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Radical diet can reverse type 2 diabetes, new study shows

theguardian.com

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

#101
I think this is what happened to me.

About 4-5 years ago I was very unhealthy and experiencing symptoms of type-2 diabetes. It scared the hell out of me and I cut out all sugar and started running multiple miles per day.

The result was significant and I lost something on the order of 60-70 pounds. After that, all of my symptoms subsided.

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

#102
post #71

Earlier quoted context omitted.

I was diagnosed as diabetic in my early 30s with an A1C of 13. I'm vegan and at the time weighed about 135 pounds (down from my normal weight of 165), ran 20-30 miles a week. The doctors I saw immediately diagnosed me as Type 2 and treated with Metformin. Between that, starving myself, and exercising like a maniac I was able to keep my blood sugar roughly under control for another year or so. Then everything really w…

Somewhat similar story, (though I weighed a bit more). Went on a keto diet and got my blood sugar down to non-diabetic levels in three months (also lost a lot of weight). But the type 2 diagnosis didn't feel right, and I pressed them for more testing, and found out that I was actually type 1. However, it's been four years now and I'm still not on insulin. Apparently the honeymoon period for adult onset type 1 is high…

The only downside to insulin for me is the cost and I'm pretty lucky. I buy my testing strips and pen needles from Amazon and spend $200 or so every few months when I need to restock. I signed up for a Lantus (slow-acting insulin once a day) discount card and am fortunate to pay nothing for it. Humalog (fast-acting insulin taken with food) costs $75-100 a month.

I go to the doctor every few months and demand free insulin samples when I'm there. I also got them to fill out paperwork saying I'm disabled (this is technically true by the letter of the law in the US). I used that to get a reduced fare bus pass and free entrance into National Parks. Figured I got fucked over and am going to milk what I can out of it.

Overall though it's not that bad. It's more of a hassle dealing with the routine than anything else.

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

#103
All systems of the body follow a circadian rhythm. Following the body’s circadian rhythm and adhering to a time-restricted eating pattern (i.e. intermittent fasting) is even more important than explicitly only restricting calories. Secondly, avoiding processed carbs and sugars is more important than explicitly only restricting calories. Combined, those two principles directly impact your insulin sensitivity, which is very influential in telling your body how to process the calories you eat, when to feel hungry/full, and to what degree.

Of course, by following a time-restricted eating pattern, you naturally consume less calories, but in general, calories are largely irrelevant when you are adhering to a consistent circadian eating cycle and eating clean, whole foods. Healthy insulin resistance directly negates fat/weight gain by telling your body to simply dispose of the excess energy rather than storing it as fat. Calories-wise, the body only uses what it needs and gets rid of the rest. To keep insulin resistance in a healthy range though, you obviously need to not consume things that will spike it and reverse the feedback loop. Following the body’s natural circadian rhythm contributes to keeping it in a healthy range as well, and it is significantly easier to adhere to than restricting calories only.

For the curious, here are a few resources that I have found super helpful in learning to better control my diet and health.

The Obesity Code by Jason Fung, MD http://a.co/7MHTlmU

Found My Fitness Podcast with Dr. Rhonda Patrick https://itunes.apple.com/us/podcast/foundmyfitness/id8181983...

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

#104

Earlier quoted context omitted.

Great Work! that's awesome you could change your diet to a healthy one. These days there's such a huge stigma against eating healthily and responsibly, especially from friends and family.

Yeah, it’s bizarre. The topic of diet has a lot in common with religion. The research is so murky and poorly conducted and everything is a contradiction, so people have a tendency to just pick a “team” and form beliefs around that. Team Vegan, Team Vegetarian, Team Keto, Team Paleo. If you’re on a different team, you’re an attack on their dietary beliefs. If you’re on any team, you’re a pain in the ass to anyone who…

I am still trying to dial in my diet Right Now. I am a Type 2 diabetic and cardiac patient; it all came on very fast and furious. I've tried LCHF before and it didn't work as described with my chemistry. Same with vegan (low fat super high carb). What diet Team am I rooting for now? Team I-Don't-Want-To-Get-A-Bad-Case-of-the-Dead's-Right-Now. Not sure what form that is but I am still testing.

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

#105
post #95

Earlier quoted context omitted.

