All diets and drugs have risks:Do we weigh up the pros and cons of drugs & lifestyle choices properly BEFORE making choices?Starch is concentrated sugar
Joined September 2015
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My most popular Tweet of all time over 1 MILLION impressions!! Learn how carbs put your blood sugar up 😊
1/7 My 7sugar infographics are back! They help people with T2D predict the glycaemic consequences of dietary choices. Carbs are the main drivers of blood sugar. Here I reinterpret the glycaemic load as approx. 4g teaspoons of table sugar. Freely available phcuk.org/sugar/
So what a success the @lowcarb_aus conference in Sydney has been ! Three days packed with great presentations and tasty food. Many thanks to Rod Tayler @DrPeterBrukner @DrPaulMason @DefeatDiabetes_ for hosting us once again. We are well on our way home now
Dr David Unwin retweeted
Billy our 157th case of drug free T2 Diabetes remission is holding his favourite breakfast bowl. In his case poor diabetic control was due to a high carb diet that digested down into lots of glucose @DiabetesUK @OfficialADSOrg
Dr David Unwin retweeted
More on Billy our 157th case of drug free T2Diabetes remission Giving up his TEN breakfast Weetabix helped him achieve remission in only EIGHT weeks !! T2D? Maybe avoid foods that put your blood sugar up 👍 @AmDiabetesAssn @IntDiabetesFed @DiabetesUK
Billy our 157th case of drug free T2 Diabetes remission is holding his favourite breakfast bowl. In his case poor diabetic control was due to a high carb diet that digested down into lots of glucose @DiabetesUK @OfficialADSOrg
More on Billy our 157th case of drug free T2Diabetes remission Giving up his TEN breakfast Weetabix helped him achieve remission in only EIGHT weeks !! T2D? Maybe avoid foods that put your blood sugar up 👍 @AmDiabetesAssn @IntDiabetesFed @DiabetesUK
Dr David Unwin retweeted
Boom! @LauraBuchananMD explains how, from clinical experience, the reality of food addiction is undeniable.
Dr David Unwin retweeted
UPF 'foods' are engineered to override hunger, satiety, and control - especially in children. IFACC 2026 brings global experts together to confront the impact of UPFs on children’s health - and to share real solutions. Tickets: eventbrite.com/e/19913508560…
Source: Schulte et al. 2015
Here is a paper looking at insulin resistance and 12 forms of cancer nature.com/articles/s41467-0…
Cancer in younger people is on the rise , but why ? Insulin resistance is an important factor for many forms of cancer and could help us work on prevention @BenBikmanPhD 🤞bbc.co.uk/iplayer/episode/m0…
At the Birmingham NEC today with @drchatterjeeuk talking about prevention of T2D in the UK NHS 2 pm Clinical Theatre 1 👍😀 Just avoid foods that put your blood sugar up!
Cancer in younger people is on the rise , but why ? Insulin resistance is an important factor for many forms of cancer and could help us work on prevention @BenBikmanPhD 🤞bbc.co.uk/iplayer/episode/m0…
Dr David Unwin retweeted
A new RCT shows that even when UPF meals are nutritionally matched to non-UPF meals, they trigger higher insulin spikes, alter energy metabolism, and also change how your brain responds to food cues. Food processing matters far beyond macronutrients! nature.com/articles/s42255-0…
Dr David Unwin retweeted
UPF 'foods' are 'designed' to override hunger, satiety, and control - especially in children. IFACC 2026 brings global experts together to confront the impact of UPFs on children’s health - and share solutions.
🎟️ Tickets: eventbrite.com/e/19913508560…
Source: Schulte et al (2015)
A new study looking at overall cardiovascular risk after going low carb So many improvements!! Cardiovascular risk has many components we should not simply obsess about LDL cholesterol but look at the wider picture BP, weight, triglycerides, HbA1c .., LOOK ! sciencedirect.com/science/ar…
Dr David Unwin retweeted
Get this... steak and eggs stayed on the menu, and estimated heart risk went DOWN.
doi.org/10.1016/j.ajpc.2026.…
What happens when TOWARD’s metabolic telemedicine care is evaluated using the AHA’s own PREVENT calculator?
In our 120-patient cohort, estimated 10-year ASCVD risk fell 29% after one year.
Steak. Eggs. Good metabolic medicine. Lower estimated risk.
ALT Comparing Toward in Cardiometabolic risk
Dr David Unwin retweeted
Guidelines should stop recommending antidepressants for children with depression. The new analysis confirms what has been suspected for years that benefits of antidepressants, including fluoxetine, are minimal & will not compensate for known harms. onlinelibrary.wiley.com/doi/…
This is certainly the most consequential paper published in child and adolescent psychiatry for the last few years. It shows that the meta-analyses that current child psychiatry guidelines rely on to recommend fluoxetine for depression were skewed by an unbelievable trial (n=40) in Iran which found an effect 15 times larger than the average.
When this trial is removed all meta-analyses find the same as a recent Cochrane analysis which found 'small and unimportant differences.'
The flawed meta-analyses by Zhou and @cipriani in the @TheLancet and Lancet Psychiatry need to be corrected.
And guideline committees need to update their guidance in the context of the harms of these drugs including withdrawal effects, sexual effects and agitation/akathisia and suicidality in a minority of youths exposed to them.
Link below
Dr David Unwin retweeted
You do not need to eat breakfast.
You do not need to eat every few hours.
And hunger is not an emergency.
Humans are perfectly capable of going several hours without food.
If you can’t, your body may have become too dependent on a constant supply of glucose instead of comfortably accessing stored energy.
Chances are you have insulin resistance and possibly also don’t eat enough protein.
Dr David Unwin retweeted
Community support is THE biggest factor in successfully recovery from addiction.
Most diabetes guidelines pay lip service to dietary advice, using it just once at the start of the patient journey When in fact it matters throughout a person’s life with diabetes Often resulting in the potential for deprecribing of expensive medications with significant side effects
How about just avoiding foods that put your blood sugar up ?
Dr David Unwin retweeted
The use of a surrogate endpoint in a clinical trial may allow faster approval of a novel treatment, but at the cost of increased uncertainty about treatment benefit.
This paper presents guidance for surrogate endpoint evaluation
bmj.com/content/394/bmj-2026…
CONGRATULATIONS!! This new paper has been so much hard work 👍🤩 Another step forward for therapeutic carbohydrate reduction
Therapeutic carbohydrate reduction (TCR) now has a peer-reviewed implementation guideline.
Published today in the Journal of Metabolic Health (JMH)!
buff.ly/22jqaYD
Developed to help address the growing epidemic of metabolic dysfunction.