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Radical diet can reverse type 2 diabetes, new study shows

theguardian.com

241–250 of 271 posts

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

#241
post #165

Earlier quoted context omitted.

Yes, totalitarianism can be highly efficient, when all the inefficient people are forcibly excluded from the system. You need to pay the same as that person, so that the insurer does not have to know every tiny detail that separates the low-risk person from the high-risk person. Do you really want 24-7 surveillance tracking how often you drink Coke, and tattling on you if you smoke? Or do you imagine that the guy who…

So you must also think you should pay the same car insurance premium as a guy who gets DUI's every couple of years and runs red lights? People who do not take care of their own bodies burden the system significantly more than people who lead a healthy lifestyle. It does not take a genius (or a clinical study) to figure this out. They simply should pay more for the resources they consume. As another poster commented,…

DUI convictions are already public record. Driving while intoxicated is already illegal. Actual damage done by drunk drivers is quantifiable by aggregating the police reports and injury and damage claims where one or more of the drivers was drunk. So people with drunk driving convictions on their record should pay higher car insurance premiums. You can make that calculation without hiring an investigator or surveillance robot to follow your customer around.

Skydiving trips are not public record. Wingsuit flights are not public record. I don't think insurance companies should know more about you than one of your casual acquaintances. So I don't think that it is justified for them to charge thrill-sport adrenaline junkies more than stay-at-home bodies for their life insurance. This currently does not stop insurers from refusing to do business entirely unless the customer first divulges their private information, because the practice does allow them to make more money. For me, that only raises the issue of whether or not a scheme to collectively mitigate risk should be for private profit, private mutual benefit, or an inherently governmental function. At a certain level, you are essentially enforcing an implicit mandate that only rich people are allowed to have fun or get high.

The actual effect of what you propose is that people go uninsured, rather than pay the grossly inflated premiums. Healthy/safe people may also go uninsured, as their risk is so low that they might be able to cover their entire risk by saving the money that would otherwise go to premiums. The high-risk people then eventually suffer a crisis and can't pay their own costs. Those have to be shouldered by society anyway, or you stand by and say, "You deserve to die, because you were too weak to not be a sugar addict, fatty." or "You deserve to die, because you were too weak to not be a nicotine addict, filthbreather." or "You deserve to die, because you chose to unnecessarily jump out of perfectly good airplanes, chutepacker." Raising the cost of something always prices someone out of the market.

What you are saying about risk is unequivocally true. Unhealthy people are a higher risk, and the expected value of their medical care is higher, and their projected life expectancy shorter. But consider also that externalities from data breaches and non-overt but still unlawful discrimination are also not factored in to the costs of providing insurance. If you want drinkers and smokers and fatties to pay more for insurance, I will also want insurance companies to be fined $X per breach, every time that a single datum of personal information is disclosed to anyone outside the company, or anyone inside the company that does not need to know it to do their job. If you need to invade my privacy to do your job, your job is also to protect my privacy from being invaded by others.

And those companies also need to be able to prove that they aren't charging black people more than white people, even if the claims statistics indicate that black people should be charged more, mathematically, because they really are at higher risk for injuries and death. We, as a society, have collectively decided that some types of discrimination are not okay, and you can't hide behind the math to do it anyway. Suck it up and fudge the numbers to make it work, because we have all decided to pretend that people of different skin colors are de jure equal, even if the de facto equality hasn't happened yet.

If those challenges make running an insurance business impossible, that's fine. They don't actually have a right to always make profits.

What you have done is provide a simple solution to long-standing problems in a very complex business, and gave no thought to the unintended consequences of your proposal. It only works in a simulated world, full of numeric representations of people, that are all programmed to act in the ways that you have already anticipated.

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

#242
post #217

Earlier quoted context omitted.

A whole food, plant based diet might be that easier route.

100% correct. It is a lifestyle disease and the reason your doctor won't tell you is because the health industry is built around treatment, not prevention, and so your doctor was never taught this. It's through no ill intent, it just never made good business since to teach doctors much about nutrition or to fund much of the research doctors may prefer to have before adopting new advice. Drug companies on the other ha…

This is a gross oversimplification. Diabetes (particularly type 2) is a complex disease with both environmental and genetic factors. I'm a T2 diabetic and was diagnosed while having a low BMI (20) and reasonably healthy lifestyle. There wasn't much I could actually change about my 'lifestyle' -- no weight to lose, etc. Medication was the only solution and not surprisingly made a significant impact.

