Reversing Type 2 Diabetes

Reversing Type 2 Diabetes

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Discussion

Kenny Powers

2,618 posts

128 months

Thursday 22nd November 2018
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The issue, in the context of diabetes is defining “junk food”. It’s not caused by excess dietary fat, it’s caused by excess dietary glucose. Most people think junk food is all about saturated fat, so they turn to cereals and muesli bars, but in the context of becoming diabetic, these are in fact the junk foods that will accelerate the onset of obesity and hyperglycaemia.

But of course there is no question that irrespective of all this, regular exercise will go a long way to helping.

zygalski

7,759 posts

146 months

Thursday 22nd November 2018
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Kenny - what sort of percentage of people with T2 diabetes would you estimate have a BMI of less than 25?
I bet it's miniscule.

Most people who have age onset diabetes simply eat & drink far too many calories & lead sedentary lifestyles.

Kenny Powers

2,618 posts

128 months

Thursday 22nd November 2018
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This has been discussed many times before. I’m not going to read everything for you and explain it all again wink

The short version - obesity and diabetes are like the hand in the glove. They’re both caused by the same metabolic markers. Hyperglycaemia and hyperinsulinemia. Sufferers get fat largely because of these two factors which then lead to diabetes.

I suspect you’ll disagree wink

Robertj21a

16,479 posts

106 months

Thursday 22nd November 2018
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didelydoo said:
Rubbish- anyone can make the time if they want to. I'm a busy guy, I work a sedentary job, I have 3 young kids- I make time.

People need to have some self control and responsibility. EVERYONE knows junk food and sweets aren't good for you. Everyone knows exercise IS good for you. It's down to personal choice. Yes its easier to eat st and be lazy all day- of course it is! But don't go complaining when the chickens come home to roost- because it's always in your control, if you want it.
Clearly you don't have what I would call a particularly busy day. No doubt you have a partner who also cares for the children much of the time.
In any event, the point that I continue to make - and you seemingly agree - is that it's the lack of willpower that is a key issue. You think it's regarding exercise whereas I think it's far more to do with excess intake of food/drink.

Kenny Powers

2,618 posts

128 months

Thursday 22nd November 2018
quotequote all
Robertj21a said:
Clearly you don't have what I would call a particularly busy day. No doubt you have a partner who also cares for the children much of the time.
In any event, the point that I continue to make - and you seemingly agree - is that it's the lack of willpower that is a key issue. You think it's regarding exercise whereas I think it's far more to do with excess intake of food/drink.
The takeaway point really is that you don’t need to exercise to prevent diabetes unless you’re also consuming excess carbs. Excess being that which is too much for that individual’s activity level and/or the ability of their pancreas to keep up. If they didn’t consume the carbohydrate, they wouldn’t become diabetic, irrespective of their cardiovascular health.

Extremely healthy athletes have been known to develop T2DM. The most famous being Tim Noakes. I’m pretty sure he knew a thing or two about nutrition (or by his own admission thought he did) and fitness, what with having run 70 marathons. It didn’t stop him becoming diabetic though.

Phil.

4,773 posts

251 months

Thursday 22nd November 2018
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Tim Noakes is in the Telegraph today - Going against the grain: can cutting carbs help you run farther?

https://www.telegraph.co.uk/health-fitness/body/go...

Kenny Powers

2,618 posts

128 months

Thursday 22nd November 2018
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Noakes is a bit of a hero. One of the very few people in the field of sports and nutrition science who had the courage to publically declare that he’d been completely wrong with all his previous carbohydrate-based dietary advice. He was photographed tearing pages out of his earlier books laugh

Of course people are still free to disagree with him, but at least he had the minerals to declare that he’d been wrong. More than can be said for most “scientists” on the industry payroll.

zygalski

7,759 posts

146 months

Thursday 22nd November 2018
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Is it eating carbs that's inherently a T2 risk, or eating about 1000 calories a day more of them than your body needs which is the risk?

Kenny Powers

2,618 posts

128 months

Thursday 22nd November 2018
quotequote all
Carbohydrate is the main risk factor for diabetes. More specifically glucose. Eating too many calories from dietary fat will make you fat but won’t in itself cause hyperinsulinemia, which is the driver of insulin resistance, obesity and diabetes.

Really it all hinges on how much glucose is in your body over a period of decades, and whether or not you were born with a cast iron pancreas that can keep up. You can generally tell people who are insulin resistant versus those who just eat too many calories - lots of fat all over is generally overeating, and a massive belly tends to indicate insulin problems. Although advanced insulin issues cause overeating anyway, so it’s all sliding scales.

Alucidnation

16,810 posts

171 months

Thursday 22nd November 2018
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Kenny Powers said:
Sufferers get fat largely because of these two factors which then lead to diabetes.
I think I must be in the minority then.

Kenny Powers

2,618 posts

128 months

Thursday 22nd November 2018
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Alucidnation said:
I think I must be in the minority then.
How so?

Robertj21a

16,479 posts

106 months

Thursday 22nd November 2018
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This made it all a bit clearer for me:-

https://www.verywellhealth.com/hyperinsulinemia-is...


Kenny Powers

2,618 posts

128 months

Thursday 22nd November 2018
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I wouldn’t take all that at face value without question. For one they seem to be saying that insulin resistance or lack of it entirely causes low blood sugar. It doesn’t get much more wrong than that. It does seem to cover all the basics but has the usual inaccuracies.

