Intended for healthcare professionals

Rapid response to:

Endgames Case Review

A patient request for some “deprescribing”

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4023 (Published 03 August 2015) Cite this as: BMJ 2015;351:h4023

Rapid Response:

Re: A patient request for some “deprescribing”

Dear Sir,

It is interesting to see the results of a Low Carbohydrate, Higher Fat approach published in the BMJ. As a Type 1 diabetic of more than 26 years, it has always seemed logical that reducing the amount of carbohydrate consumed would lead a lesser requirement for insulin and therefore lower and more stable blood glucose levels.

Dr Trudi Deakin, the creator of the X-Pert Course has also recently changed the construction of the course to identify that Low Carbohydrate eating is an effective method for reducing the effects of Type 2 diabetes.

Low carbohydrate diets also benefit Type 1 diabetics by causing them to require less insulin, providing much more stable blood glucose levels with fewer spikes and having similar effects on cholesterol levels as observed in this study.

As an effective method for dealing wiht weight issues and obesity, a low carb approach also helps, but still requires a reasonable level of calorie control.

The question that this raises is "Why does the NHS continue to recommend the 'Eat Well' plate?" There are many clear benefits to reducing the levels of carbohydrate in the diet yet the recommended diet for most is still to dominated by this macronutrient.

I look forward to hearing your thoughts,

Tim

Competing interests: A subject in the Low Carb Case studies for Trudi Deakin's recent discussion document relating to advising about lower carb, higher fat diets.

04 August 2015
Timothy J Street
Equity Sales
London