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

medicalxpress.com

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

#71

Post by midhhhthrow »

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…

Going on less than 200 calorie diets for days or even weeks on end was the norm in humanity for millions of years so how is it unhealthy all the sudden? It was a time of constant mass feast and famine alternating from one to other. The problem now is we have the feast part down pat but no famine

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

#72

Post by adrian_b »

maximus-decimus wrote: post #34
xboxnolifes wrote: post #33

Earlier quoted context omitted.

> The general advice, even from my primary care physician, has been that anything less than 1200kcal/day is dangerous and is crash dieting. Wouldn't this advise need to keep in mind absolute height? BMI tracks the ratio between the height and weight, but it does nothing to tell the difference between a short thin person and a taller heavier (but same BMI) person. The latter which would need more calories than the for…

The argument I've heard is that the other nutriments needs (vitamins, minerals, etc) don't scale as much with height. So even a very short person would have a vitamins/mineral deficit on less than 1200KCal per day. How true is it? I don't know. But even then I don't see why they couldn't take multivitamins.

It is possible to have an adequate intake of proteins and of most vitamins and minerals with only about 600 to 800 kcal.

Practically pure proteins can be provided by turkey breast or chicken breast, adding e.g. around 300 kcal for an adequate daily protein intake, and the rest of the food can be composed of non-starchy non-sweet non-oily vegetables, which provide only about 20 to 50 kcal per 100 grams. One could eat more than 1 kg of various such vegetables without exceeding 800 kcal.

There remain a few things that would have to be taken from supplements, e.g. omega-3 fatty acids, vitamin B12, vitamin D3 and vitamin E (which is abundant only in high-caloric food, like olive oil or almonds). The simplest is just to take one pill per day of those offered by various vendors, which include all the essential vitamins and minerals, to be sure that none of them is insufficient.

A little vegetable oil would be needed for linoleic acid.

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

#73

Post by holbrad »

dragontamer wrote: post #42
throwaway09223 wrote: post #40

Earlier quoted context omitted.

Many American diets are calorie/energy rich and nutrient poor. If you're eating 400 calories of healthy food you're probably getting several times the vitamins and minerals of the average American eating 2500 of fried, sugary food. It's probably a mistake to connect the two.

Beef is very nutrient rich. Yes, we Americans overeat beef / Hamburgers, but I don't think anyone eating burgers is at huge risk of malnutrition... as much as a risk of heart problems, diabetes, cholesterol, etc. etc. It turns out that a standard burger with beef, ketchup, lettuce, onion, and bread covers most of your macro, and even micro-nutrients. It also is way overboard on salt and fats, but... that's not the pa…

"Yes, we Americans overeat beef / Hamburgers, but I don't think anyone eating burgers is at huge risk of malnutrition... as much as a risk of heart problems, diabetes, cholesterol, etc. etc."

Pretty strongly disagree here. US Beef consumption is about the same as in early 1900's, which was a time where personal health in several metrics was far better. (Weight being the obvious one)

Always very skeptical when people talk about cholesterol, it's a really nuanced topic, but the average person seems to be stuck in the 1970's with "cholesterol bad". Thinking high ldl is always bad is only slightly better.

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

#74

Post by chrisfosterelli »

midhhhthrow wrote: post #71
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…

Going on less than 200 calorie diets for days or even weeks on end was the norm in humanity for millions of years so how is it unhealthy all the sudden? It was a time of constant mass feast and famine alternating from one to other. The problem now is we have the feast part down pat but no famine

https://en.m.wikipedia.org/wiki/Appeal_to_nature

Being the norm historically does not imply it is healthy or optimal, only that it is at least survivable on average.

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

#75

Post by harry8 »

midhhhthrow wrote: post #71
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…

Going on less than 200 calorie diets for days or even weeks on end was the norm in humanity for millions of years so how is it unhealthy all the sudden? It was a time of constant mass feast and famine alternating from one to other. The problem now is we have the feast part down pat but no famine

In general something being normal for humans for millennia does not mean it was healthy. It was normal to have incredibly painful teeth, probably not healthy. It was normal to die before reaching adulthood.

It is entirely possible that something that was done for a long time is a healthy thing just as it is entirely possible that it was a terrible thing that we conquered with knowledge and abundance. Evidence is what tells you if the thing falls into one of those categories.

I like living in a time where we are outraged if children in our community die and in cases where there was nothing that could have been done we want to do research to find something we can do in the future. That was not normal for millennia until really very recently and it seems healthy to me?

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

#76

Post by uberduper »

imwillofficial wrote: post #37
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.

My Candy diet isn’t having the results I desire. It is, however, delicious.

This isn't an exception. Eat less.

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

#77

Post by ForrestN »

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…

My doctors have always said that losing weight too quickly results in the metabolization of one's muscles and other important, healthy tissue in addition to fat. Could it be that crash dieting works narrowly to solve, for example, diabetes via the loss of fat, but has other negative consequences for the body? Maybe it's not a "doesn't work" thing, but a "collateral damage" thing or a "makes it harder to keep the weight off" thing, which is another old saw of why you shouldn't lose weight too fast?

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

#79

Post by uberduper »

smcl wrote: post #62
bitwize wrote: post #31

Earlier quoted context omitted.

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 :-/

At what point would you stop considering intermittent fasting or keto to be fad diets?

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

#80

Post by remarkEon »

harry8 wrote: post #75
midhhhthrow wrote: post #71

Earlier quoted context omitted.

Going on less than 200 calorie diets for days or even weeks on end was the norm in humanity for millions of years so how is it unhealthy all the sudden? It was a time of constant mass feast and famine alternating from one to other. The problem now is we have the feast part down pat but no famine

In general something being normal for humans for millennia does not mean it was healthy. It was normal to have incredibly painful teeth, probably not healthy. It was normal to die before reaching adulthood. It is entirely possible that something that was done for a long time is a healthy thing just as it is entirely possible that it was a terrible thing that we conquered with knowledge and abundance. Evidence is what…

> It was normal to have incredibly painful teeth, probably not healthy.

Is this actually true? I thought archaic humans had much better dental outcomes because their diets had a small fraction of the sugars that modern diets do. Could be wrong but I was definitely under the impression that poor dental health was more a function of modern diet and not something that necessarily existed throughout history.

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