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New study: 70% of type 2 diabetes cases linked to food choices

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Re: New study: 70% of type 2 diabetes cases linked to food choices

#51

Earlier quoted context omitted.

I don’t know if this helps at all but there’s some ways to get a GCM from the private industry without needing a prescription, such as Nutrisense. I paid about $150 a month for it though.

To me, that's a lot of money for a piece of plastic. I get that it's a medical device and needed lots of testing etc, but Nutrisense seems like too much "value add" to justify what they charge for it. Hopefully I can get a prescription and get this all covered by insurance.

> To me, that's a lot of money for a piece of plastic

It’s a medical device with wireless electronics, a mechanism to insert a sensor filament into your skin as painlessly as possible, and a lot of R&D went into making it. It’s not just a “piece of plastic”

The companies charge overhead to have a doctor write a prescription. You can try to find someone who will sell you one from India or another country, but by the time you pay international shipping you’re not saving much.

Regardless, don’t expect it to be all that informative for your condition. If you’re having episodes of hypoglycemia with symptoms, you don’t need a device to tell you that. CGMs are most useful for conditions without overt symptoms, where you need a device to expose the subtle changes. If you’re having episodes, just log that.

> Hopefully I can get a prescription and get this all covered by insurance.

There is a near zero chance that insurance will cover a CGM for curiosity or for diagnostic purposes. If it’s not indicated for a condition and there aren’t significantly powered studies readily available, it’s not something insurance would be interested in.

Re: New study: 70% of type 2 diabetes cases linked to food choices

#52
post #29

Unless there's an easy solution most of us are just going to die from this. I can't battle the market that wants to feed me supersized everything because that's where they can hide the cost of wages and offer an illusion of value. It needs to be tasty (enough), it needs to be cheap (at least enough to compete with the crap food that's already an option), and it needs to be an option everywhere. Clearly, regulation is…

People are jumping on you, but you’re right. As long as billions of dollars are being pumped into selling people bad food this isn’t going to get better.

Re: New study: 70% of type 2 diabetes cases linked to food choices

#53
post #39

Earlier quoted context omitted.

CGM's are fairly recent technology and they're all very expensive right now

According to Wikipedia, first CGM was approved in 1999. That may be recent for medical devices I guess, but it still seems like they're charging a lot for 20+ year old tech...

i know abbot and dexacom have been battling out patent fights in courts for years. probaly has something to do with it.

Re: New study: 70% of type 2 diabetes cases linked to food choices

#54

I've been suffering from hypoglycemia for a good part of my life, and recently the episodes have started to become a bit more frequent (a bad hypoglycemia episode is like an incredibly horrifying panic attack). Trying to figure out WTF is going on with me has been daunting, everyone tells me to eat more sugar or more complex carbs which just seems to repeat the cycle. No one wants to test me, or knows what to test me…

I know very little about hypoglycemia (though I’m naturally prone to sugar lows rather than highs) and your problem is likely more complex than diet.

That said, wouldn’t it be better to be doing the opposite of what you’re being told, and cut down on carbs (both simple and complex) to eat more protein and fat which body can use to slow-release blood sugar for a longer duration? (For routine diet I mean - obviously at the onset of an attack you’ll want to consume sugar).

Re: New study: 70% of type 2 diabetes cases linked to food choices

#55
post #18
post #11

Serious question: what is the evidence that type 2 diabetes is caused by diet? I’ve seen this assertion made universally, but never any explanation of its scientific root.

It's not universal, my mother is pre-diabetic, has a good diet, and isn't overweight.

> isn't overweight

i am not overweight but i am fat, if that makes sense. Lacking muscle makes you prone to low insulin sensitivity and t2d.

Re: New study: 70% of type 2 diabetes cases linked to food choices

#57
post #48

Earlier quoted context omitted.

[flagged]

Just wildly incorrect. https://www.webmd.com/diet/health-benefits-of-whole-grain-pa... Sure it might be better to avoid milled grains, but if you do, (the vast vast majority of people don't avoid them) they should be whole or brown. What's more, if you're talking ancestral diet, it should certainly includes grains like wild rice, whole barley, rough milled wheat, farro, and quinoa.

Lots of studies out there which are correlational and thus meaningless, or worse, studies which intentionally produce false results due to being bought-and-paid-for. I don't have time to look at each link that page cites, but for example the American Heart Association is a terrible entity with worse than worthless recommendations which are completely not backed up by science.

Most of human evolutionary history was hunter-gatherer times, and they were not eating wheat. Farming is a relatively recent invention.

Re: New study: 70% of type 2 diabetes cases linked to food choices

#58
post #50

Who else has trouble interpreting these guidelines? What's 300g of fruit in practical terms? I ate a huge honeycrisp apple for breakfast. It probably weighed 400 or 500g. Is that a whole day of fruit? Or, does it not really count because of the water content? I also ate half a dozen dried apricots. Am I supposed to mentally rehydrate them to arrive at the serving size? And what about this use of the term "optimal"? T…

>I ate a huge honeycrisp apple for breakfast. It probably weighed 400 or 500g

that is huge... a half kilo apple?!?!

Re: New study: 70% of type 2 diabetes cases linked to food choices

#59

Does that mean subbing out my rice for brown rice or subbing out my white sourdough for whole grain sourdough reduced risk?? Or if I still eat way too much whole wheat pasta it’ll still contribute to t2d down the line?

[flagged]

This isn't true. You should eat whole grains. Plenty of them. Go nuts.

Re: New study: 70% of type 2 diabetes cases linked to food choices

#60

This seems to be saying fast food hamburgers are a much bigger cause of type 2 diabetes than the soda. Not what I assumed, though does reflect those I know with type 2 diabetes now that I think about it. The journal article breaks it down semi geographically, and call Western Europe and North America "high income countries." Probably a better term than "Western countries," but looks out of place between "Central/East…

The problem with 'high income countries' is that, well, East Asia exists.

TBH, they should probably break down East Asia into China, the rest of East Asia, and SEA. That's a huge lump of very wildly varying peoples.

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