Archive by Author

Defending a Carbohydrate-Restricted Option for PCOS Management

As a registered dietitian and certified diabetes educator, I’m required to complete 75 hours of continuing education (CE) every five years. Fortunately, there are many ways to fulfill this requirement, including watching webinars, attending conferences, and completing exams on nutrition-related books. Although my recertification date is more than a year away, I’ve been trying to complete […]

Diabulimia: Reducing Risk with Carbohydrate Restriction

A recent article in the UK paper The Daily Mail reported the heartbreaking story of a woman with type 1 diabetes who developed severe health complications in her early 20’s after spending several years engaging in diabulimia, a form of disordered eating in which inadequate insulin is injected in order to promote weight loss or prevent […]

Fiber on LCHF Diets: Benefits for Weight Loss and Beyond

Over the past few months, several women have contacted me  expressing frustration at being unable to lose weight despite strictly following a LCHF diet. When I ask whether they’re including high-fiber plants like brussels sprouts, berries, nuts, and dark chocolate, the response is typically, “I avoid those because they’re so high in carbs. I limit […]

Carbohydrate Restriction for Type 1 Diabetes:
Inspiration vs. Criticism

My Position on Very Low Carbohydrate Diets for Type 1 Diabetes Last week, I saw a Facebook post from a low-carb proponent (who does not have diabetes) criticizing this article for being a negative way to view type 2 diabetes management. Riva Greenberg is a well-known author and diabetes advocate who has lived with type 1 diabetes […]

Diabetes Medication Associated with Heart Disease in Women

Last month, Diabetes Care, a journal of the American Diabetes Association, published an article linking sulfonylurea use to increased risk of cardiovascular disease in women. Sulfonylureas stimulate the pancreas to produce insulin and include glipizide (Glucotrol), glyburide (Micronase), and glimepiride (Amaryl) in the US, as well as gliclazide (Diamicron), available in Great Britain and Australia. […]

Top 10 Diabetes Meal Patterns?

A couple of days ago I received the August issue of Today’s Dietitian and was excited to see “The Top 10 Diabetes Meal Patterns” on the cover. My excitement faded, however, when I realized that the list was the same one published by US News & World Report in January, which ranked the Atkins and Paleo diets 25 and 31, respectively. […]

Plant-Based vs. Low-Carbohydrate Diets:
Presenting the Evidence

A couple of days ago I received an email from the makers of a soy-based protein bar that began: Scientific research continues to show that a plant-based diet is a healthy dietary pattern. In fact, previous versions of the Dietary Guidelines for Americans have emphasized plant-based diets, and the 2015 Dietary Guidelines Advisory Committee appears […]

Five Low-Carb “Superfoods”

I’m usually not a fan of the term “superfood.” I think it tends to confuse people about which foods are best and how much they should consume. For instance, the ADA’s Diabetes Superfoods list includes citrus fruit, whole grains, sweet potatoes, and fat-feee milk. While those items may have beneficial nutrients, their effect on blood glucose levels […]