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Is Type 2 Diabetes Reversible at Scale?

peterattiamd.com

31–40 of 88 posts

Re: Is Type 2 Diabetes Reversible at Scale?

#31
"...based on highly individualized carbohydrate restriction and nutritional ketosis"

That's really the key to what is fixing the diabetes. And it's just a brief mention in the article. Nothing else about the nutritional aspects. This was extremely light on actual, real information.

That being said, I'm also not sure why this stuff is still considered news. Many people, myself included, have been saying for some years now that low-carb is the way to go. I'm glad this stuff is getting press, but I'm just surprised that people seem to be acting like this hasn't already been known for quite a while.

The real problem is that people can easily fix this themselves, but they either 1) don't know this information or 2) don't have the willpower. It's more of #2 though, because people generally know when they are eating garbage. There might be some foods that surprise people as having extremely high glycemic responses, but most of the time they know what they should be avoiding. The problem, I think, is that they don't quite know exactly how horrible what they are consuming really is for their metabolic processes. The one that seems to surprise people is potatoes. They know french fries are bad, but think it's because they are deep fried. When I tell them that a regular baked potato or red potatoes have glycemic index values of around 85-89 and that potato chips are around 50-55 they are stunned. I don't know why, but they are. If you are consuming the same mass of food for comparative purposes, the potato chips are loaded with fats where the regular potatoes are not so that makes sense to me that it would be lower. This tells me there is a serious lack of education on this topic and it is quite literally costing people their lives.

Re: Is Type 2 Diabetes Reversible at Scale?

#32
post #27

> The entire intervention is managed by physicians and the nutritional approach is based on highly individualized carbohydrate restriction and nutritional ketosis (which I’ve written about extensively in the past and throughout this blog). People like to hate on low-carb approach. They say things like "It causes liver problems" which don't have a basis in reality. Human beings survived for thousands of years on way f…

Yeah. You can eat a lot of calories of pure sugar and still not "feel" full. Whereas it's hard to overeat lettuce, you'll literally fill up before you go over your daily caloric intake. Not that I'm advocating a lettuce only diet. But as I acquire more and more information about how we eat, what we eat, etc, I've become of the opinion that we do have way too much salt, oil, and sugar in our diets. We can even cut dow…

The same goes for oil which is all fat and no carb. Refined food is the real culprit, not just refined carbs.

Re: Is Type 2 Diabetes Reversible at Scale?

#33

> The entire intervention is managed by physicians and the nutritional approach is based on highly individualized carbohydrate restriction and nutritional ketosis (which I’ve written about extensively in the past and throughout this blog). People like to hate on low-carb approach. They say things like "It causes liver problems" which don't have a basis in reality. Human beings survived for thousands of years on way f…

how does sugar contribute to heart disease?

Re: Is Type 2 Diabetes Reversible at Scale?

#34

> The entire intervention is managed by physicians and the nutritional approach is based on highly individualized carbohydrate restriction and nutritional ketosis (which I’ve written about extensively in the past and throughout this blog). People like to hate on low-carb approach. They say things like "It causes liver problems" which don't have a basis in reality. Human beings survived for thousands of years on way f…

Fat + Carbs makes you fat. Cut out one and you lose weight. I'm on a plant based diet which is high carb (no highly-refined carbs) and I'm very fit. If your body's glycogen stores are full from carbs then YES fat you consume goes straight to fat. EDIT: and WFPB (whole food plant based) also reverses type 2 diabetes.

Thank you for being a voice of reason in all this. When this ketosis madness ends and we go back to eating plant based like our ancestors did the world will be a better place with healthier humans and no factory farms.

Re: Is Type 2 Diabetes Reversible at Scale?

#35

"...based on highly individualized carbohydrate restriction and nutritional ketosis" That's really the key to what is fixing the diabetes. And it's just a brief mention in the article. Nothing else about the nutritional aspects. This was extremely light on actual, real information. That being said, I'm also not sure why this stuff is still considered news. Many people, myself included, have been saying for some years…

> They know french fries are bad, but think it's because they are deep fried. When I tell them that a regular baked potato or red potatoes have glycemic index values of around 85-89 and that potato ships are around 50-55 they are stunned.

Having T1D and a CGM I can say the normal potatoes are much easier to control compared to the french fries. The fat is really a huge problem if you dose your own insulin. It is guaranteed if I eat french fries that I don't need that much insulin right now, but the fatty food will raise my glucose levels in the next five hours. If I eat the fries for dinner, I can guarantee to be in the upper high levels at night when I sleep.

