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196 points amichail | 2 comments | | HN request time: 0.398s | source
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mnw21cam ◴[] No.41874323[source]
I wouldn't ignore the effect that having surgery and then two weeks of a strictly controlled food intake has. That might account for a large proportion of the success rate. I heard about a study that found that the fasting required for bariatric surgery actually provides a large proportion of the benefit of the procedure.

If you catch type 2 diabetes before it gets so bad that it has killed off the beta cells, then your best treatment is to fast for a while. After a couple of days, you should notice a massive improvement in glucose control. A week of fasting a couple of times a year might be all it takes to give you a complete cure. YMMV, but in my opinion (and that of a whole load of people who know what they're talking about) it's better than filling yourself with drugs.

After the beta cells have been killed off by overwork, yeah, you need insulin. But you can still reduce the amount you need by losing weight.

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nradov ◴[] No.41874664[source]
For type-2 diabetes, various forms of dietary therapy such as nutritional ketosis have proven extremely effective in reducing or even eliminating many patients' need for exogenous insulin. But we usually refer to that as putting the condition into remission rather than a "cure".

https://doi.org/10.1530/EDM-22-0295

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readthenotes1 ◴[] No.41874763[source]
I need someone who control his type 2 diabetes with the ornish diet which is fat vegetarian no sugar or simple carbs...

And maybe the secret is the no sugar nor simple carbs

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1. beef234 ◴[] No.41876022[source]
The secret is lots of veggies, fruits, and whole grains. The calorie density is low so it's easy to stay in a normal calorie range or even a deficit which is key for reducing risk of type 2 diabetes. Fat, especially Saturated fat causes insulin resistance. Many studied show this. Please show me any long term studies or a culture that are metabolically healthy on long term keto diets. Take a look at Virta health. Tons of money spent on low carb diets that achieved very little.

Try a book like "fiber fueled". That's a diet that is actually sustainable.

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2. nradov ◴[] No.41876236[source]
There is no "secret" here. While saturated fat might play some role in type-2 diabetes (there appears to be a genetic factor for some patients), the immediate cause of insulin resistance is excessive carbohydrate intake. The Virta Health approach of nutritional ketosis appears to be quite effective and sustainable for many patients.

https://doi.org/10.1007/s13300-018-0373-9

https://doi.org/10.1016/j.nut.2014.06.011