January 11, 2011…..The American Diabetes Association’s “Ask the Dietitian” passed my very basic question onto the the “highly trained coordinators at AskADA”. You won’t believe the answer!


The basic  question to the American Diabetes Association:  What amount of carbohydrate does the ADA recommend I have in my diet for diabetes? 

The ADA’s actual response:

Dear ADA Supporter,

Thank you for contacting the American Diabetes Association’s Ask the Dietitian. Since your question is more diabetes related, we have forwarded your question to AskADA to be answered by one of our highly trained coordinators. Please see below for your response.

The recommended number of servings of carbohydrate, protein, and fats is based on your weight, activity level, diabetes medications, and goals for your blood glucose levels. We do have general guidelines for carbohydrates. For many people, having 3 or 4 servings (45-60 grams) of carbohydrate foods at each meal and 1 or 2 servings (15-30 grams) for snacks works well, but a member of your health care team, such as a dietitian, can work with you to make a personalized plan. To determine the amount of fats or protein you should be consuming you would need to speak with a nutritionist or dietician.

My response to the ADA: Thanks for referring my question to the “highly trained coordinators at the ADA”. (Please inform them that dietician is spelled dietitian (this mispelling is comparable to spelling doctor…docter.) Now that we cleared that up, I’d like to respond to your response….

The ADA is recommending 270 grams of carbohydrate/day for someone with diabetes….and to go to a “dietician (sp) to determine the amount of fat or protein I should have.

Incredible!!….that’s over 50% of calories from carbohdrate if I am to consume 2000 calories/day or 68% calories from carbohydrate if I am to consume 1600 calories/day!!! The ADA is very generous with carb! Especially since people with diabetes cannot adequately handle carbohydrate. With this amount of carbohydrate on a daily basis, the speed of  pancreas burn- out for those with diabetes who do not yet require medication is sure to speed the need to  start medications very quickly.  270 grams of carb/day will require higher doses of oral meds if they were prescribed and can  actually speed the progression from oral medication to insulin .  If I’ve been prescribed insulin, this hefty dose of carbohydrate will require a heavy dose of insulin to control my blood sugar.  

Are you sure this is your recommendation? (Don’t bother, we already know the answer ). PS: The Diabetes Miracle will be released November 8, 2011…..Those of us with metabolic syndrome (Met B), prediabetes, and type 2 diabetes will be just fine…. and I’ll make sure to send the ADA a few copies. Diane


About Diane Kress

Author of The New York Times Bestseller; The Metabolism Miracle, The Metabolism Miracle Cookbook, and The Diabetes Miracle. and The Metabolism Miracle, Revised Edition. Owner, developer, and administrator of The Metabolism Miracle's support site: www.Miracle-Ville.com. Registered Dietitian, Certified Diabetes Educator, www.themetabolismmiracle.com www.thediabetesmiracle.com www.miracle-ville.com Email: dietquestions@ymail.com
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