How to reverse type 2 diabetes

Is it possible to reverse type 2 diabetes? Doctor Jay Wortman, MD, knows more about it than most people. He developed type 2 diabetes himself ten years ago. After a simple dietary change he is still completely symptom free, with no medication.

Wortman also did a spectacular study on native Canadians. When they started eating the same food that their ancestors ate their Western diseases disappeared.

Here’s a 25 minute interview I did with dr Wortman during the recent Low-Carb Cruise. Links to things mentioned in the interview:


Dr. Wortman’s blog

My Big Fat Diet documentary on YouTube


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  1. Margaret
    Thank you so much Andreas!!! :-)
  2. Huffster
    Yeah, thanks for taking the time to shoot this video. I will share with my diabetic friends. It's interesting how a doctor can give the advice he was taught, but when faced with the issue himself goes onto low carb and extra research mode. Glad to hear a lchf diet worked for him and no drugs were ever necessary.
  3. Rainer
    There is a great difference between the terms "cure" and "remmission". For few people there is in did a cure of diabetes possible with LCHF. For most of them it is only a remission, i.e. symptom free with no medication. Remission is a very good thing but it's not a cure.
    I have got type 2 diabetes since 11 years and have a remission with LCHF since 6 years. But it would not be possible to cure the diabetes with LCHF for me and many other people with diabetes.
    Replies: #4, #5
  4. Zepp
    In Sweden we got a new name for this.. its diabetes type 0!

    I do like that name to be spread.. and to be official, to get recognised as way to manage the illnes!

    It put the focus on avoiding such things that diabetics cant handel.. mainly higher amounts of carbs!

    Then.. there is an way of speking that says, "eat like a diabetic", to be asure not geting diabetes!

    And then, diabetes type 2 is different illnes with the same symptomes, but the major cause of it is hyperinsulinemia and insulin resistens.. caused of a bad diet in combination of a geneticaly inability to handel high glycemic load.

    I did love that documentary.. we have the same on swedish televison, on average swedes.. but its in swedish!

  5. Dr. Andreas Eenfeldt, MD Team Diet Doctor
    IMO that is semantics. Do you really still have a disease if you are completely symptom free, possibly forever?

    Mary Vernon shares an interesting argument. A type 2 diabetic that starts a LCHF diet and normalizes his/her blood sugar may still be "carb sensitive", just like someone with light skin is sun-sensitive. Having light skin can be a problem if exposed to too much sunlight, but it's not a disease. Being carb sensitive is a similar thing.

  6. alan
    i watched the interview with mary vernon last year and i could not understand how she allowed herself half an apple at christmas, that is her dessert.
    i am doing the same now and i feel much better on a strict lchf. i used to eat 1 or 2 kg (4 pounds) of fruit a day until i realized i am sugar ,i'd say sensitive, but in reality i am addicted to sugar and similar.
    think that i have found the right lifestyle before it was to late and become diabetics.
    i had a liver ultrasound scan last week and although i don't drink it resembles a little the liver of an alcoholic. i wonder if it was the last ten years of excessive fructose, which it is metabolized like ethanol..
  7. Thank you, Dr. Eenfeldt, for shooting and sharing this video. I am passing it on to all my diabetic friends hoping that they will give the LCHF approach a try.
  8. FrankG
    Excellent interview. Many thanks Dr Eenfeldt! In so many respects this reflects my own experience.


    I can't wait to hear how Ondrej is going to try and convince us how yet another practicing MD is deluded.. how his own dramatic improvement and that of patients under his care could just as easily have been achieved by counting calories

    How macro-nutrients matter not one iota... its just about CICO!

    We know this because a jumped-up personal trainer and a "weightologist" tell us so! :-P

    Or maybe he'll just "dredge up" another of his blind links in the hopes that someone will bother to follow it and be helped to see the error of their ways LOL... or at least it might be funny were it not so sad.

  9. Murray
    I would not say LCHF is a cure; it is more a workaround. Diabetes is arguably carbohydrate intolerance, or a significantly lowered threshold of carbohydrate tolerance. It is like lactose intolerance. If I avoid lactose the symptoms go away, but avoiding lactose is not a cure for lactose intolerance. I would still be lactose intolerant, but I would no longer have lactose-induced problems because I stopped eating lactose. Similarly, LCHF removes the metabolic effects of excessive carbohydrates, by reducing consumption of carbohydrates, but it does not cure by restoring carbohydrate tolerance.
    Replies: #10, #24
  10. FrankG
    Is it reasonable to expect all humans to be able to tolerate the levels of carbohydrates (mostly in the form of sugar and refined starches) we are subjected to in the modern industrialised diet? Are we "ill" if we are unable so to do?

