If RD’s want nutrition responsibility then they have explain the obesity crisis to us.
It was the same story for Tim Noakes in South Africa, Annika Dahlqvist in Sweden and now Gary Fettke in Australia. They all had their medical careers threatened by dietitians who couldn’t stomach these doctors giving dietary advice that was contrary to their own. These doctors advised patients to get off the high carb, low-calorie, low-fat train if they wanted to avoid destination diabetes. Each one has been investigated and is now free to advise low carbohydrate eating as a way of preventing disease. It is a great (evidence based) leap forward.
After posting a picture of our hospital breakfast menu (having had the pleasure of being treated by my own orthopaedic department after breaking my arm) most of the discussion was positive, concerned and supportive. Some negative chatter appeared though, from guess where? A dietitian. Patronising from the start “not wanting to upset the patient but…” she tells us that there’s nothing wrong with the menu, there’s a choice of fruit juices, a choice of breads and a choice of cereals and there’s that all important vitamin C in there too. I disagreed. A choice of any of these things is merely a choice of sugar, sugar and more sugar. It’s a bloody good job there’s all that vitamin C in there with all that sugar going about. Her response was to further patronise “the patient”. As a medic, she says, this must be a personal rather than professional opinion, as I obviously needed further post-graduate education in order to comment. This was an assumption having been made on her part, as there actually isn’t the space in my Twitter handle to declare all of my post-nominals I’m afraid.
No, this is a professional opinion and one that I will continue to advise patients.
She’s right though, doctors have not had much input into nutrition guidelines or clinical nutrition work. So we can only really conclude from her remarks that the current world-wide diabesity crisis, this disastrous situation of greater than 50% of us being insulin resistant, must be down to what the dietitians have been advising us to eat over the last forty years?
If there are still dietitians who refuse to change their opinion in the face of the evidence presented by Noakes at his trial and elsewhere (and there clearly are) and who continue to fight fellow professionals in this patronising way, then they need to take the responsibility that they clearly yearn for and explain to us how everyone got so sick on their watch, and how they think that doing the same thing over and over again is going to miraculously make things right.