Intended for healthcare professionals

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

Re: A patient request for some “deprescribing”

I'm a 49 year old type 1...I cannot understand the current recommendations in my country by the ADA on giving 30-60 carbs per meal. It's a proven, scientific fact that carbs raise glucose....and high glucose causes an entire slew of complications such as blindness, loss of limbs to neuropathy and kidney failure...so why recommend eating so many carbs?? I eat 30 grams or less of carbohydrate per day and all those are from non starchy veggies. I am well nourished, never hungry and my last 5 A1C's have been in the 4's. ..with the last one 4.8..why is this way not prescribed to patients? I eat delicious foods made with almond flour instead of wheat flour...with no sugars and no unhealthy ingredients...they are easy to make, recipes are readily available online and in cookbooks.....so why the high carb recommendations? It's akin to telling a child with a peanut allergy to continue to eat peanuts and just keep the epi pen handy. with the high carb recommenations of the ADA, people have to inject massive amounts of insulin and still have no control over roller coaster blood sugars...is that healthy? I think not. Please...someone...review these current guidelines that are slowly killing people and start saving lives!!

Competing interests: No competing interests

02 September 2015
Debbie Wright-Theriault
Hair Replacement Specialist/ADE (associate diabetes educator)
Brewer, ME 04412