The ADA just released its new guidelines for pediatric type 2 diabetes.
Evaluation and Management of Youth-Onset Type 2 Diabetes: A Position Statement by the American Diabetes Association
The ADA just doesn’t get it. And I’m worried they never will.
Directly from the document:
“In youth-onset type 2 diabetes, the major modifiable risk factors are obesity and lifestyle habits of excess nutritional intake, low physical activity, and increased sedentary behaviors with decreased energy expenditure, resulting in the surplus of energy being stored as body fat.”
Their own words — it’s still about calories in, calories out. And in the nutrition section, it’s about weight loss and management. The words “diet” or “sugar” or “processed food” aren’t even mentioned. Forget that our group turned insulin resistance around in children just by getting rid of liver fat by replacing sugar with starch. Forget that Virta Health has reversed Type 2 diabetes with a ketogenic diet, to the point where they are changing their business model to put their profits “at risk” based on diabetes reversal.
Worst yet, the authors are my Pediatric Endocrine academic colleagues. They should know better. I’m supremely disappointed in them.
And all of this while insulin prices have soared into the stratosphere.