Sunday, March 19, 2017

Type 2 Diabetes, a Dietary Disease #372: My 10-week, 30-lb challenge, 5thwk Progress Report

I’ve changed the title of the Challenge from “2-month, 20-pound” to “10-Week, 30-Pound.” The primary reason is that it became clear I was going to over achieve my goal. This is the new mid-point report.
The second reason is that I have a doctor’s appointment coming up in Week 11, and I wanted to capture the best A1c and weight loss improvements possible. The challenges will be that, for a large part of the final 2½ weeks, the unique circumstances that gave rise to my beginning this gambit will change: 1) I will not be alone and preparing all my own meals, and 2) I will at times be “on the road” and eating most meals in restaurants.
That being said, the necessary adjustments will be good for me. They will allow me to transition to “real life” while at the same time being under the gun to preserve continue the gains. (See how easy it is to undercut one’s confidence and resolve?) Reference: for the Challenge, see #368, for the 1st week’s Progress Report, see #370, and for the 2nd week’s, see #371. Now, back to the 5th Week (new mid-point) Progress Report here:
Week 3: Having gained 1 pound in Week 2 (after losing 11 in Week 1), I was confident the “progress…was not really lost,” and “it [the progress] will show up on the scale this coming week.” Well, I lost 4 pounds in Week 3.
Better yet, my Fasting Blood Glucose (FGB) average also dropped again, from 88mg/dl (3.8mmol/L) to 86 (3.7). The actual readings were 81, 104, 90, 78, 84, 83 & 79. The 104 was a surprise. It came after a supper of veal kidneys cooked in onions and mushrooms with Marsala wine and a salad of Romaine lettuce, mushrooms, hazel nuts, shredded cheese and my homemade vinaigrette made with white wine vinegar. Go figure! Tonight I’m having the 2nd half of that kidney preparation, with the same salad, so we’ll see what happens.
Changes in Week 3: Going forward I’m going to cut my morning coffee from a 16oz mug to a 12oz mug. That should reduce the heavy cream from 2oz to 1½oz. I found that I had swallowed all my supplements with only half a cup and the 2nd half was an indulgence. The idea came to me after reading a blogger who was looking for people to join him in a 30-day coffee fast. I like coffee, but I am not addicted to it, and I don’t want to be.
Week 4: Well, it wasn’t the veal kidney and salad supper that gave me that anomalous 104mg/dl FBG (5.8mmol/L) last week. The same supper the 2nd time produced a FBG of 74mg/dl (4.1mmol/L) this morning. Conclusion: anomalies happen. Now, once again, the big news this week: My FBG average plummeted again, from 86mg/dl (4.8mmol/L) to 77 (4.3). I haven’t seen FBGs like this ever! True, on my own initiative, but with the concurrence of my doctor, about a year ago I increased my dose of Metformin from 500mg/day to 1,500. I had read somewhere that 1,500mg was considered a “therapeutic” dose. The inference I drew from that was that a dose of less than 1,500 was not therapeutic. And since I have been a diagnosed type 2 for 30 years, and on a reduced dose of 500mg for the last 15 since beginning VLC, it seemed appropriate to me that my medication should be therapeutic. But I think my doctor never suggested an increase because he thinks my diabetes is already “in good control.” I’m not blaming him. That’s the guidance he gets from the ADA, Medicare, etc. By the way, in Week 4 I lost 2 more pounds, bringing me to 16 total in the first 4 weeks.
Week 5: I’m settling into a groove. My weight dropped by another 2 pounds, bringing the 4 week total to 18. The big surprise this week is that my FBG continues to drop. This week I had 3 readings in the low 60s, and my FGB average this week dropped to 70 mg/dl (3.9 mmol/L). Recapping my FBG averages: 119 the week before starting, then 100, 88, 86, 77 and now 70. I hope they level off now. If not, I’ll cut my Metformin. My goal, though, is to lower my A1c, so I am willing to have some “low” readings so long as I feel I am in no danger of hypoglycemia. My sense is that my glucose levels are stable. I have some concern about the ones in the 60s, but I feel fine and am unaware of the “lows.” I have tested a few days in the late afternoon, when historically I have been lowest, and my readings have all been in the mid 70s. If my FBGs persist in the 60s, particularly after fasting days, I’ll test at bedtime, and if low, again during the night when my bladder calls.
Conclusion: I can’t believe that I have been so blind in my diabetes self-management for these last 15 years!

