Should I be eat­ing a low-carb diet?

Ex­pert an­swers to ques­tions you usu­ally save for mid­night Google searches.

Diabetic Living (USA) - - Doctor’s Orders -

Di­ets that se­verely re­strict carb in­take below 60 grams per day have be­come pop­u­lar, but there’s not enough re­search to rec­om­mend them for di­a­betes man­age­ment. Many peo­ple who start this diet lose weight and see im­proved A1C lev­els, but this may have less to do with carb in­take and more to do with be­ing ex­tra fo­cused and mind­ful about what they’re eat­ing. (This is the case with most fad di­ets.) Plus, there are risks, in­clud­ing more fre­quent low-blood­sugar episodes, es­pe­cially if you take med­i­ca­tions with hy­po­glycemia as a side ef­fect, like in­sulin or sul­fony­lureas. If you do change your diet, check your blood sugar more of­ten to get a bet­ter sense of trends and to catch any lows. And make sure you are get­ting the wide range of nu­tri­ents your body needs. Many peo­ple on low-carb di­ets don’t eat enough fruits, veg­eta­bles, or whole grains, and may get too much sat­u­rated fat. It’s a good idea to talk to an RD or CDE. There is added con­cern if you are preg­nant, very ath­letic, or on medicine that might raise your risk of lows.

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