Live data from Hacker News

Radical diet can reverse type 2 diabetes, new study shows

theguardian.com

41–50 of 271 posts

Re: Radical diet can reverse type 2 diabetes, new study shows

#41
post #31
post #14

Earlier quoted context omitted.

I don't know if it's a solved problem. It's very hard to get people to fast. It's even harder to get people to maintain a healthy lifestyle and body weight after going into remission.

Well, the problem is solved. People just don't want to take enough ownership over their health to actually do it.

Fasts are so hard on the body and mind that it's not at all difficult to imagine situations in which people can't afford to do it.

I wouldn't be able to do my job if I did an 850kcal fast for 3 months.

Re: Radical diet can reverse type 2 diabetes, new study shows

#42
post #31
post #14

Earlier quoted context omitted.

I don't know if it's a solved problem. It's very hard to get people to fast. It's even harder to get people to maintain a healthy lifestyle and body weight after going into remission.

Well, the problem is solved. People just don't want to take enough ownership over their health to actually do it.

The problem is moral hazard. If we did the right thing and cut Type 2 diabetics off from health insurance benefits (or at least dramatically increased premiums), the incentive structures would align quickly.

Edit: Mildly confused about the downvotes. I am not suggesting doing this to Type 1 diabetics, or any medical condition that is not the result of lifestyle choices. Having type 2 diabetes is very much a choice.

Re: Radical diet can reverse type 2 diabetes, new study shows

#43
post #12

I went on a medically-supervised, very low calorie and low carb (keto) diet after being diagnosed with diabetes. A few months and about 50lbs in, I had no signs of insulin resistance whatsoever, my A1C was down to completely normal values, and I was able to discontinue my medication entirely. That diagnosis, as hard as it was to hear, was one of the absolute best things to ever happen to me.

But what did you actually eat?

Is it really that hard to google "low carb foods"

Generally people eat mostly fat if a keto diet is higher calorie.

Since OPs was lower calorie it would be mostly vegetables and protein.

Re: Radical diet can reverse type 2 diabetes, new study shows

#44
post #26

Kind of related: it's fun as a Type 1 Diabetic when people tell me that I should be able to manage my disease with just diet. Or when they get upset because I eat a bowl of ice cream or something (even though I bolused properly for the carbs). It's really unfortunate that T1 and T2 diabetes have the same name, since they're completely different diseases that just happen to share some symptoms.

I guess it is an outcome of these things being names based on symptoms rather than causes.

Just look at cancer, depending on where it originates it can have a multitude of causes. But MSM is likely to report every new finding as just cancer, with zero details about the type involved.

Re: Radical diet can reverse type 2 diabetes, new study shows

#45
post #23

Was there really no research before this that showed that losing weight was beneficial for sufferers of Type II diabetes?

There definitely was. I remember telling this to my college roommate few years ago after he gradually gained lot of weight and was diagnosed as pre-diabetic.

Re: Radical diet can reverse type 2 diabetes, new study shows

#46
post #26

Kind of related: it's fun as a Type 1 Diabetic when people tell me that I should be able to manage my disease with just diet. Or when they get upset because I eat a bowl of ice cream or something (even though I bolused properly for the carbs). It's really unfortunate that T1 and T2 diabetes have the same name, since they're completely different diseases that just happen to share some symptoms.

“Diabetes” and even “Diabetes Mellitus” (the latter of which being what Type 1 and Type 2 are modifiers for) are originally just names of symptoms (essentially “frequent urination” and “frequent sweet-tasting urination" [17th century diagnostics were... interesting]) that got adopted with modifiers as disease names.

Re: Radical diet can reverse type 2 diabetes, new study shows

#47
post #20
post #12

I went on a medically-supervised, very low calorie and low carb (keto) diet after being diagnosed with diabetes. A few months and about 50lbs in, I had no signs of insulin resistance whatsoever, my A1C was down to completely normal values, and I was able to discontinue my medication entirely. That diagnosis, as hard as it was to hear, was one of the absolute best things to ever happen to me.

What does a "medically supervised" diet entail? You visit the doctor on a frequent basis and do it under their guidance? Does this exist for non-diabetic patients? I recently had weight gain for the first time of my life after reaching 30yrs of age and always being underweight. I've been meaning to look into some diet-based approaches that would be supported by science, but Googling it has always been a deluge of pse…

I don't know what diet daeken followed, but the Lancet article described the diet in the study as follows:

"Weight loss was induced with a total diet replacement phase using a low energy formula diet (825–853 kcal/day; 59% carbohydrate, 13% fat, 26% protein, 2% fibre) for 3 months (extendable up to 5 months if wished by participant), followed by structured food reintroduction of 2–8 weeks (about 50% carbohydrate, 35% total fat, and 15% protein), and an ongoing structured programme with monthly visits for long-term weight loss maintenance."

Re: Radical diet can reverse type 2 diabetes, new study shows

#48
post #20
post #12

I went on a medically-supervised, very low calorie and low carb (keto) diet after being diagnosed with diabetes. A few months and about 50lbs in, I had no signs of insulin resistance whatsoever, my A1C was down to completely normal values, and I was able to discontinue my medication entirely. That diagnosis, as hard as it was to hear, was one of the absolute best things to ever happen to me.

What does a "medically supervised" diet entail? You visit the doctor on a frequent basis and do it under their guidance? Does this exist for non-diabetic patients? I recently had weight gain for the first time of my life after reaching 30yrs of age and always being underweight. I've been meaning to look into some diet-based approaches that would be supported by science, but Googling it has always been a deluge of pse…

Using the MyFitnessPal free iOS app has been helping me a lot. It gives you a calorie target, you enter everything you eat (and it has pretty much everything in its database), and it will help you get to a target weight.

It will also help provide warnings about sugar, etc.

Re: Radical diet can reverse type 2 diabetes, new study shows

#50
post #21
post #12

I went on a medically-supervised, very low calorie and low carb (keto) diet after being diagnosed with diabetes. A few months and about 50lbs in, I had no signs of insulin resistance whatsoever, my A1C was down to completely normal values, and I was able to discontinue my medication entirely. That diagnosis, as hard as it was to hear, was one of the absolute best things to ever happen to me.

Could you please share some details? What did you eat? Do you think it is possible to reverse it, even if the person was diabetic for a long time?

https://www.reddit.com/r/keto/
Post reply on HN