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

#243
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 this article fails to mention is if the subjects need to remain on a restricted diet. I'm a type II diabetic (my A1C was 8.7 when diagnosed) who is technically "cured" (my A1C ranges between 5.8 and 6.0), but my doctor said to me, "Make no mistake, the minute you go back to eating the way you used to, all the symptoms will return." I don't take any medication, but I remain on my diet. And I never cheat. I don't…

I avoid the four horsemen of the diabetic apocalypse (bread, rice, potatoes, pasta), no desserts, no dried fruit or fruit juice.

When I was at school, we were taught, by full-time, qualified educational professionals, that if you were hungry you should bulk up your meals with these 4 because it's impossible to eat too much of them.

I totally get the willpower argument but I am also aware there are many people who try to eat right who are simply acting on bad information from supposed authority figures.

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

#244
post #93

Earlier quoted context omitted.

I started putting on some weight after beginning full time work after college (no longer walking around campus, always having a decent lunch--it made a difference!) Two years ago I decided to limit my consumption of refined sugar to two desserts a year. I cut out pop, fruit juice, don't drink alcohol or coffee, avoid white flours and aim for foods made of whole ingredients---fruits, vegetables, meats, nuts, etc. I'm…

>The thing that really drives me crazy is how _so much_ food is sweetened, even things where it makes no sense. Yeah.. thats restricted to US :) Visiting US from India, I ended up throwing away a loaf of bread cause it was as sweet as chocolate

Coming from The Netherlands to live in the US for a while, I found the same. It seems like just everything contains more high-fructose corm syrup, and tastes sweeter. Even all breads.

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

#245
post #244

Earlier quoted context omitted.

>The thing that really drives me crazy is how _so much_ food is sweetened, even things where it makes no sense. Yeah.. thats restricted to US :) Visiting US from India, I ended up throwing away a loaf of bread cause it was as sweet as chocolate

Coming from The Netherlands to live in the US for a while, I found the same. It seems like just everything contains more high-fructose corm syrup, and tastes sweeter. Even all breads.

It's not all breads, just most of them, especially the shelf bread from big outside bakeries.

In most stores there will be a few choices in the bakery section that don't have added sugar.

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

#247
post #94
post #20

Earlier quoted context omitted.

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…

Not a doctor, but know some people with weight issues. My understanding is that you are using a diet plan that the literature warns as being dangerous, (for example losing more that three pounds a week in cases of morbid obeisity) and a doctor is monitoring your vitals and blood work to make sure you aren’t damaging your organs in the process. Essentially they are red-lining your weight loss. In the most drastic case…

There are many documented cases of obese people not eating at all for weeks or months. As long as particular basic needs are taken care of (water, vitamins, minerals), you can live off your own body fat. That's what it's there for. Of course, as you're running out of it, things go downhill fast.

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

#248

Earlier quoted context omitted.

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) - Veg…

Do you know how your blood pressure or cholesterol changed as a result of this diet? You were basically on a high cholesterol diet, so I'm interested.

GP describes the keto diet, which worked for me too. About the cholesterol, better read up on it. The hype about cholesterol has gone out of control. There are multiple types of it, and earlier research wasn't as conclusive as everybody thought. (Just like saturated fats by the way.)

[1]: https://www.amazon.com/Art-Science-Low-Carbohydrate-Living/d...

[2]: https://www.amazon.com/Art-Science-Low-Carbohydrate-Performa...

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

#249
post #236

Earlier quoted context omitted.

Ketosis is different than ketoacidosis.

Right, but being in Ketosis is a precursor to ketoacidosis

You have to be doing it really wrong to get there though. OTOH it's always a good idea to research it before starting something.

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

#250

Earlier quoted context omitted.

I am doing everything I can think of Are you aware of the research linking diabetes and inflammation?

I know some about it. Enough to where I don't eat red meat or pork (maybe 1-2 times a month) and I eat a lot of leafy vegetables. I don't use butter or mayonnaise. I don't consume caffeine and I make my own cashew milk.

Just off the top of my head, trying to be constructive here, I will suggest you add peanut oil to your list of foods to avoid.
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