    By the same token is lactose intolerance an illness.. given that a significant portion of the human population does not produce the enzyme lactase after infancy -- just like pretty much every other mammal on the planet?

    But as Dr Eenfeldt said above: this is getting into an argument over semantics and kind of misses the point of the interview :-)

  11. moreporkplease
    How is it that after 11 years on LCHF he is still insulin resistant? This is a key issue. Why can he not resolve his insulin resistance even after all this time? Also his stated blood sugars are still too high. They should return to the normal side of normal. :D Not stay high.

    Why is he not addressing these important issues? Until he does, he is still getting worse - just much more slowly. I wonder if he, like Jimmy Moore was, is still eating too much protein and not enough fat.

  12. Last time I looked my HbA1c was 5.7, which is within the normal range. My fasting blood sugar can be in the range as high as 5.7, too, which puts it above the normal range but not by much. I interpret this to mean that I do, indeed, still have insulin resistance although you would not know it from my lipid profile. It is possible that I eat too much protein from time to time and this may explain the sugars. From my observation, the metabolic damage from years of a high carb diet, high in fructose, too, is not reversed by eating LCHF. As murray said, it appears to behave like a food intolerance once the damage is done.
  13. Murray
    Frank G, I agree it is unreasonable to expect the human body to tolerate typical levels of carbohydrates these days. However, it appears that once cellular damage has been done from prolonged overconsumption, the sustainable tolerance for dietary carbohydrates is permantly lowered, unless one takes a panoply of drugs with side effects. LCHF does not seem to restore the level of dietary carbohydrate tolerance that a person had before sustaining damage. In my semantics, a "cure" would repair the damage.

    Perhaps we differ a little on our meaning of "ill". If a lactose intolerant person eats too much lactose, they will be ill. If an insulin resistant person eats too much carbohydrate, they will be ill. If an insulin resistant person eats LCHF, they will not be ill. If a lactose intolerant person does not eat lactose, they will not be ill. I went skiing with Dr. Wortman in March at Whistler. He is in his sixties and at the end of a full day of black diamond skiing we skied peak-to-creek, which is 5.5 km long with a vertical drop of 1443 metres. He smoked me. Dr. Wortman is certainly not ill

    Reply: #16
  14. moreporkplease
    Hi Dr. Wortman!

    "From my observation, the metabolic damage from years of a high carb diet, high in fructose, too, is not reversed by eating LCHF. As murray said, it appears to behave like a food intolerance once the damage is done"

    Thank you for your kind and thorough response. I would ask you if you would be so kind as to have the further patience to explain how the above statement could be true. If the insulin hypothesis as stated by Gary Taubes is true, it cannot be correct. That your insulin resistance does not resolve is actually a nail in the coffin of the insulin hypothesis, even if we assume you have suffered massive beta cell death.

    What is your explanation for why your insulin resistance is "permanent?" How do you see insulin resistance generally and your "permanent" resistance working as a mechanism? Do you have an alternate version of the insulin hypothesis based on your research & experience? Thanks for your time & education! :D

    Finally, I would encourage you to consider experimenting with a Jimmy Moore type stricter protein keto diet. I think it will in a short time bring your blood sugars down to a lovely range! :D Best wishes to you.

    Reply: #15
  15. Dr. Andreas Eenfeldt, MD Team Diet Doctor

    I would ask you if you would be so kind as to have the further patience to explain how the above statement could be true. If the insulin hypothesis as stated by Gary Taubes is true, it cannot be correct. That your insulin resistance does not resolve is actually a nail in the coffin of the insulin hypothesis, even if we assume you have suffered massive beta cell death.

    Could you elaborate on this, I don't understand your point. What a strict low carb diet tends to do in cases like dr Wortman's is to (best case scenario) normalize blood sugar, weight, blood pressure and metabolic dyslipidemia. It hardly ever lets anyone go back to eating the way they did when they got obese and sick. And why would it?

    When it comes to Taubes, are you referring to "carbs raises insulin which increases fat storage"? That's basically true but it's a grossly simplified statement that doesn't capture all nuances.

