Dr. Erica Oberg, ND, MPH, received a BA in anthropology from the University of Colorado, her doctorate of naturopathic medicine (ND) from Bastyr University, and a masters of public health (MPH) in health services research from the University of Washington. She completed her residency at the Bastyr Center for Natural Health in ambulatory primary care and fellowship training at the Health Promotion Research Center at the University of Washington.
Now many patients are being taught to focus on how many total grams of carbohydrate they can eat throughout the day at each meal and snack, and still keep their blood glucose under good control. Well-controlled blood glucose is a top priority because other research studies have concluded that all people with diabetes can cut their risk of developing diabetes complications such as heart disease, stroke, kidney and eye disease, nerve damage, and more, by keeping their blood glucose as closely controlled as possible.
Despite the fact the Paleo diet eliminates food groups vital to health, Katz believes the eating pattern has some merit. "Every species on the planet does well on the diet which it natively adapted. And the idea that things would be different for our species is absurd. There is some modern science to show its benefits, but with limitations. Those limitations include what it is compared to (everything is better than the typical American diet), and how genuinely 'Paleo' it really is," adding that there's a big difference between what meat enthusiasts casually call "Paleo" and legitimate Stone Age Homo sapiens eating patterns, which by today's standards would make a huge negative impact on the environment. "To procure the wild plants and animals required for sustenance depends on a lot of space per person," Katz says. "I have done the math, and for the current human population to eat that way would require about 15 times the surface area of the planet. Eight billion Homo sapiens cannot be foragers, or substantially carnivorous, without decimating the planet."

I don’t like keeping track of how much I’ve eaten or obsessing over how many grams of a particular nutrient I’ve had. Not only do I hate counting calories, but I know that calories are really only half of the battle, as they’re not all created equal – 400 calories of Doritos do NOT have the same effect on your body as 400 calories of high-quality vegetables and protein.


This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.
Skordalia is a Greek dip or sauce made with potatoes, garlic, and olive oil, among other healthful ingredients. Here, it's the base of a seafood dish. We used halibut, but you can sub in any fish of your choice. It's flavored with dried thyme, lemon juice and zest, and includes healthy ingredients like zucchini and vitamin C-rich red bell peppers. 

Take 30 days and give it a shot – cut out the grains and dairy, start eating more vegetables and fruits, eat more humanely raised and non-grain fed meat, cut out the liquid calories and sugar, and see how you feel after the month is up. If you’re analytical and want numbers to use in your final verdict, get your blood work done at the beginning and end of the month.
Best of all, you will see amazing results in a short amount of time. Your hips, thighs, and stomach will be thinner, the number on the scales will go down, and all those overwhelming food cravings will be gone! Just imagine losing weight while still enjoying many of your favorite foods. With the diet, you can dine on mouth-watering foods like Chicken en Papillote, Shrimp Louis, and even Chocolate Sponge Cake and still lose the weight!
Could this be the healthiest salad you've ever eaten? It's only 200 calories and packed with vegetables, including cucumbers, watercress, artichoke hearts, celery, and red onion, and gets a hint of tangy flavor from feta cheese. Even the simple dressing—fresh lemon juice and extra-virgin olive oil—is heart healthy and light. Cucumbers are a Mediterranean superfood as they're very low in calories; provide 62% of the vitamin K recommended for daily-consumption, and offer a healthy dose of vitamin C.

Jump up ^ DeBruyne L, Pinna K, Whitney E (2011). "Chapter 7: Nutrition in practice — fad diets". Nutrition and Diet Therapy. Nutrition and Diet Therapy (8th ed.). Cengage Learning. p. 209. ISBN 1-133-71550-8. 'a fad diet by any other name would still be a fad diet.' And the names are legion: the Atkins Diet, the Cheater's Diet, the South Beach Diet, the Zone Diet. Year after year, 'new and improved' diets appear ...

