Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

Does the American Diabetes Association work for patients or companies?

theguardian.com

Post reply on HN
Print view View original

171–180 of 212 posts

Re: Does the American Diabetes Association work for patients or companies?

#171

Post by GiorgioG »

nradov wrote: post #57
code_biologist wrote: post #5

Earlier quoted context omitted.

One drug advertisement I’ve seen on Pinterest lately says “diet and exercise can’t treat diabetes” which may be true of type 1 diabetes, but last time I checked 90% of the diabetes in the US is type 2 and diet improvements should absolutely be the first line intervention.

Diet and exercise are extremely effective in treating type 1 diabetes. But some exogenous insulin (and other medications) are usually still required. For type 2 diabetes, research had shown that many patients can put the condition into remission through lifestyle changes alone. Nutritional ketosis is very effective in reversing insulin resistance. https://www.virtahealth.com/research

You’re talking out of your ass about type 1 diabetes. Type 1 diabetics stop producing insulin entirely and are 100% dependent on exogenous insulin. My 12 year old son is a type 1 diabetic. He plays ice hockey, and his blood sugar will have a tendency to spike during games without having eaten anything for hours prior simply due to emotions/Adrenalin, whereas at practice he’s more likely to experience low blood sugars.

Edit: Since I can't reply to another one of your posts below, I'm going to respond here. There's a "honeymoon period" after the initial symptoms of type 1 appear that yes you will still produce some insulin, for most patients it's about a year, but after that, no insulin is produced.

Zero-carb isn't a realistic long term solution. My son was diagnosed at 18 months of age. Feeding him nothing but bacon, steak and chicken is not particularly good idea for a toddler or growing child.

Re: Does the American Diabetes Association work for patients or companies?

#172

Post by nradov »

ksaun wrote: post #114
nradov wrote: post #57

Earlier quoted context omitted.

Diet and exercise are extremely effective in treating type 1 diabetes. But some exogenous insulin (and other medications) are usually still required. For type 2 diabetes, research had shown that many patients can put the condition into remission through lifestyle changes alone. Nutritional ketosis is very effective in reversing insulin resistance. https://www.virtahealth.com/research

> Diet and exercise are extremely effective in treating type 1 diabetes. But some exogenous insulin (and other medications) are usually still required. I think you are misinformed about Type 1 diabetes. Maybe you are thinking of some other condition? In Type 1 diabetes, the pancreas stops producing any insulin. Insulin must be administered regularly (always, not usually) or the person will die. "Other medications" ar…

I'm sorry for your daughter's condition, but I think you are misinformed about type 1 diabetes. Most patients still product some endogenous insulin, it's just usually not enough. Like any chronic condition, it's a spectrum and there are outliers at both ends. I've learned to be very cautious about using words like "always" or "never" because of the odd cases that occasionally come up.

https://doi.org/10.1007%2Fs00125-013-3067-x

Diet and exercise are very effective at treating type 1 diabetes, just usually not sufficient. With a minimal or zero carb diet plus the right exercise regime, some patients find that they can go much longer between insulin doses while still maintaining good blood glucose control. In particular, I think a lot of people don't appreciate the necessity of doing resistance training to build enough skeletal muscle mass as a glucose sink.

https://doi.org/10.1542/peds.2017-3349

Re: Does the American Diabetes Association work for patients or companies?

#173

Post by GiorgioG »

ksaun wrote: post #114
nradov wrote: post #57

Earlier quoted context omitted.

Diet and exercise are extremely effective in treating type 1 diabetes. But some exogenous insulin (and other medications) are usually still required. For type 2 diabetes, research had shown that many patients can put the condition into remission through lifestyle changes alone. Nutritional ketosis is very effective in reversing insulin resistance. https://www.virtahealth.com/research

> Diet and exercise are extremely effective in treating type 1 diabetes. But some exogenous insulin (and other medications) are usually still required. I think you are misinformed about Type 1 diabetes. Maybe you are thinking of some other condition? In Type 1 diabetes, the pancreas stops producing any insulin. Insulin must be administered regularly (always, not usually) or the person will die. "Other medications" ar…

You put it much more diplomatically than I did in my response (my son has T1D)

Re: Does the American Diabetes Association work for patients or companies?

#174

Post by themgt »

UncleSlacky wrote: post #71
kjksf wrote: post #36

Earlier quoted context omitted.

This is shocking misinformation. > Meat is considered a complete protein source, meaning it contains all nine essential amino acids that your body cannot produce on its own Do carbs? > Carbohydrates primarily provide energy for your body and are not a significant source of amino acids. Essential amino acids, which your body cannot produce on its own, are primarily found in protein-rich foods such as meat, dairy, eggs…

> The mechanism behind type 2 diabetes is well known and it's all about eating too much carbs. No it's not. From https://www.ncl.ac.uk/magres/research/diabetes/reversal/#bac... "We now know that type 2 diabetes is caused by excess fat inside liver and pancreas. ... The Twin Cycle Hypothesis described how it might be possible to explain the cause of type 2 diabetes in a very simple way. ... It was clear from that time…

The explanation for T2D from the PDF paper from your own link explicitly singles out carbs and explains why they are critical to causing the disease process you describe.

> During any one period of time, if more calories are ingested than metabolized then any fat excess is stored either subcutaneously, viscerally or in the liver. But any excess carbohydrate cannot be stored once the glycogen depots are full. If more glucose is ingested than can be oxidized for energy or stored as glycogen, it has to be turned into fat by the process of de novo lipogenesis. This process only happens in the liver in humans, and triglyceride synthesized in situ is particularly likely to be stored in hepatocytes rather than exported for safe storage in subcutaneous adipose tissue.

