Here is the paper in question Association of low carbohydrate diet score with the risk of type 2 diabetes in an Australian population: A longitudinal study
Yet another example of - Epidemiology weaponized to drive an agenda.
Low carb diet score, food diaries - based on self reported carbohydrate consumption. Divided 30,000 people from a observational study into 5 quintiles based on this carb diet score.
A total of 1989 new cases of self-reported diabetes were observed, 740 and 1249 cases in the first and second wave respectively. The incidence increased with age in both waves. At both wave 1 and wave 2, a higher incidence was observed among females, socioeconomically disadvantaged, current smokers, alcohol abstainers, people with high BMI, high WHR, low AHEI-2010 quintile, family history of diabetes, comorbidity, highest LCD score quintile, and in people from southern Europe.
All variables showed a significant association (P < 0.05) with the incidence of T2D in both wave one and wave two, except energy intake quintiles at wave 2 (P = 0.056) and LCD score quintiles at wave 2 (P = 0.1)
The low carb group of quintile 5 is 37.5% of energy from carbs... on a 2500 calorie diet, thats 230g of carbohydrates per day in the low carb group... THAT ISNT LOW CARB. these people where in no danger of being in ketosis.
When they adjusted for BMI and WHR the LCD association disappeared... so people eating 230g of carbs without high BMI and a good WHR didn't have a higher incidence of diabetes.... basically this paper is finding that obesity is associated with diabetes.
So the paper says low carb diet score, the headlines say LCHF diet, and the internet media says keto will kill you................ the agenda driven drama cycle.
This clearly demonstrates the danger from lay people (and politically motivated people) using epidemiology and weak statistics to flood media with agenda driven bias... its not science