Sunday, March 12, 2017

Type 2 Diabetes, a Dietary Disease #371: My 2-Month, 20-lb Challenge, 2nd wk Progress Report

When you read this I will be 5 weeks into my “2-month, 20-pound challenge,” but I write it after 2 weeks “in.”  The first week I lost 11 pounds and lowered my FBG average by 19 points to 100mg/dl (5.6mmol/L). I did this by strictly following a program of eating 5 Low Carb meals prepared at home by me (2 or more at a time) and then fasting on Tuesdays and Thursdays. Note that in the first week I did not dine out once, as I had planned.
This week I report on week 2 of the challenge. Based on my FBGs this week, I have also revised the terms, to extend the duration from 8 weeks to 10½ weeks, to coincide with my next doctor’s appointment (4/18). My goal is to get the best A1c possible, lowering it from 5.8% to 5.5%, or better.  Note, however, that after 8½ weeks I will no longer be preparing my own meals, and my eating pattern will include more “dining out.”
Week 2 began uneventfully, with weight stable and FBGs in the mid-nineties. As the week progressed, my weight and fasting blood glucose (FBG) both dropped until I was down 3 pounds by Friday. I gained one back Saturday and 3 more by Sunday. So, my net for the week was up 1 pound; net for 2 weeks: down 10 pounds.
Saturday was the first day that I ate outside the home in almost 2 weeks, and I ate too much (2 meals – albeit “low-carb”), and I drank too much. I don’t regard the 1 lb. gain as much of a setback, though. The progress I made during the week was not really lost. I am confident that it will show up on the scale this coming week.
The big news, and the main reason I am reporting on this week, is what happened to my FBG (and presumably my serum insulin). My FBGs this week were: 94, 92, 95, 89, 81, 80 & 83. Average: 88mg/dl (4.9mmol/L). Recall that in the 1st week my average was 100mg/dl (5.6mmol/L) and in the week before I began the challenge it was 119mg/dl (6.6mmol/L). With FBGs like this week’s, and a stable blood sugar during the day, I think my A1c goal is reachable – if I continue to follow this Low Carb WOE…and with a little help from Metformin. We’ll see.
Other observations, comments and changes from the original “2 month, 20 pound” challenge:
     Cooking for myself has not been as onerous as I thought it would be. In fact, I’m enjoying it. In the weeks ahead I envision preparing all my meals at home. Since I always make enough for 2 days minimum, that means only making 2 or 3 meals a week, since I will be fasting 2 days (at least) every week.
     All day fasting is easy. The first week on the day after a fasting day I had a “snack” (1HB egg) or a “light lunch” (2 HB eggs). This week I did not. And I was not hungry on the fasting day or the day after.
     The quart of heavy cream lasted only 16-17 days. I use it only in coffee, so, alas, I put 2oz/day in my cup.
     I have a new Snack: a few “whole artichoke hearts in water,” and a Light Lunch: ½ can (60g) of “Sell’s Liver Pate.” Also, Bumble Bee is now packing the same wild caught Brisling Sardines as the King Oscar brand, in the same Baltic Sea factory, in EVOO (and Hot Jalapeno Peppers), and at a lower price point. 
     Virtually all my suppers are stove top. I love fish, especially cod and similar species. It’s usually the least costly “fresh” fish in the case, although it may have been thawed by the fishmonger after having been flash-frozen at sea. I’m going to check out frozen cod next time I see it. I’m fussy about country of origin.
     My veal supplier has given up, so I need to find a new source for my veal stew and veal kidney recipes.
     I loved the tripe dish I made last weekend. The smallest frozen honeycomb tripe package in the butcher’s case was 2 pounds, so I made it and had it 4 days in a row. I don’t mind eating the same thing multiple days in a row; in fact, if I like a dish I made, I look forward to having it again. (I can’t believe Jason Fung in his “Fructose 3” blog post this week said he couldn’t imagine someone eating tripe 2 days in a row. Jeez!)
The next report will catch up with the lag in reporting; it will be at mid-point (5 weeks into) my new, extended duration. Then, the last report (at 10½ weeks) will have a final weigh-in, and hopefully an A1c and lipid panel. My doctor is very good at reviewing the lab report and mailing it to me as soon as his office receives them.