  16. FrankG
    I agree Murray that in this context the word "cure" is inaccurate but I was trying to avoid that becoming the whole topic of discussion here, rather than the obvious benefits to the LCHF way of eating :-)

    I also consider myself to be "metabolically damaged" after years of high-carbohydrate abuse. And although my physical health continues to be very much improved so long as I eat (and enjoy) LCHF, I don't consider myself to be cured. As mentioned above: my beta cell capacity for insulin secretion is significantly reduced, I probably still have "extra" fat cells that once they appeared are unlikely to ever go away... and perhaps they are particularly "greedy" fat cells which are highly tuned for storage. Who knows what other nerve and other long-term damage is still around?

    To my thinking it is a question of the duration and extent of exposure, balanced against our body's ability to repair itself: I might get third degree burns with irreparable scar tissue after a single exposure to intense heat but I don't think a single large exposure to sugar (for example) would result in similar long-term damage. On the other hand, If I were to just put my finger near a candle flame I'd expect nothing but a sensation of mild heat. If I held it there longer, perhaps some reddening that faded after a few hours. Longer still might result in blisters that could take days to heal. Longer still would inevitably result in burns and scar tissue; which is the body's last resort to keep the tissue intact but not completely repaired. In the same way, I can see how frequent high levels of sugar and/or refined starches (carbs) with the resultant hormonal, inflammatory and other responses within the body could, over time (possibly may years) lead to damage. How much damage and whether it is reversible or not, is where we come to the question of the duration and level of exposure and where some of us evidently have a lower tolerance than others.

    The shame of this realisation is that the American Diabetes Association (as a leading example) has a conscious policy to delay the diagnosis of Type 2 Diabetes until it is effectively past that point of no return*. Then to add insult to the injury, the recommended diet is high in the damaging carbohydrates, with (as you say) a panoply of drugs to allow those diagnosed to eat "normally"! Whereas it ought to be obvious that early intervention and screening for individuals at risk could -- with a simple dietary intervention such as LCHF -- allow many more to completely reverse their symptoms before long-term complications become irreversible.


  17. FrankG
    Just to clarify that although I agree the word "cure" in this context is strictly inaccurate, I still think it is a reasonable and understandable use of the word.

    Where I say above, "Whereas it ought to be obvious that early intervention and screening for individuals at risk could -- with a simple dietary intervention such as LCHF -- allow many more to completely reverse their symptoms before long-term complications become irreversible." I do recognise the possibility of early enough dietary intervention, such that a person does not suffer irreparable metabolic damage; in which case I think the word "cure" could be entirely appropriate :-)

  18. murray
    Frank G, how about this. LCHF cures the illness but not the disease.

    I don't see how developing carbohydrate intolerance/insulin resistance is incompatible with Gary Taubes's explanation of insulin and fat gain. Elevated blood glucose is a signal to the pancreas B cells to produce insulin, through the glucose-activated ion channels discovered by Dr. Frances Ashcroft. It appears two things happen when glucose is elevated too much, too long, too often. Cells start down-regulating their intake of sugar in response to insulin signals--they cannot use the sugar as fast as it comes in. Also, fatty acids in the cell don't get burned (since clearing sugar is the priority) and these cause damage, in addition to the glycation damage from the excess sugar. It also appears fat cells can become insulin resistant as well (a potential explanation for the non-obese type II diabetics). Eventually, the pancreas beta cells themselves becomes less responsive to the presence of glucose. When brain cell start becoming insulin resistant, Alzheimer's begins, which is probably why ketones (coconut oil) is helpful, it gets fuel into otherwise energy-depleted cells. I don't see how any of this is incompatible with what Taubes says.

    As for blood sugar, Elaine Cantin's experience designing a ketogenic diet for her type I diabetic son and herself with stage 4 breast cancer i instructive. She observed several factors that surprisingly affected the measurement of their blood sugar. (1) fluoridated and chlorinated water raised blood sugar, whereas water filtered to remove these did not raise blood sugar. (2) sauteeing with butter raised blood sugar, with olive oil did not; indeed, dairy in all forms raised blood sugar. (3) red meat raised blood sugar, poultry and fish did not. She found that they did not have to limit protein if they avoided dairy and red meat.

