Pre Diabetic - what to do

Pre Diabetic - what to do

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Discussion

Vasco

16,479 posts

106 months

Monday 30th August 2021
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Phil. said:
Vasco said:
Thank you for rubbishing my comment.....

Are you suggesting that obesity isn't a significant factor ?

It's all very well you highlighting concern about insulin resistance but many of us have been trying to keep it basic and simple - so that others have a better idea of what they could do to help themselves.
Unfortunately, you're just making it a more difficult issue for some to understand.
How ironic that you think this is a simple subject that should be kept simple, yet the two people (so far) on this discussion dealing with insulin resistance (T2) think it shouldn’t be simplified and is in fact a complex issue! Who would you tend to side with, the uniformed or those who have to take daily decisions that directly affect their long term health?

I didn’t know about insulin resistance when I was first diagnosed and neither did my GP! He did though after I educated him with some research published by Prof Roy Taylor of Newcastle university, who at the time was a leader in reversing T2 through diet. Since then there has been a lot more research and I’m still learning new stuff. My GP eventually changed how he advised people with T2. Checkout Dr David Unwin who is the leading UK GP for T2 reversal. His practice spends £50k pa less per year on average on T2 medications with lots of patients reversing their T2 diagnosis.

Unless people understand the impact of the decisions they take (which are complex) they won’t take the right ones, and that’s before considering the emotional and mental impact of such a diagnosis (or life sentence as some see it).

So please take your patronising ignorance elsewhere or expect it to be rubbished.
Oh dear, you do have it bad today!

So the idea of keeping it simple for everyone to understand - which will be what the vast majority of pre-diabetic people want to read about - is rubbish and we should, instead, insist that everybody get heavily involved in understanding a range of medical issues behind it ?.
I think many of us will understand much of the detail of what you say (is anybody actually disagreeing with you ?) but you're still missing the key point about the need to convey a simple message - that will probably apply to many/most of those affected.............

If you are obese you raise the risk of developing diabetes - if you want to reduce the risk of developing diabetes then reduce your weight.

Phil.

4,773 posts

251 months

Monday 30th August 2021
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Vasco said:
Oh dear, you do have it bad today!

So the idea of keeping it simple for everyone to understand - which will be what the vast majority of pre-diabetic people want to read about - is rubbish and we should, instead, insist that everybody get heavily involved in understanding a range of medical issues behind it ?.
I think many of us will understand much of the detail of what you say (is anybody actually disagreeing with you ?) but you're still missing the key point about the need to convey a simple message - that will probably apply to many/most of those affected.............

If you are obese you raise the risk of developing diabetes - if you want to reduce the risk of developing diabetes then reduce your weight.
I get it, it’s your opinion is to keep the message to simpletons with pre-diabetes (insulin resistance) simple. That’s your opinion. Simple. But not everyone’s opinion. So we are allowed to disagree that the key point isn’t about conveying a simple message, its about conveying the right message that helps people become more healthy, which might not be as simple as you would like.

As an example please explain to everyone, in your opinion, how someone with a pre-diabetes or T2 diagnosis should lose weight. What happens if they sensibly cut calories and up the exercise but don’t lose weight? Oh, but that’s not simple then is it.

Try looking up either the Prof or GP I mentioned in my earlier response to you and you will get an explanation as to how someone who is insulin resistance might lose weight. The GP (Dr David Unwin) has published many articles explaining how to reverse T2 through diet, but I fear his message won’t be simple enough for you. There’s lots of Dr Unwin on YT tube too.

https://www.dietdoctor.com/authors/dr-david-unwin

Simples!

Vasco

16,479 posts

106 months

Monday 30th August 2021
quotequote all
Phil. said:
Vasco said:
Oh dear, you do have it bad today!

So the idea of keeping it simple for everyone to understand - which will be what the vast majority of pre-diabetic people want to read about - is rubbish and we should, instead, insist that everybody get heavily involved in understanding a range of medical issues behind it ?.
I think many of us will understand much of the detail of what you say (is anybody actually disagreeing with you ?) but you're still missing the key point about the need to convey a simple message - that will probably apply to many/most of those affected.............

If you are obese you raise the risk of developing diabetes - if you want to reduce the risk of developing diabetes then reduce your weight.
I get it, it’s your opinion is to keep the message to simpletons with pre-diabetes (insulin resistance) simple. That’s your opinion. Simple. But not everyone’s opinion. So we are allowed to disagree that the key point isn’t about conveying a simple message, its about conveying the right message that helps people become more healthy, which might not be as simple as you would like.

As an example please explain to everyone, in your opinion, how someone with a pre-diabetes or T2 diagnosis should lose weight. What happens if they sensibly cut calories and up the exercise but don’t lose weight? Oh, but that’s not simple then is it.

