Every individual is designed uniquely and there is no denial regarding that. Our basic necessities remain the same but our metabolic rates, functionality, energy levels, and nutrition requirements differ person-to-person. Eating healthy food, including ample green leafy veggies, and having enough fruits, nuts, and pulses is mandatory for all. The catch here is the quantity of foods and the type of foods. Eating a balanced diet remains a thumb rule for staying healthy but one must understand that there is no one-size-fits-all approach when it comes to planning diets and maintaining an active lifestyle.
Diabetes & Diet It is a well-known fact that 80% of individuals entering diabetes or pre-diabetes stage are obese/overweight, and that’s the primary reason why doctors recommend losing weight for correcting HbA1c levels and maintaining blood glucose measures. Weight loss can be achieved through various methods and for diabetes especially, medical experts recommend following a low-calorie diet plan. Dietitians and nutritionists execute maximum caution and plan a well-balanced diet plan suiting the individual’s weight loss needs and BMI values. Combining this with regular exercise, enough sleep, meditation, yoga, and reducing stress is the best way to enter diabetes remission. Read more about diabetes remission and ways to do it by visiting www.firsteatright.com. Though a straightforward approach, there are health companies that publicize about making use of precision nutrition, CGM, and more to achieve diabetes remission. Let’s understand what is precision nutrition and whether or not it’s needed for controlling diabetes. Precision Nutrition Precision nutrition is nothing but coming up with targeted and effective diet interventions depending on the individual’s characteristics and body type. The person’s gender, age, lifestyle, race, weight, and other details are considered to derive a specific meal plan. The concept of precision nutrition gives the much-needed answer to ‘What can I eat to be healthy?’ It is indeed a novel field that’s got ample scope as it includes a customized approach involving genetics, microbiome, health history, and personal habits. But the primary question here is whether using precision nutrition presently in clinical settings is effective, and above all, necessary. A study from 2015 analysed the diet intake of 800 participants based on the data from gut microbiota and an algorithm pertaining to their dietary intake was formed. Using this algorithm, a personal diet plan was done and post-meal sugar levels significantly reduced in all. But the same team wondered whether the same outputs could be achieved in those individuals following a different dietary and lifestyle approach. Another paper in The American Journal of Clinical Nutrition dwelled into two types of continuous glucose monitors. All the participants were fitted with these monitors and the expectation was that both the devices provided similar blood sugar results. Sadly, both the monitors did not synchronize in their readings. For instance, one monitor reported that consuming bagel was better while the other one reported consumption of cereal as a preferred approach for the same individual. Such hazy results question the precision of precision nutrition and even makes one wonder whether mankind would be able to offer dietary choices based on this ideology. There is no denial that we might one day exist at the threshold where precision nutrition might be effective in dealing with health-related situation but now is not the time. Moreover, diabetes is a problem that could be combated using simple and effective measures that correct the basic problems relating to insulin resistance and blood glucose management. Current technology and study results don’t offer positive outcomes for using precision nutrition. We need ample research and studies to completely understand this approach and gauge whether it might prove to be beneficial. Choose to Use Precision Nutrition before it Proves to be Right? There have been a couple of studies and trials that show the potent benefits of precision nutrition in lowering blood glucose levels. But most of them are on a small scale, include a small number of participants, and there aren’t a considerable number of researches showing consistent results in this area. We need hi-tech technologies, expensive tools, and the results might vary depending on the type of tests used in various trials. Such difficulties and inconsistencies could affect the choices for personal recommendations. Until we have rock-solid proof for positive results, we cannot bring about dietary changes such as these as a replacement for our conventional intervention practices. Some key areas that clearly raise doubts regarding the effectiveness of precision nutrition include:
Precision Nutrition is Not as Precise as it Seems Despite technological advancements, an individual’s food choices depend greatly on a number of factors such as environmental factors, education, income level, lifestyle practices, and social support system. In reality, such factors impose a greater influence on what a person chooses to eat much more than genetic or biochemical measures. Going by this, focusing primary on what’s feasible for individuals must be the greatest priority. Never judge a book by its cover—just because we can measure the macro and micro nutrients of each food, it doesn’t mean that we keep giving little tweaks to the diet on a day-to-day basis. Even worse, just because we measure the CGM and keep getting values, we needn’t make diet modifications every couple of hours to the food that we eat. Some health companies boast about building 87+ parameters to build the nutrition database and coming up with individualized food plans. What’s the need for so much fuss when it all boil down to simply eating healthy food, including veggies and fruits, minimizing carbs, and keeping fats and proteins in balanced proportion? The foods remain the same, it’s the portion sizes and the types of foods chosen which impose greatest influence on our body’s health. For this, our weight, BMI value, health history, food preferences, and environment background are more than enough to plan the perfect diet plan for diabetes remission or control. Pocketing more bucks for diet plans based on precision nutrition, forcing individuals to use CGM, and even recruiting a big-sized team for tracking one person’s health is a gimmick. There is over high expectations from precision nutrition which is still in the infancy stages of development and research. In the future, after thorough research and deeper investigation, it might be possible for combining public health concerns with precision nutrition strategies. The field does seem promising but the biggest question is its potency to suit for all—the need for mammoth data collection and hi-tech use of latest equipment makes it a very expensive procedure. Hence, the government must also execute caution before investing too much in research over precision nutrition at the stake of public health.
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Dr. Nafeesa Imteyaz of First Eat Right clinic, is the Best Dietitian Nutritionist in Bangalore. Best Dietitian Nutritionist in Pune. Best Dietitian Nutritionist in Hyderabad. Best Dietitian Nutritionist in Chennai. Best Dietitian Nutritionist in Mumbai. Best Dietitian Nutritionist in Delhi. Best Dietitian Nutritionist in Kolkata.