    I have no reason to doubt these measurements. I expect the three factors Cantin discovered by measurement are indicative of some sort of stress responses by their particular bodies. A lot of people may be affected by the neuro-toxic BCM-7 peptide on the beta-casein protein in type A1 cows (black and white cows such as Holsteins), especially if they have gut permeability. I have been having dairy from sheep and A2 cows (Jersey) and don't seem to have a blood sugar reaction to that dairy. Others might react to the milk of rBST-treated cows. Similarly, blood sugar responses to red meat might be from hormone-treated animals as opposed to grass-fed. One does not really know until one tests blood sugar response in oneself. I have noted unexpected patterns from my own personal measurements, such as vigorous exercise raising blood sugar. This might be because vigorous activity causes gut permeability which makes a food I ate that is usually neutral become one that affects blood sugar. or perhaps it activates stress hormones that elevate blood sugar. A recent study found that although artificial sweetener did not raise blood sugar on its own, when paired with something that does raise blood sugar (say a diet coke with a chocolate bar), the blood sugar goes higher and the insulin response is elevated with the added artificial sweetener, compared to the chocolate bar without the artificial sweetener.

    So a lot of factors can influence transient blood sugar. HbA1c is a better indicator of overall blood sugar management.

  19. Jorge
    Hello Doctor. I'm strugling on following LCHF diet.

    Last time I tried was on last October and didn't succeed on that which end up on me now, 23 kg heavier than in october. :-(

    It generatly causes me nausea after 2 weeks following the diet and diarrea daily and I think that this is happening because I have no gallbladder anymore (surgery on 2007).

    Did you see and similar case before? Would you have any tip to give me on that?

    I'm currently trying again, now with 116kg, instead of previous 93.

    Thanks and waiting the response

    Reply: #21
  20. Zepp
    My two cent to this debat about that semantic question, if one can cure diabetes type 2 and/or insulin resistance!

    Both is symptomes by a bunch of different causes!

    I will say that it starts whith high blood sugar and ends with hyperinsulinemia and insulin resistance.. in moste cases!

    There is studys showing that children to diabetics handle blood sugar worse then children to non diabetics.. soo there is a strong genetic component to it.

    I know there is a big study going on in Sweden on the topic about way different diabetics react different on diet and/or medicines.. mostly medecin I think!

    And about Insulin resistance.. its almoste about allocation of GLUT 4.. and it have different causes to.

    It could be cronic or adaptive.. I think the cronic variants is about damaged signaling patterns in the cell how supose to react on Insuln.. but if the chain is broken.. its broken.

    Adaptive variants is I think about protection of the cell.. if its full of energy, fat or glucose, it retract its GLUT4, to protect from overload.

    On a ketogenic diet its about to preserv glucose for brain and such a things.. its about limiting glucose utilisation in muscle cells.

    And that is cald fat induced insulin resistance.. its a normal state.

    And then about different diabets type2, some even dont react that well on insulin and/or diet, they need a lot.. and still have high blodsugar, but some of them could react better if the got other medecins to, like Incretin hormon analogs.. like Byetta/Victosa!

    To that there is a differens about those how still got a pulsative secretion of insulin and those how not have this capability.

    There was a study for a year or so how shoved that hyperinsulinemia in the long run did make steatosis in several organs.. the pancreas included, and even a smal amount of steatosis did have a sever affect on the capability to excret the right amount of insulin.

    And steatosis in the long run can end with necrosis.. then its not reverseble anymore.

    And a litle side comment.. some says that of those how now is diagnosted as diabetics, there are at least as many how dont know it yet, becuse they dont have all the symptomes yet!

  21. Zepp
    If you have problems absorbing fats, then use coconut oil, it dont need any bile to be absorbed!

    But.. if you gained weight, you probably have absorbed a lot!

    Is there somthing you are allergic about?

    And it could be to much fat?

    You know, this HF, is about that it should be high on your energy demand.. not a lot on your plate!

    One have to learn where the fat lurks.. its in your food.. eggs.. about 66E% fat, bacon, about 85E% fat and so on.

    Reply: #23
  22. Martin Grondin
    January 31st, 2012 I was diagnosed with Type II diabetes at 28 years old with an A1C of 7.1%. Needless to say I caught it early. With a low-fat diet I was able to get it down to 6.2% or so, but couldn't seem to get into the 5.0's.

    I've been doing the ketogenic diet in earnest since November 2012, and my last A1C was 5.6%. My doctor is talking about removing my diabetes diagnosis though that simply means as long as I stay with a LCHF diet I'll be fine symptom-wise. I know if I go back to eating as I did before I'll definitely get the blood sugar spikes again!

    So while I think saying "cured" is a bit strong, it is definitely manageable and as far as symptoms go, I am confident that with a LCHF diet I'll be able to never develop the issues with diabetes and never become insulin dependent.

