Live data from Hacker News

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

medicalxpress.com

81–90 of 150 posts

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

#81
post #73

Earlier quoted context omitted.

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…

It can be frustrating how studies always lump in processed meat with unprocessed meat. Unprocessed meat is nearly google-proof, since every media outlet is busy broadcasting the evils of "red and processed meat" like they're inseparable. Seems like the cholesterol argument regarding meat itself is basically the main one left.

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

#82
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…

Limit yourself to one meal per day; use caffeine as hunger suppression.

The one meal per day limit makes it hard to over/eat.

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

#83
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…

For South Asians there has been debate about setting lower BMI breakpoints

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

#84

Earlier quoted context omitted.

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?

I have lost 1 kg per week during almost a year, with a considerable health improvement at the end and no negative effects, except obviously, the hunger.

At the time I have studied a lot the existing medical literature, and this was the recommended rate, so I have adjusted the diet so that the weight loss per day would oscillate around 140 g per day.

The weight must be measured every day in the same physiological conditions, i.e. in the same order relationship with respect to the various activities that modify the weight, like eating, drinking or eliminating their products.

A good moment would be in the morning, immediately after waking up and relieving yourself.

If one would eat in the evenings wildly varying amounts of food, then the weight in the morning could be affected by a noise due to variable amounts of food that is not completely digested yet. However that would not happen when one is eating a calorie-restricted diet for losing weight, when one would have to eat about the same minimal amount of food every day, which would be quickly digested.

While I was losing weight, I could see very well every day its evolution to the grams, and the effect of any change in the diet. Sometimes I succumbed to the temptation of eating like before starting to lose weight, and after such days I gained weight in a day almost as much as I was losing in a week, which increased the time until reaching the target weight.

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

#85

Earlier quoted context omitted.

VLCDs are very safe, much safer than say all the co-morbidities of obesity. The important thing is to chose the right things to eat for those few calories. It also assumes a sedantary office lifestyle with only minimal exercise. If you work out or run you will need more. With these caveats it is safe and effective and works for obesity, type-2 diabetes and some metabolism problems. It really is that simple. The first…

They sound miserable, though, is what I'm saying. How are VLCD people expected to do any sort of fitness or do any sort of mentally taxing labor if they're hungry and running on little nutrition basically all of the time for months? That seems totally unreasonable unless we send obese people to some kind of clinic like we do for addicts, and then how do they adapt back into the real world? Are there any actual studie…

> I was always told crash diets fuck you up for years. How can this be true and also people are apparently starving for months and that's totally fine?

It is not true.

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

#86

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, beef is an excellent nutrient, but my point is that the majority of calories in a typical burger meal do not come from sources like beef. A Big Mac meal only has 180 calories from beef, and 1320 calories total. The vast majority of calories in the american diet are sugars and oils.

If you eat only the beef and veggies from a Big Mac three times a day you'll get plenty of vitamins and minerals with minimal calories (~650 calories)

If you eat the three entire Big Mac meals you won't get any more essential nutrients to speak of and you'll consume far too many calories (3960 calories)

The average american has junk to cut from their diets with no nutritional loss whatsoever. Typically fried and sugary foods.

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

#87
post #75

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…

I agree but I think we’re still working on understanding what a healthy human actually is. Other than the obvious signs, it’s quite complicated.

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

#88
post #75

Earlier quoted context omitted.

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.

I'm no expert, this could be wrong, what I was told by an ancient historian was even the Pharohs with all their wealth had terrible painful teeth from sand in food which was ubiquitous until fairly recently. I have recollections of dental records of pre-historic persons being reported as pretty nasty.

Feel free to nit-pick that example, there are an absolute plethora of others. When did surviving appendicitis become a thing? What was the median life expectancy for a newborn baby at various times in history? Calling out the fetishism of humans in a "natural state" needs to be done. Just as there are things we can learn from our pre-historic existence. Evidence is obviously the required thing not just amusing anecdote about how we have totally "lost our way."

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

#89
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

#90
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…

“Dangerous”? How?

I mean if you have some pre-existing disease sure. If you’re on certain diuretics you may screw up your blood chemistry, but an otherwise healthy, overweight person eating less than 1200 kcal/day? Maybe not the most efficient way to lose weight but it’s far from “dangerous”.

Post reply on HN