Live data from Hacker News

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

medicalxpress.com

61–70 of 150 posts

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

#61
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…

[deleted]

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

#62
post #31
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…

C-f fasting You never disappoint, Hackernews.

Fad diets like intermittent fasting or keto will pop up anywhere anyone’s talking about weight loss or health issues sometimes associated with being fat. It’s not particular to HN and it’s sadly not going to go away :-/

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

#63
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 th…

I lost about 50 pounds in ~3 months simply by cutting my carb intake to about 20g/day (eating just non-starchy vegetables, meats, sugarless dairy). This was moving from an “American” diet overnight to an extremely low carb diet. My caloric intake actually went up slightly.

As for being difficult… yeah. The transition sucked. Body aches, headache, and very slight case of the blues. It took willpower. After about 3 days, I was okay. It was similar to quitting smoking for me, except that quitting smoking didn’t give me body aches.

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

#64
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?

Yes.

I've removed that part of my comment, sorry - the linked experts will explain it better.

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

#65

Earlier quoted context omitted.

> Furthermore, long-term achievement of diabetes remission, adherence to the diet, and weight loss maintenance after the diet remain a challenge. Studies have also suggested that physiological and metabolic adaptation of the body in response to caloric restriction may shift energy balance and hormonal regulation of weight toward weight regain after weight loss [67,68]. Thus, it is crucial that future studies are dire…

Seeing that there are more than 10 thousand US people in that database, which is unlikely to be complete, I do not think that "hardly anyone" is the right term. Nevertheless, I agree that such people might be a very small part of those who lose weight. About 15 years ago, I have lost about one third of my initial body weight during almost a year, and then I have kept my desired weight until today, without any kind of…

> Seeing that there are more than 10 thousand US people in that database

The census.gov says there are a little under 260 million adults in the united states, and we know obesity is something like approaching 40% of these adults, so 104 million.

10,000 is not even one thousandth of a percentage point of the obese people of the untied states.

For contrast, a disease is considered rare if it occurs 1 in every 1500 people in the united states. A person who un-obesity's themselves into healthy weight is literally a magnitude rarer than this.

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

#66
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 th…

for me, it was just eating rich flavorful foods that also happen to be healthy

what i did was cook for myself so i can reduce vegetable oils, salts, artificial flavorings etc, then cook things like fresh tomato sauces with fresh basil/oregano, fresh fish cooked slowly in plum sauce, chana masala curries with low sodium and delicious spices etc etc

once you get used to healthy, satisfying and flavorful "good" food, carbs, salt, oil and junk food cravings faded away and buying snacks after that was just not satisfying at all...

n=1 and all that, but that was my experience fwiw

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

#67

Earlier quoted context omitted.

Most people don't announce to scientists that they've lost weight. Lot's of people do lose weight and stay that way, it's just that there are even more who don't. Consider that the rate of obesity continues to increase in the US. This shows that people are simply eating more and doing less exercise. And of course those that are already obese are the least likley to consume healthy ammounts of food and exercise as nee…

> 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…

You are right that I should not have singled out fast food. Included would be grain based desserts, soda, alcohol and maybe others. Grain based desserts and soda together make up 12% of caloric intake alone[0] and serve almost no nutritional value while providing little satiety.

Another point, while I did say that "The entire point of those ads to get people to eat fast food" what I really meant is that they make people want to eat in general[note 1]. What this means is that fast food ads can be harmful even if they do not cause the viewer to buy fast food. What this does is contribute to a culture of consumption which is part of what I meant when I said "The only way to solve this problem for the whole population [...] is to change society and how it views unhealthy food." I did not mention sit down restaurants because they generaly do not advertise. My suggestion was "off the top of my head" and not fully thought out. I'm glad you made your comment because I did not express my reasoning clearly.

[0]https://epi.grants.cancer.gov/diet/foodsources/top-food-sour... page 77

[note 1] That is, the "point" of the fast food ads collectivly are to generate a demand for fast food from the point of view of the advertisers, but the effect, while more pronounced for fast food, generates a general demand for caloric intake.

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

#68
I'll add that reducing sugar, sweet fruits, intermittent fasting (8 hour feeding window) and daily walks made a big difference for a couple of South Asian senior citizens I personally know. They still eat bread and rice and potatoes and consume dairy - but even their relatively modest change in lifestyle has made a big difference.

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

#69
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…

Losing 1kg a week is not "about appropriate", it's pretty much the maximum.

And water weight, fecal residues, etc vary so much day by day. Were yours so constant insofar to be able to track it accurately to the grams?

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

#70
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 th…

It's not fair to assume every person is going to become addicted to things like diet coke or fast food. "American" diet has room for a lot of clean eating. Processed food shouldn't be considered the same as "American" food in my opinion. Convenience driven food choices is cultural in America but that doesn't make the chosen food American.

I think something like Tex-Mex would easily allow for clean eating. Avocado toast, with whole grain bread is fairly healthy and was an absolute favorite of mine after workouts and I would consider it "American" food. Tacos are a great way to have good portion control and also feel filled. Allowing non-traditional recipes opens many options. Avocado grapefruit salad on tortillas with fried tortilla strips is a recipe I came across recently that I really enjoyed. I think non-traditional is the essence of true "American" food.

For fast food, Popeye's Blackened tenders are not breaded, a 5 piece serving is listed at 280 kcal compared to the classic tenders being 740 kcal. Nuts or apple slices with peanut butter is a fairly filling snack and can easily fit within 200 kcal. The main thing you would have to look out for is sodium if cooking at home is difficult. I know most of my bodybuilder friends go to a diet of chicken breast and brown rice for dinner for months at a time when they want to cut. It's around 400-500 calories depending on how you prepared it.

Vegetarian and vegan recipes are good starting points for cleaner eating too. Borrowing from other cuisine makes it a lot easier as well. I love preparing vegetable side dishes for dinner in the way it's prepared for Korean dishes. Miso soup is fantastic for when I have food cravings late in the night. It's not "American" but I'd argue there's nothing more American than making microwave miso soup at 3 am in my star wars mug. Coffee is popular too, and is very low calorie if you can get used to no milk or sugar, or only sugar alcohol/substitutes.

For some context, I grew up and live in one of the most culturally diverse states and counties in the US. I know that not everywhere in the US has the same diversity of food options, but I would argue that Amazon has done a lot to make food accessible.

Post reply on HN