    Reply: #25
  23. FrankG
    Bile is made by the liver not by the gallbladder, it is just stored in the gallbladder for use after a meal; so you do still have it available to help you digest fats, but as more of a trickle than a bolus.

    You may find that eating smaller, more frequent meals will work better for you or it may just take you a bit longer to adjust to an LCHF diet.

    And as Zepp pointed out the "High Fat" part of LCHF does not mean sitting on the couch with a tub of lard and a big spoon :-) It is simply a relative term for where the dietary energy is derived... and as fat has over twice the calories per gram when compared to protein or carbohydrates, you might see that on say a 2500 calorie per day diet (not that I count calories) substituting just 45 grams of fat instead of 100 grams of carbohydrates, could tip the balance from being "high carb" to "high fat".

  24. sten b
    You write: "Similarly, LCHF removes the metabolic effects of excessive carbohydrates, by reducing consumption of carbohydrates, but it does not cure by restoring carbohydrate tolerance."
    If you had written "but we do not know if it can restore carbohydrate tolerance" I could agree in some cases.
    Seizures stop for most epileptic children that are given a strict LCHF diet. I for one call that a serious carbohydrate sensitivity. But after having been ketone driven for a few years most of these children can tolerate carbohydrates again and many go back eat carbohydrates like most others. Due to lack of fantasy at Johns Hopkins Hospital in the US the diet was at least very difficult to eat.
    In the case of DB2 regression we do not have any studies to say if the carbohydrate sensitivity is permanent or not so I do not understand what you base that assumption on.
    We do however know that DB2 is a disease with a gradual onset and that the carbohydrates that were tolerated at one stage later is not. If this happens with same insulin production the reason is poor insulin sensitivity which we know is reversible. But I have not seen any research showing clearly if BS in DB2 is high due to poor insulin sensitivity or poor insulin production or both. DB1 has poor or no insulin production, so maybe it is only insulin resistance in DB2?

    The problem is that if it is a matter of lost insulin sensitivity, we know that insulin itself worsens the long term condition and has also clear links to heart disease which I am sure you are aware of. Any diabetic that got this explained by their doctor would naturally reduce carbs immediately.

    My point is that the blatant guess that "...but it does not cure by restoring carbohydrate tolerance." is far from helpful to any diabetic.

    Reply: #27
  25. sten b
    Hi Martin, there is a trick to get that AC1 down to normal, without insulin.
    Doing it with insulin BTW is dangerous as the ACCORD trial showed. DB2 that controlled BS better resulted in a better HbAC1 but increased all cause death rates, probably increasing in the last year when the study was terminated early.
    But the trick is to get the morning sugar down from liver night production. The standard way is to reduce proteins but it can be hard and boring. The simpler new(?) solution is based on glycogen storage principle: A brisk 30 minute walk or exercise depletes stored muscle and liver glycogen. On a standard diet it may take 4-5 hours to replenish. But on a LCHF diet it is more like 48 hours to produce same amount of glycogen for full replenishment. In between the BS did normalize both in a DB2 friend and for me! We continue to test this and find it very interesting as it also solves the weight loss problem that many on LCHF experiences long term. : Elevated BS - elevated insulin. Simple rule: 30 mins brisk walk or exercise every 2- 3 days, when or if BS goes over 5.5 !
    Reply: #26
  26. Martin Grondin
    Hey Sten,

    I never actually used any insulin. Never needed it. Thanks for the tips though!

  27. murray
    sten b, points taken. I would come part way and say I have not seen any evidence that carbohydrate tolerance can be restored but there is always hope. Perhaps long-term studies will show it happens. But there is lots of data showing people regain weight once they revert from low-carb back to a more carb-heavy diet, which suggests the tolerance is not restored.

    I was generally aware of the situation with epileptic children. I did not think epilepsy related to insulin resistance, but I have not looked into epilepsy closely enough. I am not sure whether the analogy is a strong one, particularly as there is a high rate of neural growth in young children so they may be more regenerative.

    On your blood sugar observations, I have also found overnight liver production is significant. After a large protein meal my blood sugar may go above 5, (I have yet to ever measure my blood sugar above 5.6 on LCHF, even after meals. Just once at 5.6. Every other measurement has been 5.2 or less.) In one case, I took a 90 minute walk with the dog after the large meal and brought blood sugar down below 5. However, when I woke up in the morning it was above 5 again, even though it was below 5 when I went to bed. On the other hand, skipping dinner will result in blood sugar under 4.0 for me the next morning.