Jump up ^ Hu T, Mills KT, Yao L, Demanelis K, Eloustaz M, Yancy WS, Kelly TN, He J, Bazzano LA (October 2012). "Effects of low-carbohydrate diets versus low-fat diets on metabolic risk factors: a meta-analysis of randomized controlled clinical trials". American Journal of Epidemiology. 176 Suppl 7 (Suppl 7): S44–54. doi:10.1093/aje/kws264. PMC 3530364. PMID 23035144.
Many people do this for performance benefits during a workout, as it is thought to teach your body to use fat for fuel, which can provide a longer-lasting form of energy during extended bouts of endurance activities. That said, whether it really does boost performance is still up in the air, reported a study published in November 2015 in the journal Sports Medicine. If you’re an athlete interested in this style of eating, your best bet is to consult with a registered dietitian who specializes in sports nutrition to see what’s right for you.

I lobe the Mediterranean diet, but I do wonder whether regionally derived diets like this do not have a partly genetic basis when they work i.e. those good folk who live in the Mediterranean have basically adapted to this diet over many generations and it’s their genetic inheritance that contributes to its success – just a thought and thanks for an interesting article and indeed for many interesting comments!


But a large new study published on Wednesday in the journal BMJ challenges the conventional wisdom. It found that overweight adults who cut carbohydrates from their diets and replaced them with fat sharply increased their metabolisms. After five months on the diet, their bodies burned roughly 250 calories more per day than people who ate a high-carb, low-fat diet, suggesting that restricting carb intake could help people maintain their weight loss more easily.
The Diabetes Plate Method is another option that uses many of the ideas from the eating patterns described above and can be a great place to start for many people with diabetes.  This method uses a 9 inch plate.  The first step for many people is to use a smaller plate than they have been eating from.  Once you have a smaller plate, the idea is to fill half your plate with non-starchy vegetables, ¼ of your plate with protein foods and the last ¼ of your plate with carbohydrate foods. 

As of 2003 in commenting on a study in the Journal of the American Medical Association, a spokesperson for the American Dietetic Association reiterated the association's position that "there is no magic bullet to safe and healthful weight loss."[29] The Association specifically endorses the high-carbohydrate diet recommended by the National Academy of Sciences.[29] As part of the National Nutrition Month "Fact vs. Fiction" campaign in 2008, the ADA stated: "Calories cause weight gain. Excess calories from carbohydrates are not any more fattening than calories from other sources."[30]
Some studies of low carbohydrate diet permit up to 40% of dietary calories as carbohydrate, which leads to null bias, as this level of mild carbohydrate restriction is inadequate to produce the metabolic changes seen with more significant restriction of carbohydrate intake. Compared with those on a low fat diet, persons who restrict dietary carbohydrate intake to less than 26% of total dietary calorie intake have a greater reduction in body weight but a greater increase in HDL-cholesterol and also a greater increase in LDL-cholesterol.[24]
Jump up ^ Hou JK, Lee D, Lewis J (October 2014). "Diet and inflammatory bowel disease: review of patient-targeted recommendations". Clin. Gastroenterol. Hepatol. (Review). 12 (10): 1592–600. doi:10.1016/j.cgh.2013.09.063. PMC 4021001. PMID 24107394. Even less evidence exists for the efficacy of the SCD, FODMAP, or Paleo diets. Furthermore, the practicality of maintaining these interventions over long periods of time is doubtful.
So… I tried to start a new healthy eating lifestyle change by trying out the “South Beach Diet”….The food was ok but not for the $300 + I spent. Couldn’t eat half of the stuff for one reason or another. So, I figured…Lesson learned, cancel the program. When I get to the “Cancel subscription” page, I see this…”With auto-delivery, we’ll ship your plan every 4 weeks, unless you tell us not to. You can cancel at any time by calling 1-888-841-2620. If you cancel prior to paying for your second shipment, your payment method will credit South Beach Diet $125 for the auto-delivery discount you received on your first shipment. You may cancel any time after the second shipment with no charge whatsoever.” ….Are you EFFEN KIDDING ME???? You’re going to charge me back the free shipping? EF YOU! Here’s my advice….DO NOT EFFEN DO IT!!! Warn any and all of your friends to NOT do it. Man I am pissed!
“This plan is presented very simply, no measuring for many of the foods is necessary, especially at the beginning,” says Kraus. “Due to the strictness of phase 1, some people could have a significant amount of weight loss in the first two weeks, [such as] 8 to 12 pounds. Phase 1 could help stop cravings for highly refined carbs, and the foods recommended throughout the plan are heart healthy.” Blood sugar control has the added bonus of helping control type 2 diabetes if you already have it.
The South Beach diet consists of three phases. For the first two weeks, you are not allowed to eat bread, potatoes, rice, pasta, baked goods, fruit, sugar or consume alcohol. At the next level carbohydrates are added slowly, but it is still important that weight loss continues. In the third phase, when the goal regarding body weight has been reached, carbohydrates are added at the individuals choice.