Sunday, March 5, 2017

Type 2 Diabetes, a Dietary Disease #370: My 2-Month, 20-lb Challenge, 1st wk Progress Report

As you read this I will be 4 weeks into my 2-month, 20-pound challenge, but I write after only 1 week “in.” If you don’t know what prompted me to do this challenge, read #368 here to learn my motivation and other particulars. The short report: in the 1st week I dropped 11 pounds and lowered my FBG average by 19 points to 100mg/dl. If you’re overweight (as I am) and prediabetic or a 30-year diagnosed type 2 (as I am), even though theoretically “in remission,” and that outcome doesn’t pique your interest, you may as well stop reading.
The “challenge” is to stay on my current eating pattern 5 days a week and to fast on the other two. My current eating pattern is coffee with pure stevia powder and 1½ oz of 36% full cream in the morning. Then, only if I am hungry during the day, to eat either a light lunch (smoked herring in brine), a “big” lunch (brisling sardines in EVOO), or a snack (HB egg). My main meal (supper) is a stove-top preparation of cod with vegetables or a veal stew. Alternatively, I could make tripe in salsa roja or veal kidney with mushrooms, onions and Marsala.
This week I had cod with tomatoes, green olives and red pepper flakes Sunday and Monday. Then, I bought 2 pounds of tripe and made 4 suppers: Wednesday, Friday, Saturday and Sunday. I fasted on Tuesday and Thursday. On fasting days, besides my morning coffee, I had 1 red wine spritzer at the supper hour, and on the other days I had 2 red wine spritzers.
Next week (M, W) I will do different cod preparations (fennel and/or celery in chicken broth). I’ll also make a romaine salad with mushrooms, hazel nut pieces and shaved Pecorino Romano, with a vinaigrette.
During the last week I ate a light lunch (2 HB eggs) the day after the 1st fast day and a snack (1 HB egg) after the 2nd fast day. Saturday, I had a small can of pork liver pâté for lunch. There was no other need or occasion to have “lunch” or to snack during the day or after supper. Saturday night, after attending a jazz concert, I went “off plan” and stopped at a restaurant on the way home and had 2 stingers in front of a roaring fire.
And that’s all there was to it, folks. Eleven pounds (okay, half or more water), but the pounds just dropped off after each full day of fasting. My body maintained a high metabolic rate (translation: I felt great and had lots of energy and no hunger or cravings). It did this by transitioning from obtaining energy from the food I ate (S, M, W, F, S) to obtaining energy from breaking down and burning my body fat on Tuesday and Thursday.
My perennial goal is to maintain my FBG average below 100mg/dl (and keep it low and steady during the day). I hope thus to reduce my A1c from the current 5.8% to 5.5% or lower. I haven’t seen 5.5% in a few years.
My interim weight goal for this 2 month challenge is to get down to 228 (BMI=32). That’s still considered “obese” in the BMI chart. So, I can’t derive too much satisfaction from the first week. I have to persist and be satisfied with a slower pace going forward, spiked each week no doubt by the 2 full days of fasting.
I have to remind myself that several years ago I lost 100 pounds in a year (without full-day fasting) by strictly adhering to Bernstein. But the fasting part is not difficult since you don’t experience hunger or cravings. As I read in a tweet this week (@SBakerMD), “Beat cravings and you win.” He’s right, of course. That’s the beauty of a Very Low Carb Ketogenic Diet. By the way, Dr. Baker eats an all-meat (grass-fed) diet (“zero carb”).
So, that’s the 1st week’s progress report. I’ll write another next week (2 weeks “in”). I expect progress to slow a lot, but I am hopeful that my FBG average will drop below 100 and that the weight loss will continue apace.
I fully expect to continue to feel great and have lots of energy and no hunger, including on fasting days.