    I doubt a 30 minute walk is sufficient to deplete glycogen for me unless it is already quite low, just based on the number of calories to walk 30 minutes. Also, wouldn't the primary fuel at that intensity be fat? I walk my dog 30 minutes brisk in the morning and blood sugar is unaffected. However, my blood sugar in the morning is usually below 4.5 already. (4.2 this morning.)

  28. Jay Wortman MD
    The pediatric epilepsy that responds to a ketogenic diet is not due to insulin resistance, AFAIK. Jarrett et al proposed that the mechanism by which the diet reversed this problem was related to oxidative stress. The ketogenic diet upregulates glutathione production which lowers oxidative stress. This reduces the excitability of the neuron and prevents seizures. It is interesting to think that reduced oxidative stress in other tissues would also be a benefit of a ketogenic diet. This may explain why the diet results in lowered inflammatory markers, as well.
  29. NS
    What's rather surprising in this debate here is that both MDs here have perhaps unintentionally glossed over the fact that an HBA1C of 5.7 is understatedly not all that great....and this is after eleven years of LCHF? A truly normal A1C is between 4.2 and 4.6 (see Bernstein, Ruhl) and that as numbers above those levels rise so too do the risks for CVD, in almost linear fashion.

    Moreover, if eleven years of LCHF have failed to normalize blood sugar levels, perhaps we should start being honest and recognize the already existing multiple elephants in the room and admit that this obese and diseased picture of today is very, very wrong and unprecedented and that our knowledge of its causes is woefully insufficient and that there are many unseen causes of insulin resistance/metabolic disregulation, INDEPENDENT OF DIET, which include but are not limited to: 1) industrial chemicals, 2) stealth pathogenic infections (bacterial, viral), 3) mass vaccination, 4) biotechnological advancements, 5) an ecosystem completely out of whack.

    To be fair, Drs. Eenfeldt and Wortman are doing their best to address the issue within the confines of our current limited knowledge. Unfortunately, for future generations, that will simply not be enough.

    There are literally hundreds of millions of people, perhaps billions, with some form of ME/CFS or hepatitis for which there is NO functional cure or even therapy. Current scientific knowledge does not even agree on a definition of a virus! Think this is crazy? It has already been proven at the respected Pentington Biomedical Research Center that mice infected with Adenovirus-36, despite eating identical diets of their controlled subjects are twice to three times larger! In the future, we will come to realize that obesity is largely an infectious disease.

    link to

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    The future health of the human species is far more bleak than anyone realizes. The sooner we (our doctors and scientists) start to admit our humility and ignorance, the greater the possibility of addressing this daunting mess will become.

    Reply: #31
  30. Dr. Andreas Eenfeldt, MD Team Diet Doctor

    What's rather surprising in this debate here is that both MDs here have perhaps unintentionally glossed over the fact that an HBA1C of 5.7 is understatedly not all that great....and this is after eleven years of LCHF?

    An HbA1c of 5.7 is considered within the normal range for non-diabetics:

    I can tell you that for someone diagnosed with diabetes eleven years ago to have a normal HbA1c with no medication is spectacular. Almost unheard of. Speaking as doctor who treats type 2 diabetics daily.

    Most people with type 2 diabetes are on both oral drugs and insulin injections after eleven years and their HbA1c is still much higher. Just keeping it below 7% is considered good.

  31. Daniel
    Studies are showing T2DM is primarily a problem with fatty liver and fatty pancreas. Lose enough weight (this has been shown with bariatric surgery) and you eliminate T2DM by eliminating the precipitating factors: fatty liver/pancreas from excess calorie consumption and fatty deposits in said organs. It appears peripheral insulin resistance in muscle tissue is a secondary, not primary problem.

    Lose the weight (not just the pounds, the actual fat within the organs), maintain that fat clearance, and you may in fact cure T2DM if the damage is not too severe. Regain the weight and you can regain T2DM. This is the piece people are missing when they debate remission vs curing. Its a silly arguement. If you don't fully eliminate the cause, of course you are merely "controlled T2DM" vs "cured". Liver and pancreas imaging clearly shows all of the above. It demonstrates that fatty infiltrates with little overt weight gain can cause metabolic syndrome and diabetes. The skinny but metabolically obese.