The Soft Science of Dietary Fat is a summary of an article in Science Magazine reporting that mainstream nutritional science has demonized dietary fat, yet 50 years and hundreds of millions of dollars of research have failed to prove that eating a low-fat diet will help you live longer. In fact, there are good reasons to believe high-carbohydrate diets may be even worse than high-fat diets. Here is the text from the original article by Gary Taubes.
The Soft Science of Dietary Fat is a summary of an article in Science Magazine reporting that mainstream nutritional science has demonized dietary fat, yet 50 years and hundreds of millions of dollars of research have failed to prove that eating a low-fat diet will help you live longer. In fact, there are good reasons to believe high-carbohydrate diets may be even worse than high-fat diets. Here is the text from the original article by Gary Taubes.
A 2013 Cochrane review found limited evidence that a Mediterranean diet favorably affects cardiovascular risk factors.[4] A meta-analysis in 2013 compared Mediterranean, vegan, vegetarian, low-glycemic index, low-carbohydrate, high-fiber, and high-protein diets with control diets. The research concluded that Mediterranean, low-carbohydrate, low-glycemic index, and high-protein diets are effective in improving markers of risk for cardiovascular disease and diabetes, while there was limited evidence for an effect of vegetarian diets on glycemic control and lipid levels unrelated to weight loss.[15] However, reviews of early 2016 have been more cautious: Concerns have been raised about the quality of previously performed systematic reviews and meta-analyses examining the impact of a Mediterranean diet on cardiovascular risk factors,[16] further standardized research has been found to be necessary,[17] and the evidence as to the prevention of vascular disease by the Mediterranean diet has been found to be "limited and highly variable".[18] Newer reviews have reached similar conclusions about the ability of a Mediterranean diet to improve cardiovascular risk factors such as high blood pressure and other cardiovascular diseases.[5][19]
The big pro to this diet is that it’s very heart-friendly; the con is that for some people, the lure of a low-carb diet is often the ability to eat highly palatable foods, like bacon and cheese. Research analyzing the benefit of a low-carb Mediterranean diet on diabetes, such as one study published in July 2014 in the journal Diabetes Care, have advised participants to keep carbohydrates to no more than 50 percent of their daily calories and get at least 30 percent of their calories from fat, focusing on vegetables and whole grains as carb sources.
Dr. Ludwig emphasized that the results need to be replicated by other investigators and he stressed that the findings do not impugn whole fruits, beans and other unprocessed carbohydrates. Rather, he said, the study suggests that reducing foods with added sugar, flour and other refined carbohydrates could help people maintain weight loss by increasing their metabolisms at a lower body weight.

