Re:My career of treating patients has ended
by imtringued on Tuesday December 21, 2021 @05:44AM
(#29636049)
>1) they send you to a Registered Dietician who shows you a modernized food pyramid based heavily on grains. Minimize animal fats, replacing with seed oils. 70% calories as carbohydrate.
Crazy, that's what I would recommend if you want to become obese.
>2) MD flat tells you "you MUST eat 6 small meals a day so you never get hungry."
I guess that MD really wants his patients to become insulin resistant and eventually develop diabetes.
This mostly reflects on what doctors recommend rather than blanket discipline failure across a broad population. I can tell you what my local Kaiser recommended for T2D and obesity:
1) they send you to a Registered Dietician who shows you a modernized food pyramid based heavily on grains. Minimize animal fats, replacing with seed oils. 70% calories as carbohydrate.
2) MD flat tells you "you MUST eat 6 small meals a day so you never get hungry."
What was done instead: Time Restricted Feeding, 4-6 hour window, low carb, limiting to mostly keto first half of window. A1C dropped over 3 points (10.3 to 7) by next labs.