Medical Nutrition Therapy

120. The Science of Modified Carbohydrate Diets and Application in the Clinic

Monday, October 22
1:30 PM - 3:00 PM
CE: 1.5

Session Level 3 - Advanced

Conventional treatment for obesity, founded on the First Law of Thermodynamics, assumes that all calories are alike, and that to lose weight one must simply “eat less and move more.” However, this prescription rarely succeeds over the long term. According to an alternative approach, the metabolic state of fat cells plays a key role in determining body weight. High intakes of processed carbohydrate raise insulin levels and program fat cells to store too many calories, leaving too few for the rest of the body. Consequently, hunger increases and metabolic rate slows in the body’s attempt to conserve energy. From this perspective, conventional calorie-restricted, low-fat diets amount to symptomatic treatment, destined to fail for most people. Instead, a dietary strategy aiming to lower insulin secretion promises to increase the effectiveness of long-term weight management and chronic disease prevention. This session will review the scientific support for, and controversies surrounding, a carbohydrate-modified diet for the treatment of obesity. In addition, translation of these principles to a family-based weight management clinic will be considered.

Planned with the Committee for Lifelong Learning

Learning Objectives:

Learning Need Codes:

  • 5370 - Weight management, obesity (disease/disorder)
  • 2070 - Macronutrients: carbohydrate, fat, protein, fiber, water
  • 6010 - Behavior change theories, techniques

Christine Weithman, MBA, RD, LDN

Former Chair of the WMDPG and 2016 Excellence in Weight Management Award winner. Currently employed by HMR Weight Management Services, Corp and Chair of the 2017-2018 Academy Committee for Lifelong Learning. So excited for FNCE!


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Maggie Murphy, PhD, RD, LD, FAND

Maggie Murphy, Pediatric Renal Dietitian, PhD, RD, LD, FAND
Maggie Murphy joined Pediatric Nephrology at UK’s Children Hospital in June 2016 as their first Registered Dietitian. Maggie came to the division with previous experience in obesity and diabetes research, specifically how early life stress such as child abuse and neglect can predispose an individual to develop metabolic syndrome including hypertension in adulthood. She has been a registered dietitian for 9 years and is excited to bring her passion of helping children and families develop balanced lifestyles in order to experience healthy relationships with their bodies, food, and their emotions. She recently has received grant funding to investigate the role of arsenic exposure and cardiovascular risk markers in obese children in rural Kentucky as well as funding for a mindful eating intervention in obese hypertensive adolescents.
Maggie’s educational background includes a PhD in Nutritional Sciences and an MS in Dietetics Administration from the University of Kentucky. She obtained a B.S. in Food Science and Human Nutrition from the University of Florida. She currently serves on the Committee of Lifelong Learning for the Academy of Nutrition and Dietetics and has previously served as President and State Policy Representative for the Kentucky Academy of Dietetics.


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David S. Ludwig, MD, PhD

David S. Ludwig, MD, PhD is an endocrinologist and researcher at Boston Children’s Hospital. He holds the rank of Professor of Pediatrics at Harvard Medical School and Professor of Nutrition at Harvard School of Public Health. Dr. Ludwig is co-director of the New Balance Foundation Obesity Prevention Center at Children's Hospital and also Founder of the Optimal Weight for Life (OWL) program, one of the country’s oldest and largest multidisciplinary clinics for the care of overweight children. His research focuses on the effects of diet on hormones, metabolism and body weight. In particular, he developed a novel “low glycemic load” diet (i.e., one lowers blood sugar and insulin after meals) for the treatment of obesity and prevention of type 2 diabetes and heart disease. Described as an “obesity warrior” by Time Magazine, Dr. Ludwig has fought for fundamental policy changes to improve the food environment. Dr. Ludwig is Principal Investigator on numerous grants from the National Institutes of Health, has published over 175 scientific articles. He has written 3 books for the public, including the #1 New York Times bestseller Always Hungry? Conquer Cravings, Retrain Your Fat Cells, and Lose Weight Permanently (Grand Central Publishing, 2016).


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120. The Science of Modified Carbohydrate Diets and Application in the Clinic

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