Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

South Asian people undergo type 2 diabetes remission with low calorie diets

medicalxpress.com

Post reply on HN
Print view View original

51–60 of 150 posts

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#51

Post by balls187 »

theduder99 wrote: post #35
ramraj07 wrote: post #25

Earlier quoted context omitted.

The consensus from the most sensible people is, do the diet you can stick to, in the end just eat less. That’s most important.

yep, same deal with exercise. Doesn't matter how, I just wanted some type of movement that I could get into the habit of. Tried a bunch of different activities but was not able to form a habit until I got a rowing machine and even then I still have days where I don't want to use it :)

For those days, find something less, like light stretching, outdoor walk, skipping rope etc.

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#52

Post by JamesianP »

hombre_fatal wrote: post #39
kortilla wrote: post #36

Earlier quoted context omitted.

> Off the top of my head, fast food advertisments should be made illegal This is ridiculous. Nearly everyone I know who is overweight eats hardly any fast food. What I do see is lots of snacking throughout the day on high carb things (chips, breads, etc) and just way too many calories due to large serving sizes in both regular “slow food” restaurants and meals made at home. Fast food meals if you skip the sugared sod…

Apparently one major issue with fast food is the hyperpalatability. For example, when I visited my family in the states, I ate two double cheeseburgers at a fast food joint at 1000+ calories per burger, and I figured I could probably eat two more in that sitting without issue. In other words I ate 2000+ calories in a few minutes and could have kept going. Even one burger has more calories than I eat in a single meal.…

But why would you do that? I think it's just calorie density and behavior. You might just as well have eaten a bucket of ice cream as fast as you could. I.e. before your rising blood sugar has a chance to stop you.

Though I do think the public would be better off if they replaced the bread with lettuce or something. It seems like they're willing to do that anywhere I've gone.

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#53

Post by ravenstine »

Link to the actual published article: https://www.thelancet.com/action/showPdf?pii=S2772-3682%2822...

What doesn't make sense to me is what this diet was actually composed of.

> The programme induces weight loss with a period of formula low energy TDR, providing all essential nutrients in around 850 kcal/ day, creating a sizable energy deficit and therefore substantial weight loss.

Given that Counterweight Plus can be many things (judging by the website), I don't know what this study actually demonstrates. Maybe the weight loss and remission is associated with the lower energy intake, or it may be associated with whatever diet may have been eaten. What were the subject's diets before? We don't know. Correct me if I'm wrong, but I'm not sure we can tell.

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#54

Post by _JoRo »

;TLDR: Anecdotally, I've found it easier to lose weight / harder to sustain weight after a few months of consistent exercise.

Mostly unrelated to this article and perhaps naive, but I found it very difficult to gain weight (and even sustain my weight) about 2 months after starting a 5/6 day cardio routine.

I started the routine walking at ~20 minute mile pace (3 mph) and just incrementing the speed by 0.1 mph each session. At the 2 month mark I was ~8 minute mile (so about 7-8 miles a day).

At this point I was probably burning an additional 750-1k calories a day from the running alone.

Combined with a slightly less calorie dense diet and I was basically force feeding myself to try and maintain my weight.

Background: Late 20s 5'11" Male ~180 lbs (obviously a more ideal situation)

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#55

Post by fock »

adrian_b wrote: post #29
chrisgd wrote: post #18

I read a transcript of an endocrinologist suggesting intermittent fasting (don’t eat after 6 and wait as long as you can before your first meal - start with 10am and keep pushing back as long as you can). Then eat only veggies for your first meal, then veggies and a deck of cards serving of meat for dinner. Honestly, it sounds very difficult, but the doctor seemed very confident that this works. I have started trying…

When losing weight, it is important to continue to eat a normal amount of proteins, essential fatty acids, vitamins and minerals. Only either the carbohydrates or the (non-essential) fats or both must be reduced. It does not matter which of them is reduced, as long as the total calorie amount is restricted enough. It may matter only due to personal preferences, which may make one variant or the other easier to suppor…

> One must use some digital scales for measuring the weight every day at precisely the same moment, because the weight varies during a day by much more than the difference between 2 successive days.

or just do a moving average over some days. Works better.