Sunday, February 26, 2017

Type 2 Diabetes, a Dietary Disease #369: “759 Secrets for Beating Diabetes”

I’m not joking; “759 Secrets for Beating Diabetes” is the actual title of a Reader’s Digest book. I saw it (on deep discount) in the vestibule of my local Barnes and Noble. I’m not surprised, really. Of course, the fact that it was published is proof that the “secrets” are no longer secret, whatever they were. I know, calling them “secrets” is a rhetorical trick publishers use to pique your interest. It is possible, though, that no one bought the book.
However, 759 is an awful lot of “secrets” to slog through to learn how to “beat diabetes.” And how would you decide which of 759 “secrets” to try? No one could try them all! Maybe that’s the reason it didn’t sell well.
To tell you the truth, I didn’t open the book. I’m just assuming an editor had the idea to amplify on one aspect of the frequently heard advice that “beating diabetes” requires a LIFESTYLE CHANGE. And lifestyles are multi-factorial. But 759 factors? Maybe the editor read somewhere that, since a “CALORIE IN = CALORIE OUT,” the way to beat diabetes was to “MOVE MORE AND EAT LESS” or “DIET AND EXERCISE” or “EAT HEALTHY.” These are all familiar, if erroneous, memes, and all lacking in specifics. So, the editor thinks, let’s tell the folks 759 ways to change! Then, let the reader pick. But with so many, isn’t it likely that some will be contradictory?!!!
Okay, I’ve had enough fun with this BS. But the reason I had this reaction to the ridiculous title of that book is: There is just ONE secret to beating diabetes:EAT SMART!” IF EATING CARBOHYDRATES, INCLUDING SIMPLE SUGARS, AND REFINED AND PROCESSED CARBOHYDRATES, AND SUGARY DRINKS, AND FRUIT, MAKES YOUR BLOOD SUGAR RISE, THEN THE SECRET TO BEATING DIABETES IS TO NOT EAT CARBS. THAT’S EATING SMART!
Hey, I lost 170 pounds by just eating, strictly, Very Low Carb (VLC). I lost the first 60 on Atkins Induction (20g of carbs a day). Then, after a few years of maintaining that loss, I gained 12 pounds back over a summer. So, having just read Richard K. Bernstein’s “Diabetes Diet,” I lost another 100 over a year, and then another 20 later. Bernstein’s program is 30g a day. Today, 15 years later, I am still 150 pounds lighter than when I began.
Back in 2002 when I started to eat VLC, to avoid hypos in the first week I had to stop taking most of my oral antidiabetic medications. I was maxed out on two and had just started a third. Today, I only take Metformin. Along the way my HDL doubled, my triglycerides dropped by 2/3rds and my blood pressure improved on the same BP meds. My chronic systemic inflammation marker (hsCRP) is <1.0. My A1c’s are consistently in the 5s.
And the (other) good news is: I’m never hungry or tired. Eating VLC means my metabolism operates at a high level because after my body digests the low-carb foods I eat, to maintain energy balance (“homeostasis”), my body transitions from the “fed” state to breaking down and burning fat that is stored in my body (the “fasting” state). It can do this because, although as a type 2 diabetic I do have insulin resistance (IR), my serum insulin levels remain low because my serum glucose levels remain low because I abstain from eating carbs!
This enables my body to access the body fat for energy without slowing down my metabolism. Body fat is in the form of triglycerides. When a triglyceride molecule breaks down, it forms 3 fatty acid molecules (the main energy source of body fat), plus a glycerol molecule which can be combined with another to make glucose (via gluconeogenesis), and as a by-product, a ketone body. That is why this is called a ketogenic diet. The brain and the heart love ketones. I always feel pumped when my body is keto-adapted. That’s when I’m at my best.
Imagine this. If our “natural” diet was 55% to 60% carbohydrates, as our government tells us it should be, and we ran out of carbs to eat and couldn’t access our fat stores because of an elevated serum insulin, we’d run out of fuel. Our metabolism would slow down. We’d be sluggish and sleepy and hungry all the time. How then would we be able to hunt in this state? Without being lean. Without using fatty acids and ketones for fuel. Eating Low Carb is how our forebears survived. They had to be functioning at their best to hunt. Think about it.