Contrary to popular belief, fat doesn’t make you fat; carbs do (and the Standard American Diet contains a ton of them!). Natural oils and fats are your body’s preferred sources of creating energy, so it’s best to give your body what it’s asking for. The following are some of the best types of paleo diet oils and fats that you can give your body if you’re in need of some additional energy.
Firstly read the “How to start” page which will cover how to start slowly and give up the most obvious places of sugar first, then cut back on all carbs such as bread, pasta, rice, starchy vegetables etc. You must also cut back on all seed oils such as canola, sunflower, margarine, spreads etc. These cause inflammation. Go back to healthy fats such as olive oil, butter, coconut oil, etc. Take a look at the lists on the page. To make your own meal plan, take a look at all my breakfast, lunch and dinner recipes. Choose which ones are easy to start with such as scrambled eggs for breakfast, salad and last nights dinner for lunch, and dinner meals made the low carb way. Join us on Facebook and Pinterest too for more ideas and suggestions. Good luck xxx
Nutrition & Physical Degeneration by Dr. Weston Price's book puts to rest a lot of myths about diet, dental, physical, and emotional health, and presents the strongest case for a super-nutritious Native (or Paleo) Diet. His book outlines the conditions/causes for exceptional health. A classic that was first published in 1938. The Soil and Health Library has a Book Review by Steve Solomon. If you don't buy the book at least read the review. N.B. If you live in one of the countries where this book is now in the public domain, you can read it online. But not if you live in a country where it is still under copyright protection.
Unlike conventional diets, the Mediterranean diet doesn't restrict you to a daily allotment of calories, fat, or sodium. Instead, it’s about what you’re eating, from heart-healthy unsaturated fats to satiating, high-fiber foods. Taking these ideals to heart, we’ve constructed a Mediterranean diet meal plan for beginners from breakfast to dinner. Our recipes maximize flavor and nutrition to create balanced and colorful plates that marry whole grains with vegetables, lean proteins, and more. On top of all of this deliciously nutritious eating, make sure to work physical activity into your day, especially if you have a desk job.
If you were to eat an unlimited amount of red meat (which the paleo diet technically allows), you may see your heart health suffer. While experts applaud the omission of packaged and processed foods like cake, cookies, chips, and candy — which are well known to be bad for your ticker — they’re not crazy about the fact that paleo doesn’t allow you to eat whole grains, legumes, and most dairy. Whole grains in particular have been linked with better cholesterol levels, as well as a reduced risk of stroke, obesity, and type 2 diabetes. (13) These are all comorbidities of heart disease. (14)

You can eat what you love. It’s evident that with such a variety of whole, fresh foods available to you as options, it’s easy to build meals based on the diet. And, you don’t have to eliminate your favorites, either. They may just require some tweaks. For instance, rather than a sausage and pepperoni pizza, you’d choose one piled high with veggies and topped with some cheese. You can also fit in a lot of food into one meal. Filling up on fresh foods like fruits and vegetables will allow you to build volume into meals for fewer calories.


Introduction         Unless you are involved in the culinary arts or the meat industry, you probably haven’t given much thought to the term, “Saint Louis Style Pork Ribs”.   Is this dish some kind of specially spiced, spare rib recipe from St. Louis, MO?  Did it originate in a colorful Saint Louis, 20th century restaurant, or maybe it was first served at a St. Louis Cardinal baseball game in the 1930s?   All three hypotheses...
Much worse was the book’s “dessert” recipe for almond ricotta crème, using part-skim ricotta, artificial sweetener, and almond extract. It was a complete abomination that brought to mind almond-flavored lasagna. There were a few ricotta dessert recipes in those pages, but you can’t just decide cheese is something else. It’s still cheese! I was so offended by the ricotta crème that I didn’t try any of the other dessert recipes.
I don’t understand all of the chocolate and nuts that you eat in South Beach Phase One. I have eaten more chocolate (or drank in shakes) than ever, as I rarely eat chocolate… I gained 2 lbs in the first 4 days. I stuck to their chocolate and nut diet with a little bit of meat and sauce, and some raw vegetables, and I gained weight! I broke down and cried.

