2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001-622

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    In June, 2018, the Royal College of General Practitioners published an e-learning course “Type 2 diabetes and the low GI diet” - “Type 2 diabetes is an increasingly common and progressive disease, the progression of which can sometimes be paused or even reversed using a low glycaemic-index (GI diet). Many patients with type 2 diabetes are on multiple drugs, yet are still not well controlled. This module describes the use of a low GI diet as an adjunct treatment for diabetes, using a case study of a real patient registered at the author's practice. The physiology and evidence behind a low glycaemic-index diet are described, as well as how to implement it in real life.”

    I completed this course as an American specialist in Family Medicine and found it compelling and informative, in a short period of course completion (less than 30 minutes).

    At the same time, I recertified as a family medicine specialist at the end of 2018 and was disappointed to find learning modules riddled with inaccuracies and old information around the topics of diabetes prevention, reversal (no information), and nutrition. The modules allow learners to leave comments, and I found I was not the only physician disappointed in the content. This is my comment on one of the evaluation questions of one of the modules:

    “Did you notice any problems with the content of the knowledge self-assessment activity? - Yes”

    “Extremely out of date, especially the nutrition questions, which still mention “calories in, calories out” (no evidence that this valid) and focus on low-fat diets, which
    again have been proven unhealthy and without any evidence of support. I would overhaul this entire section.”

    see elearning.rcgp.org.uk

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