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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

#121

Post by OJFord »

xboxnolifes wrote: post #33
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…

> 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…

Yes, it's surely intended in the same spirit/based on the same averaging as the 2M/2M5 (fe-/male) cal RDA.

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

#122

Post by OJFord »

remarkEon wrote: post #113
harry8 wrote: post #88

Earlier quoted context omitted.

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…

Yeah I should’ve made it clear in my comment that I agree with you, I think the fetishism of pre-historic humans is a little odd. Of course there’s things to learn, but it’s strange to think that a period when you died from something as trivial as a minor infection is somehow ideal. I was only nitpicking on the dental thing, because eating so much sugar really is relatively new in human history and is the source of a…

Probably not so modern in regions with native sugar cane? E.g. doesn't jaggery (unrefined cane sugar reduced to a semi-solid block) production in India and thereabouts go back centuries?

Certain palms are also (and have been for... Again I don't know, but I believe 'a very long time') 'milked' for a sugary sap that's drunk fresh or fermented.

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

#123

Post by imwillofficial »

uberduper wrote: post #110
dpdpdp wrote: post #91

Earlier quoted context omitted.

This is definitely an exception, one would be deficient in just about every (micro)nutrient and therefore expire much faster than a normal human. While also being much more miserable.

Oh, I guess we're taking this candy diet suggestion far more seriously than I originally thought. It wouldn't require a whole lot of thought to come up with an all candy diet that supplied the minimum necessary nutrition. How broad is our definition of "candy" for this? Are you willing to consider candied fruits, vegetables, and bacon? Chocolate covered things? How much dark chocolate would we have to add to somethin…

Nobody should be taking my candy diet seriously

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

#124

Post by Auracle »

_JoRo wrote: post #54

;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 se…

I burn about the same amount of calories walking at my desk every day. Just like you say, I’m able to eat what I want and not gain weight - or even lose it.

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

#125

Post by kortilla »

Vt71fcAqt7 wrote: post #67
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…

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 peo…

> I did not mention sit down restaurants because they generaly do not advertise.

They do in the US. TV adverts are littered with ads for national chains (Olive Garden, Buffalo Wild Wings, Red Robin, etc).

Media that allows more targeted local stuff (Facebook, billboards, newspaper, Google maps, etc) is plastered with ads for local sit down restaurants. If anything these ones advertise even more because they don’t have an established mindshare.

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

#126

Post by dmix »

nixcraft wrote: post #4

In South India, they have a carbohydrate-rich diet. So when you get hit badly with T2D, you switch to fish, limited brown/red rice, and veggies. In most cases, all of your medication stop if you maintain your weight and diet with exercise. Unfortunately, only some maintain a diet and healthy weight. Even 10 kg weight loss gives far better control for T2D.

Sounds like proto-keto.

From experience if you just try Keto for a couple of months you start to realize how much sugar/carbs are in absolutely everything in the western diet.

Even though I don't practice it religiously I still don't eat 90% of the arbitrary carbs I used to consume. Easiest: not drinking Coke/Juice or anything besides water or zero-carb flavoured carbonated drinks (buy a Sodastream + $50 citrus press and add your own fruit/Erythritol), coffee or tea with stevia, etc.

That plus Allulose simple syrup or those White Claw style drinks:

https://www.wholesomeyumfoods.com/shop/syrups/simple-syrup/

https://www.amazon.com/s?k=Allulose (closest thing to sugar around for people who are picky, otherwise Monk Fruit is cheaper and widely available)

Food is much easier. Just don't eat lots of bread, noodles, and pasta.

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

#128

Post by dmix »

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…

Low-calorie diets are a poor gateway to weight loss and health, where low-carb counts tends to do the real work. Calorie-counting typically leaves people hungry when they should just be eating better food.

Mediterranean, paleo, vegetarian, low-calorie etc diets almost always achieve the same low-carb goals, but low-calorie is the least practical...while sadly also being the most popular.

Just telling people to "eat less" is never an effective solution. There's a severe lack of good studies showing low-calories actually lowers weight long-term. The fact this study has 25 people is typical.

If you can eat a stable amount of food until satiety (still not-excessive amounts) while still achieving the same health/weight goals then obviously that would be the best solution.

I've asked before on HN to send me a study showing low-calorie diets are effective at reducing weight longterm and I still haven't seen one. Yet low-carb and type 2 diabetes go hand-in-hand with other treatments (most importantly pre-diabetics which is critical).

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

#129

Post by smcl »

uberduper wrote: post #79
smcl wrote: post #62

Earlier quoted context omitted.

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?

At no point, same with Atkins, Paleo, Jordy P's "steak only" diet and the rest. Fad diets are simply what they are.

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

#130

Post by MerelyMortal »

syrrim wrote: post #107
browningstreet wrote: post #56

Earlier quoted context omitted.

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…

100 lbs in three months is ~1lb/day, thus a deficiency of 3500Cal/day. His maintenance intake would have been 4300Cals/day. That seems insanely high - what was his weight?

It was 297lbs

Source: https://youtube.com/watch?v=GdHW1YipmVo

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