Packed with vegetables, this Mediterranean-style panini is the healthiest and most satisfying sandwich you'll ever make. Roasted red peppers add sweetness and color, and provide more than half the recommended-daily intake of immunity-boosting vitamin C. Basil, black olives, zucchini, provolone cheese, olive oil, and a dab of mayo are the other flavorful ingredients sandwiched between two pieces of rustic bread.

A category of diets is known as low-glycemic-index diets (low-GI diets) or low-glycemic-load diets (low-GL diets), in particular the Low GI Diet.[12] The low-insulin-index diet, is similar, except it is based on measurements of direct insulemic responses i.e., the amount of insulin in the bloodstream to food rather than glycemic response to the amount of glucose in the bloodstream. Although such diet recommendations mostly involve lowering nutritive carbohydrates, some low-carbohydrate foods are discouraged, as well (e.g., beef).[13]
Choose a plan that you are likely to follow long-term that fits your diabetes goals and personal needs. Think about your likes and dislikes and how a change to your eating will affect your day to day life with family and friends as well as your personal weight loss goals. Budget also plays a part in choosing the right healthy eating plan that will meet your needs. 

If you're overweight, which is a risk factor for type 2 diabetes, you may also need to reduce the number of calories you eat to aid in weight loss. The good news is losing excess pounds, along with making other lifestyle changes, such as getting more exercise, may help control your glucose so you don't need to take medication. In addition, you can still eat a variety of nutritious and delicious foods without feeling deprived.


Trying to devise an ideal diet by studying contemporary hunter-gatherers is difficult because of the great disparities that exist; for example, the animal-derived calorie percentage ranges from 25% for the Gwi people of southern Africa to 99% for the Alaskan Nunamiut.[40] Descendants of populations with different diets have different genetic adaptations to those diets, such as the ability to digest sugars from starchy foods.[40] Modern hunter-gatherers tend to exercise considerably more than modern office workers, protecting them from heart disease and diabetes, though highly processed modern foods also contribute to diabetes when those populations move into cities.[40]
The diet has three stages, and gradually increases the proportion of carbohydrate consumed as it progresses while simultaneously decreasing the proportions of fat and protein.[7] It includes a number of recommended foods such as lean meats and vegetables, and has a concept of "good" (mostly monounsaturated) fats.[7] It makes no restriction on calorie intake, includes an exercise program, and is based around taking three main meals and two snacks per day.[8]
The Diabetes Plate Method is another option that uses many of the ideas from the eating patterns described above and can be a great place to start for many people with diabetes.  This method uses a 9 inch plate.  The first step for many people is to use a smaller plate than they have been eating from.  Once you have a smaller plate, the idea is to fill half your plate with non-starchy vegetables, ¼ of your plate with protein foods and the last ¼ of your plate with carbohydrate foods. 
Low-carb diets may help prevent or improve serious health conditions, such as metabolic syndrome, diabetes, high blood pressure and cardiovascular disease. In fact, almost any diet that helps you shed excess weight can reduce or even reverse risk factors for cardiovascular disease and diabetes. Most weight-loss diets — not just low-carb diets — may improve blood cholesterol or blood sugar levels, at least temporarily.

“This plan is presented very simply, no measuring for many of the foods is necessary, especially at the beginning,” says Kraus. “Due to the strictness of phase 1, some people could have a significant amount of weight loss in the first two weeks, [such as] 8 to 12 pounds. Phase 1 could help stop cravings for highly refined carbs, and the foods recommended throughout the plan are heart healthy.” Blood sugar control has the added bonus of helping control type 2 diabetes if you already have it.