This is of course fixed with a closed loop system, but that doesn't help the T2Ds out there that much.

Re: Is Type 2 Diabetes Reversible at Scale?

#36

Earlier quoted context omitted.

correlation doesn't mean causation, although I myself think insulin resistance happens to obese people because they are obese and not some underlying mysterious reason, but insulin resistance is not typically the only source of T2D, if it was, thin people would never get T2D, so I guess we still have ways to go before we solve this one.

Thin people with T2D are probably “TOFI” — thin on the outside, fat on the inside. There is a concept of the “personal fat threshold” which is how much fat you can pack into your fat cells, and how many new ones you can grow. This concept explains why Asia and India have high rates of T2D at a much lower BMI. An interesting way to show that this is likely the case is people with lipodystophy - they have no subcutaneo…

I might just be matter of being "skinny fat" - someone is an average weight, but because they opt completely out of physical activity, they have basically no muscle mass, and the majority of their structure is composed of fat tissue.

Re: Is Type 2 Diabetes Reversible at Scale?

#37

"...based on highly individualized carbohydrate restriction and nutritional ketosis" That's really the key to what is fixing the diabetes. And it's just a brief mention in the article. Nothing else about the nutritional aspects. This was extremely light on actual, real information. That being said, I'm also not sure why this stuff is still considered news. Many people, myself included, have been saying for some years…

I have a dumb question. Can diabetes actually be "fixed" with a keto diet? What if a T2 diabetic does carb restriction and keto for a year and "reverses" their diabetes. If they eat cakes and cookies for a week at Christmas, does the T2D come crashing back?

Re: Is Type 2 Diabetes Reversible at Scale?

#38

> The entire intervention is managed by physicians and the nutritional approach is based on highly individualized carbohydrate restriction and nutritional ketosis (which I’ve written about extensively in the past and throughout this blog). People like to hate on low-carb approach. They say things like "It causes liver problems" which don't have a basis in reality. Human beings survived for thousands of years on way f…

I've done numerous stints with keto and think some of the criticisms are valid, particularly in the first phase when you're often advised to stick below 20-25 net cards a day. That's nearly impossible to do unless you are eating predominantly meat, cheese, and eggs. There isn't much balance there. If you're eating vegetables w/ every meal, you can easily jump over 20 net carbs and I find that restriction absurd. You have to do a fair amount of supplements to get the vitamins and fiber you should be eating. However, in general, it works extremely well for me in cutting weight and eating better.

I think something in the range of 30-50 net carbs per day is far more realistic to keep balance in your diet. At some point, the benefits come more from having a quality diet, full of vegetables and balanced protein, free of added sugars and grains, rather than actually being in ketosis.

Re: Is Type 2 Diabetes Reversible at Scale?

#39

Does this read like an ad to anyone else? I can't help but notice their average BMI was 40. That's in the "extremely obese" category - pretty sure we're out of the "massively muscled" category (exception - monsters like Ronnie Coleman, but let's be honest here, his blood serum reading come back "minotaur" and the muscle is probably doing damage). I'd always assumed that for the majority of the population going from a…

Reads like an ad to me. I was diagnosed with T2D last November (Tuesday before Thanksgiving...bummer). At the time of my diagnosis I was certainly not obese and have lost weight since as I have become aware of sugar/carb intake whereas before I didn't pay any notice. My situation is due to genetics which may be outside the scope of the article, but there is no mention of that fact.

I came in with high hopes reading this but lost interest at "To date, the only clinically proven way to reverse T2D has been bariatric surgery". Nope.

Re: Is Type 2 Diabetes Reversible at Scale?

#40

> The entire intervention is managed by physicians and the nutritional approach is based on highly individualized carbohydrate restriction and nutritional ketosis (which I’ve written about extensively in the past and throughout this blog). People like to hate on low-carb approach. They say things like "It causes liver problems" which don't have a basis in reality. Human beings survived for thousands of years on way f…

how does sugar contribute to heart disease?

It's a factor in inflammatory response, and heart disease is an inflammatory disease which creates conditions where cholesterols can then bind and cause plaques.

Here's one good talk by Dr. Robert Lustig. https://www.youtube.com/watch?v=dBnniua6-oM

Here's an overview in a pop-sci article: https://www.kqed.org/bayareabites/85169/sweet-revenge-dr-rob...

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