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

bbc.com

61–70 of 208 posts

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

#61

The 800 calories they are eating doesn't seem terribly healthy: "patients were asked to follow either a ‘home-made’ milk- and fruit-juice-based diet (811 kcal/day, 64 g protein, 132 g carbohydrate, 6 g fat) with a multivitamin/mineral supplement (Forceval® [Alliance]), or a micronutrient-replete commercial LELD (832 kcal/day, 87 g protein, 120 g carbohydrate, 12 g fat). I imagine these people are probably staving...…

Cool. What about renal load?

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

#62
post #10
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…

Citations for the 5 to 7% would be nice. Here's a meta analysis that states otherwise. https://academic.oup.com/ajcn/article/74/5/579/4737391

Per that study, "This analysis of 5-y weight-loss maintenance indicates, on average, that obese individuals maintained weight losses of 3.0 kg, representing a reduced weight of 3.2% below initial body weight. These individuals were successfully maintaining a weightloss averaging 23.4% of their initial weight loss at 5y"

Put another way, after 5 years, the average weight loss was ~3kg, with an average weight gain of 78.6% of the original lost weight.

Also, in general, an obese person who is obese before, and after 5 years has a weight that is ~3kg is likely still obese.

So this study basically just says that an average person isn't successful at keeping a large amount of weight, and gains most of it back. The specific statistics stated by the commenter above may not be correct, but the sentiment is definitely true.

That said, the study does confirm that very low energy diets (~800 meal replacement) beat out hypoenergetic balanced diet (~1200-1500 normal food) in long term weight maintence. Which is what the article is suggesting being implemented. So it's still not a great long term solution, but it's the better of the two non-exercise based solutions which this study evaluated.

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

#63
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…

And that's why weight loss techniques need to be treated like a new lifestyle, instead of a goal you hit and then finish. I lost 60 lbs a couple of years ago and found that 20 of those had recently crept back on, so I went on another shorter diet to get myself back on track. It's totally doable. You have to be aware and keep correcting.

Nostrums like "treat it like a new lifestyle" are easy to say, but do they actually address the current public health crisis? Proposing actions that, for whatever reason, people don't actually take isn't a useful way to spend time.

What's good is what works. And honestly, drugs work today. The likes of the FDA considers them too risky, but I think they're deciding wrong.

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

#64

When people will realize that carbs are the only non-essential macronutrient? The sports community (especially bodybuilding) knows that for decades. If an athlete says to me that a thing he does to his body work 95% of the time, I would consider to try it, and already did, some things against over-the-counter conventional medicine like this no-carb diet.

Bodybuilders eat plenty of carbs.

No they don't. A bodybuilding diet is mostly protein, then certain fats, then starchy carbs at the right time (breakfast and post-workout).

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

#65
post #42
post #36

How will they make sure people don't cheat and eat more anyways? 800 calories a day for an overweight person requires some serious will power.

I found it easier to do via intermittent fasting and then eating all of my calories in one meal per day. Something about completely abstaining from food is easier for me psychologically than having multiple tiny meals and making myself stop eating when I'm not full.

Thing is, 800 calories is a meal for a lot of people. Ever go to Chipotlé? Already over.

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

#66

The 800 calories they are eating doesn't seem terribly healthy: "patients were asked to follow either a ‘home-made’ milk- and fruit-juice-based diet (811 kcal/day, 64 g protein, 132 g carbohydrate, 6 g fat) with a multivitamin/mineral supplement (Forceval® [Alliance]), or a micronutrient-replete commercial LELD (832 kcal/day, 87 g protein, 120 g carbohydrate, 12 g fat). I imagine these people are probably staving...…

So I guess back in the day, milk and bananas were considered an ideal food combination,

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

#67

When people will realize that carbs are the only non-essential macronutrient? The sports community (especially bodybuilding) knows that for decades. If an athlete says to me that a thing he does to his body work 95% of the time, I would consider to try it, and already did, some things against over-the-counter conventional medicine like this no-carb diet.

Bodybuilders eat plenty of carbs.

Yeah brown rice is fairly popular. Chicken breast + broc + brown rice... for every meal. Oh and oatmeal.

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

#68

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.

Or certain types of plant-based diets[1][2][3].

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466941/

2. https://www.omicsonline.org/open-access/diabetes-reversal-by...

3. https://www.ncbi.nlm.nih.gov/pubmed/20425575

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

#69
post #41

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…

> .there should be some mandate on parents to “treat” their child with diet You're considering forcing parents to change, presumably with the threat of taking their children away. But consider this, in the past type-2 diabetes was extremely rare in children. Why is it now common? Are parents just worse? Or are terrible diets more appealing? Maybe the sources of those terrible diets would be a better place to start im…

Well luckily the US is not a vacuum and you can see the pattern of the explosion of type 2 and other chronic conditions in other countries, even in Okinawa which used to have the best life expectancy but now is riddled with chronic diseases and type 2.

It’s not the mystery you suggest.

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

#70

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…

> On the other hand prevention of type2 is N=100% with these changes. It is absolutely not. While the vast majority of current cases are preventable (and in most cases, reversible) through proper lifestyle changes, between 5% and 10% of people with T2DM were going to develop it regardless of what they did. Now, it's possible that some or all of those cases are not actually T2DM. In the past few decades researchers ha…

>between 5% and 10% of people with T2DM were going to develop it regardless of what they did.

One I’ve never seen a study or heard a physician make that statement. It’s always 100% prevention. But treatment of diet to prevent 90-95% of cases isn’t bad.

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