PCOS-MEDICATION Messages for August, 2002: Re: Had an appointment with a Registered Dietician yesterday, now even

Re: Had an appointment with a Registered Dietician yesterday, now even

From: Renee (anonymous@obgyn.net)
Wed, 14 Aug 2002 08:45:43 -0700

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I have 2 comments to make:

1) There is a difference beween a dietitian and a nutritionist. A dietitian is licensed or registered in their state. That means that they have to pass an exam, must pass a certain standard, and if there are complaints and problems, their license/registration can be revoked, and they can't practice. A nutritionist is anyone who wants to claim the title. While some have undergone extensive training, others have minimal. It's a case of buyer beware. There is no guarantee, and no course of action available to keep them from continuing to practice badly or in a harmful way, if it occurs.

2) It is true that many dietitians are locked into the national model of the food pyramid, with modifications for diabetics, renal patients, low-cholesterol, low-salt, etc. However, many are more open to alternatives, and accept that there are many different ways for a body to work. Nutritionists tend to be more open-minded, and may consider many more issues, such as herbals. The caution is that some go pretty far out there, beyond the scope of science or reason. I know, and have worked with, people with each credential, who fall on each end of the spectrum.

I'm not saying that one discipline is better than the other. I'm just pointing out the distinction between them, so people know what they're getting when they consult someone. It's ok to interview a dietitian or nutritionist before setting up the visit. Find out their training, years of experience, their philosophy on nutrition, their philosophy on low-carbing, what they may know about PCOS or IR.

Renee

Pat Sonnenstuhl wrote: >
> I agree with what others have said. As much as I would like to support
> nutritionists, there still is a tendency to promote carbs. I would try
> to limit the carbs to under 100 G/day, with a focus on the high fiber
> vegetables and fruits rather than any breads and cereals. It sound like
> she was recommending a diabetic type diet rather than a more controlled
> carbohydrate diet. You can learn more about how to eat from your
> reading than from a dietiticain. Also, she is not living with you, so
> you can eat all you want. When you go into your provider with some
> weight loss, and better labwork, he will be more interested in what you
> are eating. Another thing to comment is how you feel: "I don't feel
> good when I eat X" is a great approach that no one can argue with.
>
> Pat Sonnenstuhl, ARNP, CNM, MS
> Nutritional Consultant

-- -------------- Renee Cordrey, MSPT, MPH, CWS

---
Dwell in Possibility.
--Emily Dickenson

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