Live data from Hacker News

Type 2 diabetes: NHS to offer 800-calorie diet treatment

bbc.com

201–208 of 208 posts

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#201
post #15

Earlier quoted context omitted.

This new diet is specifically tailored to avoid this yoyo effect. It’s currently not yet clear whether this is indeed the case (hence this expanded epidemiological study) but preliminary results indicate that this is indeed the case. In other words, this specific diet (severely limited calories as well as restriction of food to almost completely liquids) reportedly helps sustaining the weight loss long-term (and is a…

Are you saying they stay on 800kcal/day for long-term? I'm skeptical. Usually the problem is when you switch to the maintenance diet.

No. The 800 kcal/day liquid diet is kept up for three months. However, the resulting weight loss is sustained long term.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#202
post #37

Earlier quoted context omitted.

Well reversing is different but most cases can be reveresed with dietary/lifestyle changes. On the other hand prevention of type2 is N=100% with these changes. I know people, especially in the US consider it thier right/freedom to eat what they want and live how they want, but in my mind it’s deeply disturbing especially because children don’t have any choice (it’s parental). I think as soon as a child is diagnosed w…

In the US the official nutrition advice has been both wrong and corrupt since the 1970s. Gotten wrong by sincere hard working scientists with the best intentions. Corrupted by corporate capture of regulatory bodies and funding of exculpatory studies. These same forces would choose what is mandated. That is horrifying. Not only could they give bad advice, they could compel ever larger fractions of the population to fo…

It's not just that the science of nutrition is still in a state of heavy churn... I'm sure everyone remembers when high-carb, low-fat diets were supposed to be the best thing ever, and we still suffer from the effects of that with tons of "fat-free" products that are full of sugar and unsatisfying.

It's also the governments fault for things like corn subsidies that assure that every processed food product is pumped full of corn syrup, because it's cheaper than air and making things sweeter is the cheapest way to get people to consume more.

The food industry is also working against the health of people because so many of the things that make their products more appealing also make them worse for you.

I cook a lot, so I eat less processed food than the average person probably does, and I know I need to cut down on carbs, but I eat rice with most meals. If I could eliminate some bad habits, I don't think my diet is that bad, but eating healthy is also expensive. For all the talk of childhood hunger in the U.S., obesity is more of a problem for the poor than hunger. Cheap food is often really bad for you, and busy people with more than one job can't afford the time (leave alone the money) to cook decent meals unless they are really dedicated and make an effort to educate themselves.

I cook a lot because it's fun and relaxing, and usually make a bunch of food on the weekend so my family and I don't have to cook during the week. One of my problems is that I get bored easily, especially at work, and I eat when I'm bored.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#203

Earlier quoted context omitted.

Americans have by and large followed the recommendations of the government: meat and saturated fat consumption is down, and we eat way more “heart healthy” whole grains and polyunsaturated seed (excuse me, “vegetable”) oils. Lots of people followed the advice, because lots of people wanted to be healthy. The advice was just garbage. I was under the impression that parents could not decline life saving treatments for…

>Americans have by and large followed the recommendations of the government I agree with you the old food pyramid(s) were shit and even Obama’s revised food plates are shit advice. Still I don’t know of any statistics of people actually following it and think by and large most peoples diets in the US are even worse than what the government suggestions have been/are. As to the parental consent on treatment...Yes child…

And that's where the government constantly fails us. It makes enough mistakes that people start treating everything is says with skepticism, and often rightly so. But it's not a big step to doubting government recommendations for diet to doubting government recommendations for vaccinations, even though the two subjects are not equivalent at all. Things get even more complicated when the government does things like subsidize corn, which has a negative effect on the diet of Americans through the increased use of corn syrup in practically everything.

People make fun of the anti-vaxxers, and they certainly are wrong, but we in this discussion are criticizing the government's diet recommendations as being misguided, it's not hard to see where people would view other government recommendations and mandates with suspicion.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#204

Earlier quoted context omitted.

T2D is caused by a combination of genetic and environmental factors such as diet, and you're correct that someone can get T2D based mostly on genetic factors alone. It is however very uncommon, and diet plays a role in the majority of cases. There are several studies that show this.

> It is however very uncommon It is not very uncommon, and in fact the most recent (last ~decade of) research has actually caused us to question the extent to which people genetically predisposed to diabetes can mitigate their risk through diet and lifestyle choices.

My Dad and his brother both have T2D. My Dad is 75 and my uncle is going on 60. They are both very active, in shape, and not overweight at all. e.g., My Dad was playing tennis 4 times a week when he was diagnosed. He's probably cut down some since, um, he's 75, and has had two hip replacements, but he's in way better shape than I am.

Neither were significantly overweight when they were diagnosed. In fact, my Dad has been trim for decades, and while I don't see my uncle often, he was always thin and very fit-looking when I have seen him.

There _has_ got to be a genetic component independent of lifestyle and diet choices. Me? I have no excuse. I'm overweight and not active and I know I need to change that.

edit: Didn't proofread.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#205

Earlier quoted context omitted.

I lost at least that much weight after cutting the sugar and refined carbs out of my diet, without any fasting or increase in physical activity. I did take up cooking my food from scratch as a hobby, so I was avoiding processed foods and eating out as well.

It's ridiculous just how terrible refined carbohydrates are for people. There are countless accounts of people losing weight and getting healthier by simply reducing refined sugars in their diet. It's surprising that this isn't common knowledge yet, although I guess we're fighting Big Sugar here. I field countless questions about diet on a regular basis, and honestly the #1 tip isn't about calorie reduction or low ca…

It's certainly common knowledge that sugar is fattening (but many people don't know that carbs are relatively bad too), but carbs are cheap and tasty so hard to quit.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#206
post #205

Earlier quoted context omitted.

It's ridiculous just how terrible refined carbohydrates are for people. There are countless accounts of people losing weight and getting healthier by simply reducing refined sugars in their diet. It's surprising that this isn't common knowledge yet, although I guess we're fighting Big Sugar here. I field countless questions about diet on a regular basis, and honestly the #1 tip isn't about calorie reduction or low ca…

It's certainly common knowledge that sugar is fattening (but many people don't know that carbs are relatively bad too), but carbs are cheap and tasty so hard to quit.

[deleted]

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#207
post #3

Losing a lot of weight with very low calorie diets is hard, but not regaining it over the next couple of years is next to impossible. Your body will try all the tricks in the book, it will reduce your metabolism to way below that of the person of the same weight, it will amp up your hunger hormones so much that you will think and dream about food 24/7. Only 5 to 7% of people that lose a large amount weight are able t…

This. I've known a bunch of people who lost a large part of weight (without surgery) and kept it off and they basically turned into different people (more fun though). They restricted their eating, they worked out, often went for hikes etc. But their lifestyle was completely different before and after. They didn't bitch about turning down dessert or things like that. They seemed to actually just be a different person.

Re: Type 2 diabetes: NHS to offer 800-calorie diet treatment

#208

You absolutely don’t need such caloric restriction to revert diabetes. All it takes is a very low carb or keto diet. Even without exercise.

Problem is keeping it, as almost everyone can keep the diet for a few months. We all know what we should do but don't, sometimes until is too late. The person that invents a pill to trick our genes not to seek what was once rare (fat, sweets, carbs etc) will be a trillionaire. When our current genes were stamped "we" maybe had to hunt for days to eat once. Now we drive to McDonalds, order our or open the fridge door.…

Many drugs that put our metabolitism on steroids cause deaths from overheating - the energy has to go somewhere.
Post reply on HN