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#56

Post by browningstreet »

knaik94 wrote: post #20

The amount of calories per day caught my attention, 850kcal/day with diet replacement products. I understand that with medical supervision, there is less risk of malnourishment or nutrients deficiencies. The general advice, even from my primary care physician, has been that anything less than 1200kcal/day is dangerous and is crash dieting. Looking around, I found this other study studying total diet replacement provi…

David Goggins lost 100 lbs in 3 months on an 800ish calorie diet. I’m not recommending that… but what you can accomplish when you own it versus doing it for other reasons is probably significant too. Especially for when the “diet” (or whatever word is preferred, a la “intervention”) ends.

I lost 60 lbs over a couple of years and set a state lifting record for my age group. I love what I do and kept the excess weight off. I got good at what I do and the intrinsic reward still burns, even though I’m not lifting for records anymore. I wake up every day ready to go hard for at least 50 minutes. It doesn’t take me more time than that to stay in shape, but I do eat consistent with my goals.. which is the harder part.

I personally think someone needs to really own their desired outcome and then there are many valid and healthy ways — and even more “effective” ones — to get there. Hard to measure “own” though. Measuring every different kind of modality is generally missing the point. We actually know how people get in shape and stay in shape. The problem is generally in the mind.

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#58

Post by syliconadder »

hombre_fatal wrote: post #39
kortilla wrote: post #36

Earlier quoted context omitted.

> Off the top of my head, fast food advertisments should be made illegal This is ridiculous. Nearly everyone I know who is overweight eats hardly any fast food. What I do see is lots of snacking throughout the day on high carb things (chips, breads, etc) and just way too many calories due to large serving sizes in both regular “slow food” restaurants and meals made at home. Fast food meals if you skip the sugared sod…

Apparently one major issue with fast food is the hyperpalatability. For example, when I visited my family in the states, I ate two double cheeseburgers at a fast food joint at 1000+ calories per burger, and I figured I could probably eat two more in that sitting without issue. In other words I ate 2000+ calories in a few minutes and could have kept going. Even one burger has more calories than I eat in a single meal.…

It doesn't help that these calorie dense food are hyperengineered to trigger our hunger more. A personal prohibition seems to be the only way to tackle this.

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#59

Post by MuffinFlavored »

myshpa wrote: post #48

Low calorie diet is not the only way how to reverse diabetes. https://www.youtube.com/watch?v=tAiXvrIMIIE Neal Barnard, MD | A Nutritional Approach for Reversing Diabetes https://www.youtube.com/watch?v=lSwL73evUdA Diabetes Reversal and Weight-loss with Neal Barnard, M.D. https://www.youtube.com/watch?v=EpRrD58Ah3Q Evidence-Based Weight Loss: Dr. Michael Greger https://www.youtube.com/watch?v=7rNY7xKyGCQ How Not To D…

Eat to satiety while focusing on certain types of foods/drinks instead of others?

Re: South Asian people undergo type 2 diabetes remission with low calorie diets

#60

Post by MuffinFlavored »

knaik94 wrote: post #20

The amount of calories per day caught my attention, 850kcal/day with diet replacement products. I understand that with medical supervision, there is less risk of malnourishment or nutrients deficiencies. The general advice, even from my primary care physician, has been that anything less than 1200kcal/day is dangerous and is crash dieting. Looking around, I found this other study studying total diet replacement provi…

dumb question: how easy is it for the average person to go from an “American” diet high in addictive things like bad fats, corn syrups, processed foods, etc. etc. to a “clean” 1200kcal diet?

I was under the impression it was like trying to fight drug addiction and the chances of you sustaining it and not relapsing/making up the missed calories later as near impossible for most once you’ve become addicted enough to things like Diet Coke, Chik-Fil-A, etc.

Post reply on HN