Try looking up either the Prof or GP I mentioned in my earlier response to you and you will get an explanation as to how someone who is insulin resistance might lose weight. The GP (Dr David Unwin) has published many articles explaining how to reverse T2 through diet, but I fear his message won’t be simple enough for you. There’s lots of Dr Unwin on YT tube too.

https://www.dietdoctor.com/authors/dr-david-unwin

Simples!
Clearly, you can't read or understand anything simple. Perhaps that's why you don't like anyone else trying to help others looking for clarification.
It's obvious that you are still determined to cover lots of other inter-related issues, so probably best if I just leave you to it.......

MC Bodge

21,711 posts

176 months

Monday 30th August 2021
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Anybody who defies the laws of thermodynamics may indeed need to look for alternative methods.

Phil.

4,773 posts

251 months

Monday 30th August 2021
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Vasco said:
Clearly, you can't read or understand anything simple. Perhaps that's why you don't like anyone else trying to help others looking for clarification.
It's obvious that you are still determined to cover lots of other inter-related issues, so probably best if I just leave you to it.......
Ha ha, nonsense as usual. Now off you pop to another thread where at least you might be able to contribute something useful rather than arguing the toss about your simple inaccurate and unhelpful opinions. .

Phil.

4,773 posts

251 months

Monday 30th August 2021
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MC Bodge said:
Anybody who defies the laws of thermodynamics may indeed need to look for alternative methods.
There was a lengthy detailed, and in parts constructive, debate on PH about this some years ago with the calorie in-out brigade well represented. Can’t recall if it was Keto or diabetes related, probably the former. I think the eventual outcome, that most participants agreed to, was everyone is different and what works for some in terms of diet doesn’t work for others. I’m not about to repeat that debate but feel free to search for it.

Mr Whippy

29,082 posts

242 months

Monday 30th August 2021
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South Park summer it up best with their upside down pyramid effort.

Calories is part of the deal.

The fundamental issue is probably the “modern” western lifestyle and diet.

Being obese is a symptom of that, but yes, losing weight by just cutting calories but retaining the upside down pyramid may not yield the health benefits you want.


It’s funny how keto which is largely how we’d have eaten 10,000 years ago, and fasting, same, are seen as left field diets and solutions to health issues, but are exactly how we’ve evolved to eat food and run over millenia.

ORD

18,120 posts

128 months

Wednesday 1st September 2021
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Sigh. These threads always attract people who want to argue you can eat more calories than you burn and lose weight (or eat fewer calories than you burn and not lose weight).

OP and others on here know what they need to do. Eat less. Move more. Eat healthy food. Grown ups are responsible for their own health.

ORD

18,120 posts

128 months

Wednesday 1st September 2021
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Mr Whippy said:
It’s funny how keto which is largely how we’d have eaten 10,000 years ago, and fasting, same, are seen as left field diets and solutions to health issues, but are exactly how we’ve evolved to eat food and run over millenia.
Humans have always consumed carbs.

Phil.

4,773 posts

251 months

Wednesday 1st September 2021
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ORD said:
Sigh. These threads always attract people who want to argue you can eat more calories than you burn and lose weight (or eat fewer calories than you burn and not lose weight).

OP and others on here know what they need to do. Eat less. Move more. Eat healthy food. Grown ups are responsible for their own health.
Isn’t it interesting that all the docs who recommend diets to help pre-diabetics and diabetics reverse their conditions are all low carb. Why might that be? Insulin resistance perhaps?

https://thefast800.com/

https://www.diabetes.co.uk/news/2020/nov/low-carbo...

Sigh. But what do they know? Ignore the professional advice and follow the internet experts who say it’s nothing to do with carbs.

ORD

18,120 posts

128 months

Wednesday 1st September 2021
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Who said insulin resistance isn’t a thing? I certainly didn’t. But show me a pre-diabetic person who gets down to a healthy weight through a healthy diet and exercise who doesn’t fix the problem?

Low carb diets help lots of people, especially people who are pre-diabetic.

But it’s selling them too hard, and undermines the case for them, to deny the basic truth that eating under maintenance calories by definition means losing weight.

didelydoo

5,528 posts

211 months

Wednesday 1st September 2021
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Best thing is to not neglect your health until you’re in that situation tbh. Exercise, don’t eat st, don't get fat, don’t end up in a situation where you have to do the things you neglected to reverse to normality.