Sunday, February 19, 2017

Type 2 Diabetes, a Dietary Disease #368: My 2-Month, 20-Pound Challenge

I am in a unique situation at the moment. It is of my own making, and it is an opportunity to take sole responsibility for my actions. There are no confounding factors (“excuses”) or impediments to my success (or failure). It should be a good test of my intentions and my integrity in taking responsibility for the outcome.
I am home alone for the next 2 months. After driving my wife to Florida after Christmas, I flew to Bogotá to study Spanish for 3 weeks. While there I got some professional help translating a 16-page “Folleto” on the cause of Type 2 Diabetes and how best to treat it as a dietary disease. I then flew to Aruba to join my wife for a week to celebrate our 25th anniversary, and then home to New York for the rest of the winter. Between one month in Bogotá and Aruba, I lost 2 pounds, but since returning to NY I have regained 4 in less than a week.
So, to fulfill a commitment I made to Megan Ramos, the Intensive Dietary Management Program Director and Clinical Educator in Jason Fung’s office in Toronto, and a Facebook friend, I am going to fast for 2 days a week. I’ve selected Tuesdays and Thursdays. On those days I will only take a 16-oz coffee in the morning with stevia and 1-oz of full cream; then, at night, 1 wine spritzer. Nothing else until the next day. I know this will not be difficult because I am not hungry now. I am apparently already sufficiently keto-adapted for my body to switch easily from whatever I eat (low-carb) to fat-burning to maintain energy balance and a high metabolic rate.
So I am now cooking for myself. This is something, guys, that will teach you how much you under appreciate that you spouse cooks for you every day, as mine does. Thus, on the remaining 5 days, I will cook supper twice, each time preparing food for 2 days. On the 5th day, I will go out to dinner. That day will vary.
On non-fasting days, I will take the same coffee in the morning. Then, if I feel it necessary to eat something before supper, I have some stores in the pantry: 1) Brisling sardines in EVOO and 2) kippered herring in brine, both of which I love. The sardines, in terms of calories and satiating power, are a meal in themselves. The herring is more like a snack. I will use them as a light or late lunch, if I should sense any hunger at all, which is very unlikely. I will also keep on hand a few hard-boiled eggs from a local farmer if I feel the need for them.
Then for supper, my main dish will mostly be stove-top preparations of various cod recipes or a veal stew. The cod is wild caught in the North Atlantic and flash-frozen at sea. My recipes incorporate vegetables like onions, celery, cauliflower and fennel. I cook in coconut oil, butter or olive oil and add garlic, green olives, red pepper flakes, sometimes petite cubed canned tomatoes and always lots of salt and fresh ground black pepper.  As an alternate meal, I will sometimes make a veal kidney dish or a tripe en salsa roja preparation.
The veal is from another local farmer. For the stew, I use bacon, mushrooms, and onions and brown the veal cubes in coconut oil before baking. For the kidneys, I add mushrooms, onions and Marsala wine. Oh, and with each of these supper meals, I will drink 2 red-wine spritzers. I especially like a Spanish Rioja called El Coto.
Just to be clear about this: On my 5 non-fasting days each week, I will take only morning coffee, an occasional “big” lunch (a 3.75 oz. can of sardines + EVOO) or a “light” lunch ( a 3.5 oz can of kippered herring in brine) and the occasional hard-boiled egg or two. Then, supper with 2 wine spritzers. The nutrient breakdown is this:
Fasting days: Calories: 225kcal; Fat: 11g; Pro: 1g; Carbs: 4.75g; Alcohol: 15g
Non-fasting: Calories: 1000-1200kcal; Fat: 45-70g; Pro: 45-85g; Carbs: 15-30g; Alc: 30g 
I write this on Super Bowl Sunday at 248 pounds (FBG: 104mg/dl). I start tomorrow morning. This “manifesto” will first be published on February 19, two weeks hence. Anyone interested to know how I’m doing can use the comments section on either my blog (www.thenutritiondebate.com) or on Facebook, where I usually post. 

