The LCHF-Dietitian

Welcome to the Low Carb High Fat Dietitian

Hi, I’m Joy Kiddie and I offer services as the ‘LCHF-Dietitian‘.

Several years ago, I began to ask myself how it is that 2/3 of men and ~1/2 of women in Canada are either overweight or obese. In the early 1970s, only ~8% of men and ~12% of women were obese and now almost 22% of men and 19% of women are obese- even though statistics show we are eating much less fat, drinking way less pop and eating more fish than ever before. I wondered if the increase in overweight and obesity might be related to the changes in the Dietary Recommendations that began in 1977 and which encourage us to eat 45-65% of daily calories as carbohydrate and to limit all kinds of fat to 20-35%.

In early 2015, after scouring the scientific literature and reading about the clinical use of a Low Carb High Fat (LCHF) diet, I came to the understanding that those who are insulin resistant or have Type 2 Diabetes or other indicators that they are not tolerating large amounts of carbohydrate well could improve their symptoms significantly by following a low carb style of eating. Such an adjustment in lifestyle seemed like a small price to pay for the potential of significantly improving- and in some cases, reversing symptoms of these conditions, especially when compared with the reality that at best symptoms will stay the same, and very likely will get worse over time.

The ‘Why’ of What I Do

Many scientific studies as well as physician’s clinical experience indicate that a lower carb style of eating combined with extending the time between meals lowers insulin resistance, which is the underlying cause of high blood sugar. When insulin levels are lowered, blood pressure comes down and triglycerides and some other lipid ratios normalize.

Physicians across Canada, the US, the UK and Australia that prescribe a LCHF Diet for their patients have found that they experience significant improvements in the symptoms of insulin resistance, Type 2 Diabetes, high blood pressure, high triglycerides and that a natural reversal of many symptoms is possible. Such improvements often enable these doctors to reduce- and sometimes discontinue medications that were previously prescribed to their patients for these conditions.

While the American Diabetes Association enables Type 2 Diabetics to choose to follow either a moderate low carb diet (~130g carbohydrate) or a low fat calorie restricted diet, as of yet this approach is not approved by Diabetes Canada. Those choosing to eat low carb often come to me for help designing a Meal Plan for them, or for coaching if they have already been following this style of eating on their own.

Everyone’s Choice

A low carb diet isn’t new, in fact this was the standard recommendation prior to the discovery of insulin.

William Banting (1797-1878) of London, who ironically was a distant relative of Sir Frederick Banting (the co-discoverer of insulin), had become obese and was unable to successfully lose weight by limiting his portion sizes or increasing his exercise.  On the advise of his physician Dr. William Harvey, Banting lost weight and was able to keep it off by limiting the intake of carbohydrates – especially those of a starchy or  sugary nature. In 1864, Banting wrote what became the first weight-loss diet book, titled a Letter on Corpulence – Addressed to the Public, instructing others to eat similarly.

While medications and insulin do lower the symptoms of Type 2 Diabetes, which is high blood sugar levels these medications do nothing to address the underlying cause, which is insulin resistance.  A low carb diet improves the symptoms of high blood sugar as a natural byproduct of lowering insulin resistance.

It seems to me that a lower carbohydrate intake that results in lower blood sugar levels and improved lab results is preferable to living with chronic disease symptoms and taking increasing numbers of medications in an effort to manage them – but this choice is between each person and their doctor.

As the LCHF-Dietitian, I help those who want to improve- and aim to reverse the symptoms of these chronic diseases through diet.

My Approach

I take a conservative low carbohydrate high healthy fat approach. If a moderately low carb diet is sufficient to obtain the results that you’re looking for, that’s fantastic —but if it’s not enough, then we’ll work together to decrease carbs gradually. If you’re on any medication for high blood sugar or blood pressure, then you’ll need to be followed by your doctor who can adjust those medications, as your blood sugar and pressure comes down.

The Meal Plans that I design include a wide variety of foods at all levels of carb intake– foods such as dairy products, domesticated and wild meat, poultry and fish, low-carb fruit and berries and a vast range of low-carb vegetables. I encourage people to include modest amounts of saturated but to obtain the bulk of their fat intake from mono-unsaturated fats such as olives and avocado and their oils, nut and seeds and their oils and  omega 3 fatty acids found in fatty fish. There is evidence that this type of approach helps people lower their insulin resistance, which in turn lowers their blood sugar and blood pressure, but does not put those with a family history of lipid abnormalities at risk.

Potential Benefits

Some of the natural byproducts to eating this way include a lowering of blood glucose, blood pressure as well as lower triglycerides and sometimes lower cholesterol, as well. Gradual but significant weight loss is also a benefit.

There are more than 2800 scientific publications comparing a moderate to Low Carb High Fat (LCHF) diet  (<130g carbohydrate per day) with low fat calorie restricted diet (<35% of fat per day) and 85% of randomized controlled studies demonstrated that people that followed a LCHF-diet lost more weight.

About my Services

I have been in private practice in the Greater Vancouver area for more than a decade and for the last 8 years, I have provided Distance Consultation  services. In the past, I used a combination of phone, email and fax— but now offer remote LCHF appointments using  Skype or Google hangout, as well. 

Skype appointment
Google Hangout appointment

Those in the Vancouver area can see me in person in my centrally located  Coquitlam office.

Consultations, Coaching & Packages

I offer clinical consultations and LCHF coaching sessions  via Distance Consultation on an hourly and half-hourly basis, as well as a handful of packages that are specifically designed to support those who want to eat low carb.

My all-inclusive package is the Complete Assessment Package which begins with establishing my client’s health and weight loss goals. I conduct a thorough personal medical and family medical history and assess their usual intake, lifestyle factors and any culinary constraints. Then, in consideration of these factors, I design an Individual Meal Plan specifically for them. We book a follow-up appointment, where I review their Meal Plan with them, and teach them  accurate yet easy ways to estimate portion sizes, so they don’t have to weigh or measure anything. I also provide them with a printout of their Meal Plan plus teaching handout, that summarizes all the principles that I’ve taught them. Of course, I am available afterwards, if they have questions.

I also offer two follow-up packages;

The Weight Management Package is for those that would like some coaching and trouble-shooting sessions for the first while that they begin eating Low Carb High Fat.

The Anti-Inflammatory Protocol is for those that want to go beyond eating Low Carb – to lower tissue inflammation either to reduce pain or joint stiffness or for overall health.

For more details on my services, please click on the “My Services” tab, above.


MY LOGO - In this style of eating healthy fats (blue) form the largest part of the diet, protein (red) comprises the same amount as in a traditional diet and carbs (green) form the smallest part of the diet. For a summary, please read A LCHF Diet.

Articles, Blog & Recipe Ideas

Want to get a “feel” for my approach and teaching style? Please click on the “Food for Thought” tab above to read some of my current articles related to a Low Carb High Fat  approach.  If you’re interested in my own personal experience following a Low Carb High Fat style of eating, that can be found under “A Dietitian’s Journey” blog. Looking for LCHF recipe ideas? There are some of those too!

Have questions?

Please clock on “Contact Me” to send me a note.

To our health!

Joy


Note: Everyone's results following a LCHF lifestyle will differ as there is no one-size-fits-all approach and everybody's nutritional needs and health status are different. If you want to adopt this kind of lifestyle and take medication to control blood sugar or blood pressure, please speak with your doctor, first.

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