Take ownership and don’t make excuses- because in the vast majority of cases, people end up in the situation due to their own lifestyle and decisions. And reverse it by correcting those things- diet AND exercise. (Or pick one, and convince yourself it’s all you need to do)


mikiec

308 posts

87 months

Thursday 2nd September 2021
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Oakey

27,595 posts

217 months

Monday 6th September 2021
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I had a blood test recently but I've yet to speak to my GP about the results (and won't do until the 16th). Yet I came home this afternoon to find a letter from the NHS telling me that a recent blood test showed I had high blood sugar levels and that I was at risk of Type 2 diabetes and do I want to join some remote seminar.

I'm completely dumbfounded about this or what any of it means. I'm 39, not overweight (5'10", 10st), I stay active, I exercise and I didn't think my diet was particularly bad.

I don't know how I'm supposed to process this news for another 10 days until I can speak to my GP.

Vasco

16,479 posts

106 months

Monday 6th September 2021
quotequote all
Oakey said:
I had a blood test recently but I've yet to speak to my GP about the results (and won't do until the 16th). Yet I came home this afternoon to find a letter from the NHS telling me that a recent blood test showed I had high blood sugar levels and that I was at risk of Type 2 diabetes and do I want to join some remote seminar.

I'm completely dumbfounded about this or what any of it means. I'm 39, not overweight (5'10", 10st), I stay active, I exercise and I didn't think my diet was particularly bad.

I don't know how I'm supposed to process this news for another 10 days until I can speak to my GP.
Does anyone know if this is a very recent effort by the NHS to advise all those close to a borderline figure. I've now heard of 4 separate, unrelated, cases in the past month where people have suddenly been told that that sugar levels are getting a bit too high.

Oakey

27,595 posts

217 months

Monday 6th September 2021
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It would have been nice if they'd given me the figure rather than springing it on me with "You have high blood sugar and are at risk of Type 2 diabetes, but hey, do you want to join our seminar?"

Obviously the first thing I did was Google high blood sugar and I see that it can be a sign of a heart attack or stroke which was the bit that concerned me as I had chest pain for half a day a few weeks ago which I just dismissed as straining myself.

Regards diabetes, I can't get my head around it, I primarily only drink sugar-free flavoured water, I have sweeteners in brews and I don't put sugar on breakfast cereal. Seriously, it's like "what the fk, are you sure you have the right person?"

Vasco

16,479 posts

106 months

Monday 6th September 2021
quotequote all
Oakey said:
It would have been nice if they'd given me the figure rather than springing it on me with "You have high blood sugar and are at risk of Type 2 diabetes, but hey, do you want to join our seminar?"

Obviously the first thing I did was Google high blood sugar and I see that it can be a sign of a heart attack or stroke which was the bit that concerned me as I had chest pain for half a day a few weeks ago which I just dismissed as straining myself.

Regards diabetes, I can't get my head around it, I primarily only drink sugar-free flavoured water, I have sweeteners in brews and I don't put sugar on breakfast cereal. Seriously, it's like "what the fk, are you sure you have the right person?"
That was much the same as one of my friends. For him it looks likely to be a bit too much beer and too many carbohydrates.

Oakey

27,595 posts

217 months

Monday 6th September 2021
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I don't drink!

At most I might have two chocolate biscuits in the evening.

It's like the universe is mocking me, my mrs let's our kids stuff their faces with junk and I say "stop buying this st, they'll end up with diabetes!". And now this happens!

mike9009

7,034 posts

244 months

Monday 6th September 2021
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I'm a T1. My dad has managed to reverse T2.

My dad was not overweight but at the upper end of 'good' BMI. He cycles everywhere, even at 77. But T2 is hereditary in our family, luckily I don't have that to worry about.

Some 'simple' diet changes and he managed to reverse the T2 diagnosis in six months or so. He had a very sweet tooth, and cutting his desserts and doughnut habit he managed it.

Now he manages his BMI to the mid limit and doesn't eat st.

Maybe he was lucky, but I am a firm believer in a simple, common sense approach can help to begin with. Undoubtedly, there are more complex cases, but the first steps to reversal should not be a difficult problem to solve.

ORD

18,120 posts

128 months

Monday 6th September 2021
quotequote all
Oakey said:
It would have been nice if they'd given me the figure rather than springing it on me with "You have high blood sugar and are at risk of Type 2 diabetes, but hey, do you want to join our seminar?"

Obviously the first thing I did was Google high blood sugar and I see that it can be a sign of a heart attack or stroke which was the bit that concerned me as I had chest pain for half a day a few weeks ago which I just dismissed as straining myself.

Regards diabetes, I can't get my head around it, I primarily only drink sugar-free flavoured water, I have sweeteners in brews and I don't put sugar on breakfast cereal. Seriously, it's like "what the fk, are you sure you have the right person?"
An adult eating breakfast cereal is getting a huge slug of sugar. Are you overweight?