“I ignored the American Diabetes Association and the dietitians”
Howard decided to ignore the advice on a high-carb diet to treat his type 2 diabetes. Here’s what happened when he did the opposite instead:
The email
In Nov 2013, my blood sugar went out of wack with an HbA1C of 16%. A friend steered me to your site. I ignored the American Diabetes Association and the dietitians with their high carb, low fat, reduced calorie intake diets. I went on a no sugar minimal carb intake (no grains, potatoes, rice, pasta, etc.). In nine months my HbA1C was down to 5.6% with the side effects of lost 55 pounds (25 kg), triglycerides dropped from 197 to 67 (2.2–0.76 mmol/l), HDL rose from 34 to 76 (0.88–1.96 mmol/l) without meds. My doctor is not a full believer so has put me on one 500 mg Metformin a day. No before, only the after.
Congratulations Howard!
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http://www.heart.org/HEARTORG/Conditions/Diabetes/PreventionTreatment...
Start by showing where you see that these dietary reccomendations were made by a "physician"
Next show where anyone "felt the need to lie".
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To Howard I'll say "Good For You!" ...and it certainly seems you made the best choices for your own long-term health :-)
Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. Nutrition. 2015 Jan;31(1):1-13. doi: 10.1016/j.nut.2014.06.011. Epub 2014 Jul 16.
https://www.ncbi.nlm.nih.gov/pubmed/25287761
Dude, maybe 10 years ago I would be polite and debate with you, but today with experience of those few years, I won't be as nice as FrankG, I just say f… of.. Dude !!!
Why treat T2D - if you can *heal* it?
@Howard: Well done! Though I'm not sure if low carb and metformin (which decreases gluconeogenesis) go together well. Is there a consensus?
@Dude, you are a flipping idiot.
As a practicing physician, and especially in light of the latest research, LCHF should be the FIRST choice of therapy (and certainly not the AHA "Diabetic Diet") -- even the Joslin Center for Diabetes has admitted that the high carbohydrate diet advocated in the past was a mistake. There are no "potential hazards" of LCHF diet, except cure for most metabolic issues.
Dude, may I also suggest you go find different bridge to hide under? (#TROLL)
@Jim: LCHF & metformin are completely compatible; both increase insulin sensitivity, and with metformin decreasing gluconeogenesis, this actually should potentiate the beneficial effects of the LCHF diet.
But if you stay on the LCHF diet, all the symptoms will disappear! Remission is the next best thing to a cure.
I'm not sure there is enough evidence about beta cell burn-out irreversibility. I have not seen a single long term RCT addressing this with diet and lifestyle changes. On the other hand hypotheses and case reports exist that favor the idea of adiposity of the pancreas causing beta cells to stop secreting insulin. When the fat is removed from the pancreas, beta cell function might gradually return in most cases.
But in the other hand.. if one reduce internal organ steatosis and dont eat more carbs that ones metabolism can handle.. then one is cured!
Its like when nut allergics manage there allergy by reducing nuts.. then they is cured.. often is that level s zero nuts.. but they are allergics but cured frome all bad things.. if they only reduce nut to the limit to levels that ther body can handle.
Another senario for diabetics that rely on Insulin injections is the progresive decline of there healt!
If they could quite that medications, they dont need to be blind, or amputees.
"The Two Big Lies of Type 2 Diabetes"
https://www.youtube.com/watch?v=FcLoaVNQ3rc
"LCHF to manage Diabetes"
https://www.youtube.com/watch?v=epsSVosmtUc
Then one got double diabetes, thats not cureble.. one have to take insulin injections.
But for those.. if they persist eat LCHF and still have a part of healty pancreas, they can still be and live a healty life, but the need to reduce carbs more then others!
Diabetics type two didnt have a fully functional pancreas in the first place.. its often a heredity thing.
One can se this in siblings to diabetic parents.
If I would eat a whole package of cookies, and wash it down with chocolate milk, my blood sugar would surely skyrocket and stay that way for far too long.
But to be honest, I have no intention of testing this hypothesis ;). So I may just be talking out of my a** :).
That being said, as per Dr. Fung, it IS possible to reset insulin sensitivity (namely by intermittent fasting, even as easily as alternate day fasting).
Just another arrow in the quiver...
http://annals.org/article.aspx?articleid=718265
But not nearly as many as necessary and not for as long as necessary. When high fat diets are compared to mass murder, it's hard to get a high fat diet approved for study.
My opinion is that drugs are never good (they always have side effects), and if you're ostensibly healthy, there's no reason to take a drug. Metformin has side effects.
http://metforminfacts.com/
If you don't need to take it, you shouldn't. If your HBA1C is as low as yours is, there's no need to take drugs. There is a need to be diligent and stay on low carb, but that's independent of taking drugs.
The onset of real, absolute insulin deficiency (as in T1D), instead of relative insulin deficiency (as in T2D/insulin resistance), should be easily noticeable: Weight loss instead of weight gain!
How often does this change happen? Hard to tell, if one is taking insulin injections...
Such a restoration, of course, does not mean one can return to the carb levels and intensities that caused the problem in the first place.
"If I would eat a whole package of cookies, and wash it down with chocolate milk, my blood sugar would surely skyrocket and stay that way for far too long."
Plainly those levels exceeded carb tolerance even when the pancreas was healthy.
My story was nearly identical.
" Banting Lecture 2011
Hyperinsulinemia: Cause or Consequence?
"In this conceptual model, insulin resistance is caused
by hyperinsulinemia and is an appropriate adaptation to the increased need to store fat in adipose tissue without causing hypoglycemia. Thus, insulin resistance is an adaptive response that successfully maintains normal circulating levels of fat and glucose as long as the b-cell is able to maintain sufficiently elevated insulin levels (57). Perhaps the time has come to expand our research focus to carefully investigate the environmental changes that have accompanied the epidemic of obesity and diabetes"
http://diabetes.diab...61/1/4.full.pdf
And the condition was there frome the begining.. its a combination of heredity, lifestyle and diet.
"Slow Glucose Removal Rate and Hyperinsulinemia Precede the Development of Type II Diabetes in the Offspring of Diabetic Parents"
http://annals.org/article.aspx?articleid=704330
There are other conditions too, but they are rare!
Here is her blog http://www.lowcarbdietitian.com/blog.
Howard, well done! Wish you a nice time 'til your 120th birthday! ;)
Resistance requires high levels and persistence of those levels. So T2D and high insulin resistance often requires a prolonged period of low insulin levels to 'break' the resistance. This is analogous to a period of low antibiotic usage to break antibiotic resistance. Or a prolonged period of low alcohol to break alcohol tolerance.
So - how to create a prolonged period of low insulin? Very low carb helps, but remember that protein also raises insulin. So does fat, but to a lesser extent. So the most efficient, most effective and surprisingly rather easy answer is, yes, fasting - one of the oldest healing traditions in human history.
1000 Kcal is not that much to live on.
Count the fat you lose to.
Its about 3500 a pound.
20 Kcal/Kilo is kind a limit.
Ketosis is probably the best way to approach this maximum. So if Alien has 10kg of excess body fat around, he could get around 700 fat calories out of the body's own reserve. This would make a total of around 2000kcal per day. Not exactly "starvation". ;-)
@Alien: 95g of protein per day is certainly not too much. That's close to your body's needs, under ketosis and some training. You would notice, if you *did* eat too much protein: It would kick you straight out of ketosis.
But starving is outstanding to achive weight loss in a short period.. and ketosis too.
But it seems that our bodyes do have a regulation for this to, so one dont disapear!
In the long turn it lower ones metabolic rate, ones TEE and at last one get chronic dieters syndrome!