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Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE)

thelancet.com/journals/lanc...

Interpretation

High carbohydrate intake was associated with higher risk of total mortality, whereas total fat and individual types of fat were related to lower total mortality. Total fat and types of fat were not associated with cardiovascular disease, myocardial infarction, or cardiovascular disease mortality, whereas saturated fat had an inverse association with stroke. Global dietary guidelines should be reconsidered in light of these findings.

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was this study on diabetic subjects or just general. In that case one should be careful to apply this to diabetics ,with known dyslipidemic status,and run a definite risk with high fat intake

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The whole dyslipidemia concept is under a cloud of suspicion

It's more of a pharma push to sell pills

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it is not a suspicion but a fact that the lipid profile of untreated or poorly controlled diabetics has abnormally elevated lipid profile.

go ahead and verify the lipid profile of those diabetics admitted in ICU units with heart attack or stroke and see how many of them will accept,high fat diet.

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More that half of those admitted due to heart attack have normal or less than normal lipid levels. This is a well known fact.. and this is termed as Residual Risk...

No one is able to explain as to why to get an attack if lipid levels are lower.

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Agree. the residual risks include many other factors than lipid alone. the advise to diabetics with known coronary atherosclerosis to reduce oral fat intake is not to further compromise on the myocardium more as a preventive than curative value

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This is the conventional knowledge... followed by all on the behest of American guidelines.

And American guidelines are influenced by food and pharma industries

There are path breaking alternative views which point out at actual causes of cvd which are buried in the books...

Accord studies has 3 versions.... many are not aware... all only know the one interpreted by ADA which says that intensive lowering of blood sugar is harmful..

But they fail to mention that this harm is due to the medications they use

Now they say that out LDL should be below 30 .. as low as babies ..if so then even our hba1c should be as low as 4.5 or lesser as babies have it ... then our blood pressure should also be as low as a baby

Why have only LDL as low as a baby & ignore other factors conveniently

They say that out ghee is bad and canola oil is good

Don't u see something fishy here...?

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it is not a suspicion but a fact that the lipid profile of untreated or poorly controlled diabetics has abnormally elevated lipid profile.

Because they are on high carb diet

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agree.the question is why overload the diabetic with more fat than what is natural,when there are better alternatives

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Do you know what was the remedy in ancient times before the discovery of medicines for type 2 D....?

It's called Banting diet

This diet is also useful for weight loss .

Now ketogenic diet is recommended by some top neurologist across the world and in India also for epilepsy

When u over load with fats you also cut down carbs....

You get down blood sugar rapidly...

I am at a ketogenic range for the last 1.5 years... no medications... no hypo... slim figure . No central obesity... all blood parameters normal ... resolved fatty liver . ... what more do I want ...

I am having the last laugh... saved money on costly dpp4 or sglt2 pills .. no Dr consultation for last 2 years

Confidence .. on top of the world ... no more sleepy or lethargy feeling ...

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There no overloading with fats. It is replacement of macronutrient.

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Because they are on high carb diet...

what type of better alternative??

Going low carb is best alternative as on today...

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Because they are on high carb diet

This means elevated insulin level...

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I'm betting this still isn't enough to change the weight of evidence for most international 'health' organisations, because of the momentum from forty years of focussing on fat.

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