BlackLabel

13,251 posts

124 months

Friday 30th November 2018
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“An ultra low-calorie diet that can reverse type 2 diabetes is to form part of a pilot run by the NHS in England.
The 800-calorie a day diet using liquid meals and shakes will be prescribed for three months, initially to 5,000 people, and follow-up support given”

https://www.bbc.co.uk/news/health-46363869

Kenny Powers

2,618 posts

128 months

Friday 30th November 2018
quotequote all
BlackLabel said:
“An ultra low-calorie diet that can reverse type 2 diabetes is to form part of a pilot run by the NHS in England.
The 800-calorie a day diet using liquid meals and shakes will be prescribed for three months, initially to 5,000 people, and follow-up support given”

https://www.bbc.co.uk/news/health-46363869
Extereme calorie restriction doesn’t work long term. The body is not stupid. It will postpone less essential maintenance tasks such as repairing and building tissues. Very quickly the BMR will slow, and when the subject inevitably resumes normal eating, most will regain all the weight they lost and more. If this course did reverse their diebates, which is entirely likely, it would almost certainly come back again quite quickly.

Hey NHS - ignore the continually growing evidence that low carbohydrate diets effectively reverse diabetes without hunger. Let’s instead starve everyone to death on the same tired old low calorie diets that we know have never worked in improving long term health outcomes.

rofl

ORD

18,120 posts

128 months

Friday 30th November 2018
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The starvation diet will work while people are on it, in terms of changing various bio-markers.

But the participants will be screwed when it ends.

Kinda pointless. I’ve relunctantly come to the conclusion that the NHS is simply too big a ship to be turned around. It cannot keep up.

liner33

10,699 posts

203 months

Friday 30th November 2018
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Kenny Powers said:
Extereme calorie restriction doesn’t work long term. The body is not stupid. It will postpone less essential maintenance tasks such as repairing and building tissues. Very quickly the BMR will slow, and when the subject inevitably resumes normal eating, most will regain all the weight they lost and more. If this course did reverse their diebates, which is entirely likely, it would almost certainly come back again quite quickly.

Hey NHS - ignore the continually growing evidence that low carbohydrate diets effectively reverse diabetes without hunger. Let’s instead starve everyone to death on the same tired old low calorie diets that we know have never worked in improving long term health outcomes.

rofl
Pretty sure that was disproved by a study carried out by I think Michigan university , the body will consume fat for fuel until fat levels drop to around 5% at which point it will start to look for other energy sources . Research has shown this diet can "fix" insulin resistance and that people don't simply bounce back, when insulin levels are kept low for a sustained time the body can become more sensitive to insulin just as the reverse is true

It is a low carb diet around 60g per day , which for most people is sufficient to maintain ketosis

BMR slows as weight drops , thats because its takes less energy to move a lighter body around

This diet works very well, its low carb and puts the body into a state of ketosis so no hunger and its sustainable, its nutritionally balanced and had been proven for over 30 years, people dont starve they consume their own body fat for fuel JUST LIKE ANY DIET !








liner33

10,699 posts

203 months

Friday 30th November 2018
quotequote all
ORD said:
The starvation diet will work while people are on it, in terms of changing various bio-markers.

But the participants will be screwed when it ends.

Kinda pointless. I’ve relunctantly come to the conclusion that the NHS is simply too big a ship to be turned around. It cannot keep up.
Only if they go back to eating too many calories.

Its people's behaviour that is the cause of type 2 and what needs to change if they want to fix it , giving someone to opportunity to fix it can only be a good thing imo

Plenty of people have maintained their weight loss and good eating practices after this diet just as lots of people give up smoking or drinking and start again

If 10% of people are successful that could mean saving billions of £££ .

Kenny Powers

2,618 posts

128 months

Friday 30th November 2018
quotequote all
liner33 said:
Pretty sure that was disproved by a study carried out by I think Michigan university , the body will consume fat for fuel until fat levels drop to around 5% at which point it will start to look for other energy sources . Research has shown this diet can "fix" insulin resistance and that people don't simply bounce back, when insulin levels are kept low for a sustained time the body can become more sensitive to insulin just as the reverse is true

It is a low carb diet around 60g per day , which for most people is sufficient to maintain ketosis

BMR slows as weight drops , thats because its takes less energy to move a lighter body around

This diet works very well, its low carb and puts the body into a state of ketosis so no hunger and its sustainable, its nutritionally balanced and had been proven for over 30 years, people dont starve they consume their own body fat for fuel JUST LIKE ANY DIET !
That may all well be true (much of it isn’t), but it might be easier just to eat a low carb, natural fat diet and reverse diabetes without hunger rather than starving on 800 calories. As always this idea has the horse and the cart the wrong way around. Fixing obesity doesn’t fix diabetes. Fixing the cause of both fixes both. Starving on liquid for three months may well reverse it, as I stated, but it’s a stupid idea.

But as ORD states, the NHS cannot change course. If they change course now and recommend specific carbohydrate restriction as a diabetes intervention, they are effectively admitting that all their current best advice on managing it is complete fiction.

Kenny Powers

2,618 posts

128 months

Friday 30th November 2018
quotequote all
liner33 said:
Only if they go back to eating too many calories.
Calories don’t cause diabetes. Diabetes is caused by hyperinsulinemia, which is not caused by excess calorie consumption, it’s caused by the type of calories.

But I have a feeling of “here we go again” so I’ll leave it there for now thumbup