  32. ijere
    Please can Insulin work out in the case of this problem?please contact me at
  33. Ashley
    I will share this with my diabetic grand mother…. She will definitely appreciate your work sir.
  34. John Pugh
    I read about this approach in Dr. Bernstein's book "Diabetes Solution". I have also purchased a number of other books, Low Carb Living, Eat fat, Lose fat etc.

    I have been on a low carb diet for 6 months and my lipids and blood glucose are normal. It's a great feeling. It's a shame that the ADA does not promote this approach. Some members are convinced that low carbing can only be kept up for a short time.

    I lost 30 lbs, my blood glucose is regularly around 85-95 mg/dL, My blood pressure averages 102/64 and my pulse is 50. My A1c is 51. I'm going to stick with it.

    Reply: #36
  35. Zepp
    Well its peopel like you.. that gonna make the whole boat turn around!

    I think ADA did recognaised that low carb is a way to manage diabetes, as more compelling science is piling up!

    In Sweden the diabetic organisation is split in two.. one (the old one) how is sponsorded by medical companys and lead by dieticans, and the new one that not sponsored by anyone and lead by diabetics!

  36. John Pugh
    Thank you Zepp!

    I'm sure you're right about the ADA. I got shouted out last time I visited and called "one of those extremist low carb yo-yos" or words to that effect. As is often the case it was probably just a few misguided people and not the bulk of the membership. I don't mind a good open-minded discussion. I will likely learn something new.

    My wife (who is not a diabetic) is following a low carb approach also and it has done wonders for her overall health. She has also lost quite a bit of weight and feels full of energy.

    My doctor is very pleased with my progress and took me off Metformin and Lipitor. I am so pleased about that. I have more labs in July so I hope to see good numbers again for Cholesterol, Lipids, BG and A1c

    I have added Tabata exercise in the morning before I go to work and a one mile lunchtime walk with hand weights (5 lb weights in each hand). That helps. Also, I have a cup of broth with 2 Tbls of coconut oil around 3 PM. This suppresses my appetite until supper time. I have a cup of decaffeinated coffee with thick cream after supper and 4 oz of home made pumpkin ice cream (Made with heavy cream and four eggs) for dessert. If I get hunger pangs later in the evening I have 4 oz of sugar-free jello. So far so good. I would not quite call this a cure but it certainly seems to delay the inexorable march of the condition and potentially buy diabetics more time.

    I did buy a ketone meter so that I could check my level of ketosis and I generally find that I am around 2.0. There should be no danger of ketoacidosis when following a low carb regimen.

  37. Zepp
    The accumulating evidence regarding the role of low-carbohydrate diets in helping diabetics manage their condition has apparently reached critical mass –- though the American Diabetes Association (ADA) admits this, it still will not change its dietary recommendations.

  38. Susan
    for many years i was suffering from diabetes but finally i have cured
    it naturally , and you can too just visit:
  39. darren
    I am curious as the point of this diet seems to be to stop eating carbs and then our insulin levels will drop... PROTEIN INCREASES INSULIN

    A diabetic family member reccently went into hospital becase his sugar levels were up to 30.. When questioned by the docs it turns out he had eaten 6 pork chops.... no carbs but enought protein to shoot up the blood sugar levels

  40. John
    A very low carb diet requires modest protein (no more than one medium pork chop).
  41. Martine
    I found Dr.. Wortman explanation regarding why doctors are not embracing low carb interesting. His 'insider' perspective was most illuminating. Therapies are fueled by research from pharmaceutical companies, and since low carb can't be monetized, then there is no incentive to implement it as a therapy. Government does not want to get involved, which is both good and bad. The last time they did they created the food pyramid. And front line doctors are interested, but lack the resources to support their patient with the low carb approach.
  42. Victoria Johnson
    I'm so confused by all the numbers. I was diagnosed with type 2 Dec. 12, started following a low Carb diet and have lost 28 lbs. I am now at my target weight. I am taking 500mg of metformin , my BS are still a bit high (morning 100-115, after eating 140-170) I was hoping to get to a point where I could stop the meds. Some sites say my numbers are..OK....some say...not. My cholesterol is still up around 200 ...mostly the bad kind. I am getting discouraged. Am I being too there something else I need to do? Sigh.... oh, age 64.
  43. John
    You have done well in the lost weight category. For FBG, 100-115 is in the "slightly higher than I want it" category but if that's your average, 115 equates to an A1c value of around 5.63 which really isn't too bad.