Sunday, February 12, 2017

Type 2 Diabetes, a Dietary Disease #367: My Arm’s Length Perspective from Colombia

As I prepare to leave the beautiful city of Bogotá, after 3 weeks of studying Spanish, a few thoughts related to T2DM come to mind. This is a burgeoning city, growing leaps and bounds, transitioning from “a feudal society” (to quote the husband of my teacher) to a modern, invigorating, stimulating place. I loved it, and it’s exciting to see the changes coming about, but also shocking to see the stark contrasts. For grounding and perspective, the husband reminded me that women only gained the right to vote in 1957.
For me personally the most surprising discovery was that the brand new, modern apartment I rented, that has multiple USB connections in the kitchen and bedroom, has no central heat! Further, there is no hot water in the kitchen – only in the bathroom, with an electric in-line hot water heater for the sink and shower.
At first, I thought that this was a factor of the neighborhood (services are taxed by “estrado”). This method of taxing services by socio-economic status is designed to give preference (“subsidies”) to the less advantaged. Unfortunately, it also results in stagnation and immobility by stigmatizing the poorer neighborhoods.
Later, I discovered that the modern, well-designed apartment of my teacher and her husband (both PhD’s teaching at the National University) also has no central heating and no hot water in the kitchen. ¡Qué sorpresa! They live in an upscale neighborhood in the northern reaches of the city. The “no heat” explanation relates in part to the climate. Bogotá has a moderate climate year round. It is located close to the equator but at a very high elevation (8,675 feet or 2,644 meters), so temperatures are constant all year round. It never snows.
So this partially explains the central heating issue, but not the lack of kitchen hot water. “How do you wash dishes,” I asked the husband as he did them. “I scrub them well,” he said.  Does that give you perspective?
Type 2 diabetes is similarly just emerging from the dark ages. One hundred and fifty years ago type 2 diabetes was understood as a dietary disease (see my #1 with reference to Claude Bernard and William Banting). It was known as a disease of excessive consumption of carbohydrates and was treated by reducing carbohydrates in the diet. Then, in 1921, Frederick Banting (bizarrely, a distant relation!) discovered how to make insulin in the laboratory, and since then type 2 diabetes has been treated like type 1 diabetes, a disease of too little insulin.
When our insulin receptor cells resist the uptake of glucose, i.e. they express Insulin Resistance (IR), the pancreas produces more and more insulin until it eventually wears out. Doctors hasten this catastrophic failure of the pancreas by adding pharmaceuticals, like sulphonyureas (Micronase, glyburide, glipizide, et al.) to push the pancreas to exhaustion. Then, the doctors add injected insulin to the patient’s regimen. This medieval practice, not unlike “bleeding the patient,” is still the standard of treatment of the medical and government overseers in the United States.
But we are finally entering a Renaissance. Increasingly type 2 diabetes is being understood again as a disease of Insulin Resistance, resulting in too much insulin. The goal in treating type 2 diabetes should be not only to lower the glucose level in the blood (by diet instead of drugs), but also to lower the insulin level in the blood.
This will occur, and will only occur, when the glucose level lowers, because that is how the body “knows” that it needs to begin to burn fat (our triglycerides, in the form of body fat stored around the “trunk,” to maintain energy balance and a fully active metabolism. The body, including heart and brain, loves these fatty acids and the ketone bodies that are produced as a side effect of lipolysis (the catabolism of triglycerides to fatty acids).
And, for anyone interested, this is also best way to LOSE WEIGHT, easily and without ever feeling hungry.
Bogotá is rapidly transforming itself. ¡Ojalá que el mundo de los diabéticos se haga lo mismo! Y pronto.