Same. Pre-diabetic and all kinds of other health issues started creeping up (obesity, GERD, really bad heartburn, sleep apnea, etc). Most doctors would've just had me take medications, wear a mask that would breathe for me while I slept, and put my bed at an angle so I could sleep through the heartburn/reflux. Started calorie restricting and eliminated grains and sugar from my diet almost entirely, and all pre-diabet…

"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." ... "Started calorie restricting and eliminated grains and sugar from my diet almost entirely, and all pre-diabetic symptoms disappeared within a month or two. Zero GERD, zero heartburn, no longer obese, no more disturbed sleep, lots of…

I lost 50 lbs and it didn't budge my blood glucose by a single point. So, not OP nor GP but I don't think we know enough to tell people to just figure it out.

What did work for me, a little, was increasing the amount of beans I eat, and with it grains (rice), and curries, and not eating meat for at least two days a week. My bloodwork got better across the board (cholesterol, glucose) despite gaining 10 lbs.

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

#106
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.

This happened to me as well. I was diagnosed about 5 years ago, and I thought for sure this was the beginning of a descent into my early death. But after about a week of moping, I got off my ass. I'm down about 90 pounds now, I've cut most of my sources of sugar and carbs, and I'm down to normal A1C values and off of medication. I also feel better than I ever have in my entire life. I wish that I could go back in time 20 years and tell my teenage self what was going to happen, and how he could turn it around so much earlier than I did, and with so much less effort and heartache along the way.

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

#107
post #98
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.

I was under the impression that being in ketosis could be harmful to the organs of those with diabetes. Is this just a myth or were there medications that aided you?

the diet in the paper at 800cal/day is far from ketosis, so it seems one can enjoy the benefits of low cal without going to that extreme

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

#108
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?

For me (lost 90 pounds, went from 10.5 A1C to 5 A1C), it was:

- Removal of all beverages aside from water, unsugared coffee, tea - Removal of all rice, grains, potatoes, corn - Chicken, Pork, and Beef (in that order) became my primary food product. Sous Vide allowed for a more convenient method of food preparation that made it feasible for my schedule (throw it in in the morning, done when I get home from work) - Vegetables other than the ones above became my secondary source of food. - Don't care about fat, just about carb intake. My personal target goal was under 30 grams of carbs per day, which I was mostly able to adhere to. Now that I am stable under 6 A1C I have loosened it to about 45. - My caloric goal has been to stay under 1600 calories. I feel like all the other steps helped drop my A1C, but this alone was what made me actually lose the 90 pounds of weight itself.

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

#109
post #95

Earlier quoted context omitted.

Same. Pre-diabetic and all kinds of other health issues started creeping up (obesity, GERD, really bad heartburn, sleep apnea, etc). Most doctors would've just had me take medications, wear a mask that would breathe for me while I slept, and put my bed at an angle so I could sleep through the heartburn/reflux. Started calorie restricting and eliminated grains and sugar from my diet almost entirely, and all pre-diabet…

"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." ... "Started calorie restricting and eliminated grains and sugar from my diet almost entirely, and all pre-diabetic symptoms disappeared within a month or two. Zero GERD, zero heartburn, no longer obese, no more disturbed sleep, lots of…

There's another component to all of this, and that's psychology. There are people who are anorexic/bulimic and it's a horrible affliction. There are also people on the other end who compulsively overeat, usually to cope with some kind of trauma or as a reaction to anxiety. Or just because they've been fed one way since they were children, and habits are really difficult to break.

Distinguishing those people from the people who can just decide to make it better is probably impossible.

So I see some validity to all approaches.

The problem with treating it as purely a medical issue though is that, by doing that, society is being more permissive of the poor decisions people make. People who can choose to eat better and improve their health that way might never find that out, if they're just told it's all medical and we're dust in the wind.

The problem with treating it entirely as a choice is your prescription becomes punitive toward people who genuinely can't control themselves.

So I think the right approach is a balance between the two. Having said that, I think the current climate favors the dust in the wind hypothesis too heavily, and I think a lot of people are hampered and harmed by a complete lack of criticism and concern as they make and keep themselves obese.

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

#110
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.

From the view of an individual with self control you're correct. From a societal view that doesn't help. A large percentage of the population has demonstrated a lack of self control in this area. This has lead to widespread health problems. Those problems are a burden on society. Simply saying it's your responsibility deal with it won't reduce that burden.

We found a similar problem with smoking. Numbers of smokers have reduced with public education plans and limitations on marketing. Perhaps there are similar things that can be done to help reduce the number of people suffering obesity related illness. Perhaps it's something that will have a net positive impact on society as a whole?

There is of course a balance interfering with individual dietary choices is a slippery slop, freedom must be preserved at all cost.

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