for the disease. But that’s not the case.

Go ahead and see the description of type 1 diabetes from respected sources like Mayo Clinic And that CDC.. No words can be found to indicate that carbohydrate intolerance is very important in the daily lives of diabetics. Oh, you may find some references to a “healthy and balanced diet”, which suggests that people with diabetes have exactly the same nutritional needs as others. Helps to. They don’t. Carbohydrate intolerance should be considered as the most decisive factor in the design of a diabetic diet.

The truth is that we knew that people with type 1 diabetes had to eat different diets. A few generations ago, newly diagnosed patients were usually taught to limit their sugar intake, eat consistently, and limit their carbohydrates to moderate amounts. At that time, type 1 diabetes was not easy. Controlling blood glucose was a daunting task due to low insulin levels and slight monitoring of blood glucose levels. It has been found that eating consistently and restraint helps to administer insulin more accurately and avoids hypoglycemic events.

Even today, many patients are advised to eat carbohydrates all day to prevent hypoglycemia. This is probably obsolete advice due to advances in insulin quality and blood glucose monitoring. Even more surprisingly, the recommended amount of carbohydrates has increased. This began in the 1980s when the US government placed grain at the bottom of the food pyramid. Today, official dietary guidelines recommend that Americans eat 45-65% of their calories in the form of carbohydrates. This recommendation is bad enough for healthy adults Key Factors in the Epidemic of Type 2 Diabetes and Obesity.. It is potentially disastrous for patients with the carbohydrate tolerance disorder characteristic of type 1 diabetes.

Diabetes outcomes are worsening, Not good, and this is all of us rapidly Improvement of management technology.. This decline is caused by the recent rise of the new idea that insulin “cure” carbohydrate intolerance, so people with diabetes can eat whatever they like. This is fiction. Even our state-of-the-art insulin is a very inaccurate tool. In type 1 diabetes, the more carbohydrates you eat, the more insulin you need to get, both of which cause unpredictable and extreme fluctuations in blood sugar.

The idea of ​​carbohydrate intolerance should not be controversial at all. After all, doctors have been using the oral glucose tolerance test (OGTT) for almost a century to make a reliable diagnosis of diabetes. Today, the phrase “impaired glucose tolerance” is used as a terminology for prediabetes. The problem is that these phrases are mostly buried deep in the medical literature. Carbohydrate intolerance is rarely given the emphasis it deserves.

World Diabetes Day is celebrated every November 14th in 1921 to commemorate the birth of Sir Frederick Banting, one of the co-discoverers of insulin. Price crisis in the US — and waiting for the development of a coronavirus vaccine. Banting and his collaborators have sold insulin patents for exactly $ 1 and reduced the potential for huge wealth to share with as many patients as possible.

The spirit of Banting is still alive in the medical world. I know many doctors, nurses and other professionals who are really alive to help patients. But too often they inadvertently fail them by giving them dietary advice that is useless or even harmful. Healthcare providers need to be aware that carbohydrate intolerance is an essential component of type 1 diabetes.