Type 2 diabetes: NHS to offer 800-calorie diet treatment • Hacker News Board

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#31

Post by Brigadirk » Fri, Nov 30, 2018, 5:46 PM UTC

belltaco wrote: post #3

Losing a lot of weight with very low calorie diets is hard, but not regaining it over the next couple of years is next to impossible. Your body will try all the tricks in the book, it will reduce your metabolism to way below that of the person of the same weight, it will amp up your hunger hormones so much that you will think and dream about food 24/7. Only 5 to 7% of people that lose a large amount weight are able t…

I thought I was getting too fat in 2015. I went on an "eat half" diet. Literally lost weight eating pizza and drinking beer, just less than I needed. Lost 12 kilos.

After this, I just ate as I felt like, with intermittent periods of damage control, where I'd revert to the diet for a few days here and there to either budget an upcoming event (e.g. Christmas), or pay for a recent one.

Works for me. Only note is to watch out with sugar & alcohol, as both can turn on the 'fuck it I WANT THIS NOW' mode, at least for me.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#32

Post by diminoten » Fri, Nov 30, 2018, 5:47 PM UTC

chosenbreed wrote: post #17

pknopf wrote: post #9

Earlier quoted context omitted.

I lost 40 pounds in 3 months, then another 20 in 3 months. I've kept the weight off for another year. I still eat healthy and in moderation (and occasionally fast). I avoid sugars and high-carb foods and my body has been hovering at the same weight. Maybe, for some people, it's harder to keep the weight off (assuming diet is the same)? Or, maybe some people don't have the mental will-power to stay on the diet that lo…

Superb. Clearly in your case you summoned the necessary will to lose all that weight. But I think another important factor is that you established a new lifestyle/better eating habits.

"Summoned" implies it's only possible for people who know the arcane secrets, I'm not personally a fan of removing people's agency when talking about something like this.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#33

Post by miles » Fri, Nov 30, 2018, 5:47 PM UTC

rpvreviews wrote: post #14

philip1209 wrote: post #4

Calories are not the core problem - carbohydrates are. The research from VirtaHealth.com makes this clear. They are getting T2 diabetics off of insulin within a week, while still giving patients the satiety they want from meals.

Dr. Michael Greger, Dr. McDoughall are my heros. Carbs and starch are not the problem, animal fats and proteins are. Whole food plant based diet are the best

Greger's "How Not To Die: The Role of Diet in Preventing, Arresting, and Reversing Our Top 15 Killers" has lots of data while remaining quite entertaining:

https://www.youtube.com/watch?v=lXXXygDRyBU&t=2m11s

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#34

Post by gregf » Fri, Nov 30, 2018, 5:47 PM UTC

Ouch, this is going to be hard on me.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#35

Post by emersonrsantos » Fri, Nov 30, 2018, 5:48 PM UTC

When people will realize that carbs are the only non-essential macronutrient? The sports community (especially bodybuilding) knows that for decades.

If an athlete says to me that a thing he does to his body work 95% of the time, I would consider to try it, and already did, some things against over-the-counter conventional medicine like this no-carb diet.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#36

Post by zavi » Fri, Nov 30, 2018, 5:48 PM UTC

How will they make sure people don't cheat and eat more anyways? 800 calories a day for an overweight person requires some serious will power.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#37

Post by hirundo » Fri, Nov 30, 2018, 5:49 PM UTC

will_brown wrote: post #27

hirundo wrote: post #7

I think that this is effective because it reduces the carbohydrate load. Protein and fat consumption also increase insulin response but not nearly as much. Type 2 diabetics could get most of the blood sugar reducing benefit of this by just removing/replacing the carbs. That has been my N=1 experience with both fasting and carb restriction.

Well reversing is different but most cases can be reveresed with dietary/lifestyle changes. On the other hand prevention of type2 is N=100% with these changes. I know people, especially in the US consider it thier right/freedom to eat what they want and live how they want, but in my mind it’s deeply disturbing especially because children don’t have any choice (it’s parental). I think as soon as a child is diagnosed w…

In the US the official nutrition advice has been both wrong and corrupt since the 1970s. Gotten wrong by sincere hard working scientists with the best intentions. Corrupted by corporate capture of regulatory bodies and funding of exculpatory studies.

These same forces would choose what is mandated. That is horrifying. Not only could they give bad advice, they could compel ever larger fractions of the population to follow it.

Far better to let parents decide, so when they get it wrong we can learn from it, and don't all get it wrong at once.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#38

Post by therealx » Fri, Nov 30, 2018, 5:49 PM UTC

SketchySeaBeast wrote: post #22

chosenbreed wrote: post #12

Earlier quoted context omitted.

> And that's why weight loss techniques need to be treated like a new lifestyle, instead of a goal you hit and then finish. I lost 60 lbs a couple of years ago ... Firstly, fantastic achievement. I'm curious as to what motivated you enough to put in the effort (I'm assuming it required effort). Secondly, I wonder if the speed/drastic nature of the weight-loss can be counter-productive. When you think about people don…

It was my health. My snoring was bothering my wife, and I was exhibiting sleep apnea so I knew I either had to lose weight or go to a doctor, and I hate visiting the doctor. And the time is certainly a factor - people have to set up weight loss scenarios that are sustainable over the long term. My weight loss goal was 1-2 lbs a week, so that was aggressive, but I am large enough that I can lose weight on enough calor…

For some people, I think they shouldn't be given the false hope that "enough to lose weight" and "enough to enjoy myself" go together. Part of losing weight is a fundamental rewiring of what is "enjoying myself".

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#39

Post by vonmoltke » Fri, Nov 30, 2018, 5:49 PM UTC

will_brown wrote: post #27

hirundo wrote: post #7

I think that this is effective because it reduces the carbohydrate load. Protein and fat consumption also increase insulin response but not nearly as much. Type 2 diabetics could get most of the blood sugar reducing benefit of this by just removing/replacing the carbs. That has been my N=1 experience with both fasting and carb restriction.

Well reversing is different but most cases can be reveresed with dietary/lifestyle changes. On the other hand prevention of type2 is N=100% with these changes. I know people, especially in the US consider it thier right/freedom to eat what they want and live how they want, but in my mind it’s deeply disturbing especially because children don’t have any choice (it’s parental). I think as soon as a child is diagnosed w…

> On the other hand prevention of type2 is N=100% with these changes.

It is absolutely not. While the vast majority of current cases are preventable (and in most cases, reversible) through proper lifestyle changes, between 5% and 10% of people with T2DM were going to develop it regardless of what they did.

Now, it's possible that some or all of those cases are not actually T2DM. In the past few decades researchers have been investigating additional forms of DM, such as Latent Autoimmune Diabetes in Adults, that may be the cause of some cases of DM that currently present as T2DM. It may be that once "true" T2DM is defined that your statement is correct, but as of right now it is not.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#40

Post by lilcorey10 » Fri, Nov 30, 2018, 5:50 PM UTC

This sounds to be marketed as some scientific potion to cure diabetes or at least rid the need of medication. All it comes down to is cleaning up your diet (e.g. eating the right amount of calories for your body and eating nutrient rich foods). There's no one diet fits all but getting a good balance of proteins, carbs, and fats is all this is doing for these people. NHS is simply doing the leg work. I control my weight by counting calories and macro-nutrients. If people could figure out how to do that own their own we'd see a huge decrease in Type 2. It's true, a cleaner diet tends to be more expensive and requires more work than the convenience of a fast food diet - but at the the end of the day we're trading diabetes so we can be lazy with our diet and health.