Bret Scher: Diabetes Treatments are failing!
Youtube, 7July2021
dietdoctor.com
Study: decline of control in type 2 diabetes &
high blood pressure over past 10 years…
NHANES survey, 1999-2018
defined control:
-diabetes: hemoglobin a1c less than 7
(pre diabetes starts with hemoglobin a1c greater than 5.7 &
diabetes starting at 6.4)
NHANES survey, 1999-2018
defined control:
-diabetes: hemoglobin a1c less than 7
“We should not define control at less than 7!”
JACC (Journals of American College of Cardiology) study:
patients had subclinical atherosclerosis (cardiovasular disease)
accumulating all the way down to hemoglobin a1c of 5.5
“so, to say we have control at 7 is misleading!”
Type 2 diabetes patients under control (hemoglobin a1c less than 7)
during period 2007 – 2018 declined from 57.4 to 50.5%
“we declined 7%”
Defining blood pressure under control as less than: 140/90…
“this is not the ideal blood pressure.
it should be 120/80”
Patients with blood pressure under control…
declined 2011 – 2018 from 74.2% to 70.4%
The decline in both type 2 diabetes & blood pressure results:
happened during at time of:
-new drugs for type 2 diabetes
-new, aggressive guidelines for treating blood pressure
What we need is:
-focus on overall lifestyle interventions
-new structure in how we can intervene & help patients
What we need is the right lifestyle message…
“eat less; move more; good luck…doesn’t work!”
Need lifestyle guidance that addresses hunger &
is enjoyable & palatable & sustainable
I am personally a fan of low carb – high protein nutrition…
By reducing carbs & increasing protein:
studies show:
-appetite decreases & satiety increases
-improves metabolic health & body composition