Eat Like a Dinosaur: Recipe & Guidebook for Gluten-free Kids by Paleo Parents. The Book is a colorful children's story describing the paleo diet, chock-full of recipes without grains, dairy, soy or refined sugar. For those with food allergies, the top 8 allergens have been visually marked on each recipe for children to self-identify recipes that may contain eggs, nuts, fish, or shellfish. Published March 20, 2012.
If you're interested in the paleo plan but don't think you want to be so strict, you don't have to be all-or-nothing with your approach. Consider adopting some eating patterns from paleo and skipping the ones that don't work for you. For example, try just eating more fruits and vegetables and cutting down on added sugars. If you feel unsure about grains or dairy, talk to your doctor or a registered dietitian to determine what's best for your body.

Hi Libby, I have been trying to find my way within the LCHF world for a few months and I am just not winning .. I eat a good hearty breakfast and a cup of coffee with cream and I’m good for the day till dinner when i’ll have a salad with chicken or steak .. most days my meals don’t vary (i’m easy that way).. problem is the weight is maintained and I’m just lost 🙁 please would you assist me .. anything would be appreciated 🙂
Welcome Denise and that is great news that you have discovered low carb to help with your T2 diabetes. Read this post which may really explain how diabetics especially can be helped by lowering their carbs, how it may lower your insulin resistance and improve your control. Where you set your carb limits will depend on how high your current carb intake is and current medication. You may need to be seen by a diabetes educator, dietician or health professional as your need for medication may need to be reduced in conjunction with lowering your carbs. Ensure they are low carb friendly practitioners.

I’ve seen young body-builder types with grocery trolleys full of eggs, cans of tuna, lean beef and especially skinless/boneless chicken breasts – so I adopted that habit about 5 months ago. 2 or 3 eggs for breakfast, sometimes with cheese or bacon, a can of tuna with carb-free herbs for lunch, and then a steak or big chicken breast or even some meat-only hot dogs for dinner. I don’t purposely eat more fat than necessary, mostly because the calories are not needed. I have not been hungry AT ALL, even when sitting down to eat. No temptation to “cheat”, either. Result? I am approaching 100 pounds lost (not proud of being THAT fat, believe me) , blood pressure dropped from 170/100 to 122/80, acid reflux totally gone, any joint pain banished, and a closet full of clothes I can wear once again.


Another thing to (not) consider is the GI index of carbohydrate. Regarding this, you should be aware that the glycemic index of foods has no relation to low-carb eating. Although many people associate ‘high GI’ with bad and ‘low GI’ with good, all this means is that the body digests some carbs slower than others. No matter the speed, they are still all digested and contribute to the carbohydrate total.
The Paleolithic or “Paleo” diet seeks to address 21st century ills by revisiting the way humans ate during the Paleolithic era more than 2 million years ago. Paleo proponents state that because our genetics and anatomy have changed very little since the Stone Age, we should eat foods available during that time to promote good health. Our predecessors used simple stone tools that were not advanced enough to grow and cultivate plants, so they hunted, fished, and gathered wild plants for food. If they lived long enough, they were believed to experience less modern-day diseases like diabetes, cancer, and heart disease because of a consistent diet of lean meats and plant foods along with a high level of physical activity from intensive hunting. However, the life expectancy of our predecessors was only a fraction of that of people today.

Cordain admits that meat leads to plaque and increases cholesterol where plants wouldn’t. And science establishes that plaque and cholesterol lead to heart attacks and strokes. But Cordain argues that plaque alone is insufficient to cause harm. Rather, it is plaque combined with inflammation that causes heart attacks and strokes. So avoid acid, salt, legumes, wheat, starchy vegetables, dairy, oil, fatty meats, and grains because they cause inflammation. But if both science and Cordain agree that plaque is a necessary part of the heart-disease equation—and that meat causes plaque—why should we follow Paleo rather than just forgo meat?

But some pleasant news: When consumed in moderation and made with whole ingredients and without added sugar, fruit smoothies can be a good food for diabetes. Consider stocking your fridge with unsweetened frozen fruit so you can whip up one in a hurry for breakfast. Adding ingredients with protein, such as yogurt or a small amount of nut butter, will also help your body break down the carbohydrates more slowly, leading to less of a spike in blood sugar.
×