    I aim for an FBG from 85 to 95. An average of 90 will yield an A1c of 4.8%. That's the reading I got from my last lab. Non diabetics (I'm told) have an FBG of around 82. (Many converters on net e.g., )

    I do not eat bread, pasta. rice, potato or fruit and I do some Tabata training on a stationary bike every morning for 6 minutes. That's my regimen. It's worked for 8 months so far and my doctor has taken me off Lipitor and Metformin and said I no longer show diabetic symptoms. All readings (kidney, liver, heart, blood pressure are now normal). My blood pressure in 100/65 and pulse of 55. I feel great. That's what Dr. Bernstein's approach has done for me.

    I have also purchased other books like "eat fat, lose fat" and "low carb living", all written by doctors. It takes a while to absorb all the information. You have to become very knowledgable about nutrition and measure fasting blood sugars every day (I'm also 64 years old). Keep it up.

    Reply: #45
  44. Victoria Johnson
    Thanks for the numbers and encouragement. I am also not eating bread, pasta. rice, potato with occasional berries. I make my own Greek yogurt and am trying the breakfast suggestion of yogurt with my own mix topped with a few berries... very yummy. I never liked plain yogurt until I made my own ... definitely not 0% fat. I had hoped following this diet would have faster results. One of the problems I'm running into is that I am continuing to lose weight, not something I want to do. I tried adding back in some flax bread, purple potatoes ... and you guessed it my BS went up. I can keep my BS down in the perfect range by not eating much at all... that will not work. I will keep this up... I have a appointment with a different Dr. next week (change in insurance so had to get new). They all seem to want to put everyone on MORE meds ... thanks again for the reply.
  45. John
    I find I eat less since I started this regimen and now I'm used to small portions. I would expect your body to settle down at a natural weight where your BMI is around 25. I seemed to have settled at 195 lbs with a BMI around 30. In my case I would like to reach 180 lbs by the end of the year.

    Your Metformin dose is marginal and also, note that Dr. Bernstein says that many generics are not effective so that may be something to discuss with your doctor.

    I like the sound of your yogurt, the commercial stuff is too high in carbs for me. I use sour cream instead and like you I do add blueberries (around 6). That's the only fruit I allow myself (well maybe a strawberry now and then).

    Reply: #47
  46. Victoria
    My BMI is actually around 22 already. I have a Dr. appt on Wednesday so will discuss options. I was so hoping for a "cure" .. I gave in tonight and had a hamburger with a thin bun, celery with my yogurt cream cheese and a few grapes (I know... ) 1 hour and 45min later my BS was 172 .. I can't win.
  47. John
    I see what you mean now with such a great BMI and with what you are doing to control your blood sugars it definitely warrants more consultation. You might pose the question to Dr. Bernstein for his monthly webcasts, he does a great job answering questions submitted every month for diabetics like us.

    Here's the link to ask the question:

    Again, your FBG of 100- 115 is really not bad at all but he might have some specific advise for your situation.

  48. tz
    I had a friend that was diagnosed with T2 diabetes, but I was already doing low-carb. She started eating what I did. She dropped weight, a lot of other health problems disappeared, and she didn't need her prescription to boost her insulin. Her daughter had similar results but didn't have diabetes.

    There was a Star TrekTNG episode about addiction. Somehow I have to wonder about Big Pharma, the Food pyramid and the rest. It seems that they are trying to create these medical conditions just to sell drugs to ameliorate but not cure them. Instead of cooperating with nature, we are becomning the Borg.

  49. Nazir
    I made simple lifestyle changes. And, as a direct result I got myself off all my diabetic medication. The quality of my life has improved many folds; energy levels high, eyesight much better, memory is coming back too. I have no words to describe how I feel. I am on a high. I feel as though I am on top of the world. Total elation. I have the most amazing life. Never ever felt this good.

    My ultimate goal is to eradicate my diabetes completely and I am now working towards that goal.

    Can I share with you my sugar readings for today? please note, I am not on any diabetic medication. It has been a year since I took any diabetic medication.

    Fasting 5.7 or 102.6

    pre-lunch: 7.9 or 142.2

    Pre-dinner: 5.8 or 104.4

    You examine these figures and judge for yourself whether I am heading in the direction of a complete cure or not.

    Finally, I believe anyone can achieve the results that I have shown here. I wanted to help other type2 diabetics, so I have devised a program showing exactly what I did to wean myself off my medication. Here is a link Good luck.

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