Sunday, February 5, 2017

Type 2 Diabetes, a Dietary Disease #366: Academy of Nutrition and Dietetics, a Secret Society

Surfing the web recently, I came across the Academy of Nutrition and Dietetics (AND). It turns out that for almost 100 years, until 2012, this organization was named the American Dietetic Association, unfortunately sharing the same acronym with the more recognized American Diabetes Association. With my interest piqued, and having a long-time interest in the subject, I delved into the membership categories. Here’s where I bumped into my first road block: membership is restricted to only RDNs and other dietetics’ professionals.
Still, being interested in their message, I clicked on their “Advocacy” button, then “Disease Treatment and Prevention” and finally “Diabetes Prevention Legislation.” I was pleased to see that the AND “has been actively involved in developing and generating support for five pieces of legislation that would help prevent type 2 diabetes.” Great, I thought, let’s have a look. Unfortunately, that too was not possible. To see more I’m told to “log-in or join.” But, as I am not eligible to join, and therefore can’t log in, the legislation for which they advocate will have to remain secret legislation. Only those indoctrinated in the Academy are eligible to view it.
So, I went to Wikipedia. I knew of course that many Wiki sites are written by the searched organization, but I thought I might learn something more about AND, as I would never be eligible to join. Here’s what I learned:
      The Academy "maintains that the only way to lose weight is through a healthy, well-balanced diet and exercise."[20]
      The Academy opposed mandated labeling of "trans fats" on food packaging.[28]
     The Academy has given low ratings to the “high-protein, low-carb” diet known as the Atkins Diet, insisting that the diet is "unhealthy and the weight loss is temporary."[29]
     The Academy maintains that carbohydrates are not responsible for weight gain any more than other calories.[30]
Okay, I no longer needed to see the five pieces of legislation that AND has developed. I know where they’re coming from. But why? What motivates them to be so obtuse? And so backward? I needed to look further.
Here’s what Wikipedia says: “To help better communications with the US government, the Academy of Nutrition and Dietetics has offices in Washington, DC. They also operate their own political action committee.[13] The Academy spent $5.8 million lobbying at the state and national level from 2000–2010.[46]
And “A 1985 report noted the Academy has supported licensing for dispensing nutritional advice,[47]” and “In addition… [has] support[ed] legislation regulating the professional nutrition field in [various] states.”
And finally, the coup de grace: “A 1995 report noted the Academy received funding from companies like McDonald’s, PepsiCo, The Coca-Cola Company, Sara Lee, Abbott Nutrition, General Mills, Kellogg’s, Mars, McNeil Nutritionals, SOYJOY, Truvia, Unilever, and The Sugar Association as corporate sponsorships.
“The Academy also partners with ConAgra Foods, which produces Orville Redenbacker, Slim Jims, Hunt’s Ketchup, SnackPacks, and Hebrew National hot dogs, to maintain the American Dietetic Association/ConAgra Foods, ‘Home Food Safety...It's in Your Hands’ program.” Additionally, “the Academy earns revenue from corporations by selling space at its booth during conventions, doing this for soft drinks and candy makers.”
Wikipedia continues with this trenchant comment from nutrition expert Marion Nestle. She “opined that she believed that as long as the AND partners with the makers of food and beverage products, ‘Its opinions about diet and health will never be believed [to be] independent.’”[54] 
And, “Public health lawyer Michele Simon, who researches and writes about the food industry and food politics, has voiced similar concerns stating, ‘AND [is] deeply embedded with the food industry, and often communicate[s] messaging that is industry friendly.’"[60] 
I guess it’s a good thing for both of us (AND and me) that they won’t let me join this lucrative business. I would just “rock the boat” or “upset the (rotten) apple cart,” to use a more apt metaphor.