This little story caught my attention, and I am surprised that it didn't reach the radar of others, like Eades, who follow the news feeds pretty well.
Now it is this type of article that brings out the libertarian in many a low-carber. Seems that the diabetes prevention program, based on a clinical study program of the same name, "proves" that their preferred lifestyle modification is superior to doing nothing. Is it superior to a low carb plan? Hmmm, I guess with these people in charge, we will never know. The really sucky thing is that now, as a taxpayer, I'll be forced to fund this make-work-program-for-registered-dietitians as it gets implemented throughout the entire Obama-care-o-sphere.
Seems like these researcher folks have proved that intensive one-on-one "coaching" and united-front eating recommendations have helped people. But I think I can do better on low carb.
Here's the 5th arm of the study. (n=1)
I followed a lowish carb diet (no more than 150 grams on most days, even though I tried to shovel it in). After a couple of months, I went lower carb. By 6 months in, I had lost 17 percent of my body weight. After one year, I had maintained most of that weight loss, and was in at 15 percent overall. During the second year, I quit exercising regularly. During the third year, I started progesterone and went off regular use of my appetite-destroying sleep medication and was on a good LC diet only about half the time. My weight did go higher, but the overall weight lost was still above 7 percent. That 7 percent was the aim of the study. The folks in the lifestyle intervention arm did lose 7 percent of their initial weight, but gained much of it back, even though they were attempting to follow the diet program and still exercising 100 minutes a week. The metformin group lost 4 percent, but gained it all back by 2.8 years.
Here's a little table showing the percent weight lost with the treatments across time.
treatment group 6 months 12 months 28 months 33.6 months
lifestyle intervention 7 % 7 % 4 %
metformin only 4 % 0 %
control 0 % 0 %
ME! 17 % 15 % 7 %
So here's what I am going to do. I am going to exercise my "restart" as outlined in the diabetes prevention program. Let's see how well I do by 33.6 months. Even though I have not been diagnosed with pre-diabetes, at the start of my lower carb diet, by fasting bg was 101 and my HbA1c was 5.8. I think those numbers are high enough to take action. Both numbers were better after a year, but I haven't gone to the doctor or taken any type of test since, except for blood pressure at the blood donation center. My blood pressure has continued to go down, as well as my waistline, despite the weight gain.
I am only showing out to the 2.8 years, because at that time, the study was stopped and the control and metformin groups were offered the lifestyle modification, and I haven't gotten out that far either. What I found really interesting is that when they compared the weight loss 10 years out between groups, they broke it out by age. (Go to this study and check out table 2.) The group similar to mine (C and G) had weight losses of diddly-squat over the entire time span. I bet I'll do better. I think Dr. Gardner's study showed that the low carb diet did better for women in my age group than the other types of diets.