> The newly synthesized fat has three possible fates: it can be oxidized for energy; exported as VLDL in the plasma to be delivered to other tissues or it can be stored in a rather full liver. As de novo lipogenesis is stimulated by insulin, those people who are relatively insulin resistant in muscle—and who therefore have a raised plasma insulin level—are especially likely to accumulate fat in the liver. This could explain the reason why muscle insulin resistance is the first detectable signal of risk for Type 2 diabetes.

https://www.ncl.ac.uk/media/wwwnclacuk/newcastlemagneticreso...

Re: Does the American Diabetes Association work for patients or companies?

#175

Post by nradov »

AlbertCory wrote: post #115
nradov wrote: post #101

Earlier quoted context omitted.

If you're going to try an appeal to authority, then at least come up with a plausible authority instead of some random statistician who likely doesn't know the basics of physiology. The first thing you need to understand is that normal ≠ healthy. For example, a resting heart rate of up to 100 bpm is considered "normal" in the sense that it doesn't require urgent medical intervention. But of course anything over 60 bp…

> some random statistician who likely doesn't know the basics of physiology. since you know nothing about him, that's hardly called for. I could doxx him but he didn't consent to that. And he said his doctor thanked him for it. And you have fuzzed the difference between "a disease" and "something to watch for." If ~50% of the US population needs to be watched, the doctor learns nothing by having a label put on their…

Labeling insulin resistance as a "risk factor" is correct only in a narrow, technical sense. That's not helpful for patients and clinicians who need to make treatment decisions in the real world. The terminology is irrelevant. Instead of getting hung up on semantics you need to spend some time learning the basics of human metabolism and the endocrine system.

Insulin resistance is a risk factor in the same way that a growing malignant tumor is a risk factor: unless you expect to die soon from something else you should take urgent measures to fix it. While a HbA1c test isn't perfect, it's pretty good as a cheap and easy initial screening for insulin resistance. If you want to believe that it's some kind of "scam" then I don't know how to help you.

The average US person today has at least some level of metabolic problems. Playing games with statistics won't change that reality or the negative long-term outcomes.

Re: Does the American Diabetes Association work for patients or companies?

#176

Post by Fire-Dragon-DoL »

david-gpu wrote: post #164
UncleSlacky wrote: post #118

Earlier quoted context omitted.

Also check out the Newcastle Protocol by Prof. Roy Taylor, now adopted by the NHS: https://www.ncl.ac.uk/magres/research/diabetes/reversal/#pub...

Consuming fewer calories, especially fewer carbohydrates, will help lower your blood insulin, which is the necessary condition that allows adipose tissue to finally release its excess stored energy. Even though calorie restriction works great in lab rats as the researcher can control what the rat eats and the rat can't do anything about it regardless of how hungry it becomes, it's not that simple with humans, particu…

I'm a master of hunger, I'm always hungry. With the low calories diet, it's like you said: alk veggies won't make you feel full, it comes from multiple sides.

The core problem is when you are on very low calories, sometimes it's hard to find that food you are needing. Sometimes it's a glass of milk, sometimes an apple, sometimes something with fat

Re: Does the American Diabetes Association work for patients or companies?

#177

Post by EasyMark »

nradov wrote: post #87
crazygringo wrote: post #84

Earlier quoted context omitted.

I've been baffled by this for the longest time. Why does "Bank of America" get to call itself that? Growing up there was a "USA Federal" credit union [1] too, with a stylized American flag logo. Similarly there's a historic "New Yorker" hotel in New York City, and the totally separate "New Yorker" magazine, neither of which have any official affiliation with the city. The short answer is that no, there don't seem to…

America is a pair of continents, not the name of a country. The US federal government doesn't hold a trademark. The notion that companies shouldn't be allowed to name themselves after geographic features or political regions is absurd.

In common parlance, in both the US and abroad, it's commonly used as an agnomen for the USA, and that's okay. When people need to be more specific, they can say North America, South America, or "the Americas". It's fine, it works and isn't confusing.

Re: Does the American Diabetes Association work for patients or companies?

#178

Post by Nasrudith »

citizen_friend wrote: post #85
mustang-med wrote: post #3

My hard and fast rule in america is that everything aside from unions do not work in the interest of the people. The sooner this is taught to our kids, the better off they'll be from being indoctrinated from the trash on instagram/tiktok.

What property do unions possess that makes them different?

The standard rhetorical sleight of hand that is standard any time "the people" are cited. To be fair unions are slightly better than most users in that department as they have actual votes.

Re: Does the American Diabetes Association work for patients or companies?

#179

Post by hn_version_0023 »

rawling wrote: post #24
hn_version_0023 wrote: post #17

Earlier quoted context omitted.

There’s a movie clip I’ve seen with Brad Pitt of all people, explaining how America isn’t a nation, it’s a business. A business you don’t own and can’t escape. And you’re on your own. Something to that effect anyway. I’d love to know the movie or show! Its such a perfect example of a truth we all know but that never gets spoken aloud. The Founding Fathers would be deeply ashamed of us, I think.

Killing them softly?

Thank you kindly :)

The irony is I had never seen the entire scene, and Jefferson is called out hard!

Re: Does the American Diabetes Association work for patients or companies?

#180

Post by Nasrudith »

fransje26 wrote: post #110
User23 wrote: post #58

The entire American medical system manages to act against the interests of both patients and doctors, the two essential classes of participants. It’s a rather remarkable achievement.

I'll leave this little perl here: https://arstechnica.com/tech-policy/2018/04/curing-disease-n...

Since when do publically traded corporations care about sustainability of business models? They'll cheerfully destroy a business for short term gain and then leverage the funding elsewhere.
Post reply on HN