Intended for healthcare professionals

Clinical Review

Prevention and early detection of vascular complications of diabetes

BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.38922.650521.80 (Published 31 August 2006) Cite this as: BMJ 2006;333:475

Personalized Portions are the Key to Vascular Damage Prevention

It should be of interest that I am a Type 2 diabetic, who is in his
9th year of controlling his diabetes by diet alone, while staying free
from any evident complications. This dieting is done principally by
limiting my intake of all food, and food combinations, to the weight that
can be eaten without my postprandial blood glucose rising to levels where
macrovascular and microvascular body damage cause (or aggravate any
existing macrovascular) complications. Namely <10.0 mmol/l, and 9.0
mmol/l or below most of the time. At the same time I follow ADA and
Diabetes UK's nutrient guideline limits for carbohydrate, individual fats,
etc, so am not 'cheating' by low-carbing. The research has shown that
each individual has their own scale of such limiting food weights,
according to their diabetic severity and personal characteristics, and
that their scale can be readily determined. This OptimumCarbDiet is
available as a complete lifestyle change package on a CD called
DietControlDiabetes, which includes ‘body fitness’ plus highly
comprehensive supporting educational coverage of the subject. More
details on http://www.optimumcarbdiet.com/index.htm where there is an
interesting diagram comparing different diets.

Considerable effort is going into screening people for Type 2
diabetes, but there is no approach for significantly delaying their
progression once they are identified. DietControlDiabetes provides that
approach. The author, who is a scientist with a PhD, and whose wife is a
retired General Practitioner, believes the time is long overdue for the
medical profession to start taking seriously the findings of its better
qualified (albeit non-medical) patients.

Competing interests:
The DietControlDiabetes CD is sold for £29.50 (plus VAT for some), because there is no external source of funding.

Competing interests: No competing interests

25 October 2006
Roger L Grant
Retired Type 2 diabetic
Campion House, Iden Green, Cranbrook, Kent TN17 4LB