←back to thread

286 points amichail | 1 comments | | HN request time: 0.224s | source
Show context
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.

replies(8): >>41874555 #>>41874664 #>>41875666 #>>41875804 #>>41876061 #>>41876637 #>>41876699 #>>41879753 #
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

replies(3): >>41874743 #>>41874763 #>>41875569 #
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

replies(1): >>41876022 #
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.

replies(1): >>41876236 #
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

replies(1): >>41881249 #
consteval ◴[] No.41881249[source]
To me, this just doesn't add up. For virtually all of human history, the human diet is mostly carbohydrates. If anything, we eat less carbs than we used to - instead, we now eat more saturated fats and protein, due to ready access to farm meats.

Prehistoric humans however (that is, before the agricultural revolution) consumed most of their carbs through fruits, nuts, and vegetables. It's estimated their diet probably consisted of around 100 grams of fiber a day, as opposed to the typical 2 grams people eat today. Fiber slowly the blood glucose elevation by quite a lot.

I don't think simply cutting out carbs is the answer or even sustainable. I think it makes much more sense to gravitate towards a diet of more whole food, which contain more fiber and thus don't raise blood glucose as severely. Carbs are important, and we've been eating them forever.

replies(2): >>41881551 #>>41914420 #
CRConrad ◴[] No.41914420[source]
> For virtually all of human history, the human diet is mostly carbohydrates.

Which is rather a short time in our evolution, compared to virtually all of human pre-history. During which the human diet was most likely not mainly carbohydrates.

replies(1): >>41917435 #
1. consteval ◴[] No.41917435[source]
Human pre-history was also mainly carbohydrates. The idea that humans lived off of primarily meat is fantasy - we eat more meat now than we ever have. Prehistorically, humans ate primarily gathered foods - nuts, fruits, and vegetation. I believe it's something like the average prehistoric human ate 100 grams of fiber a day. As opposed to the US ~ 2 grams of fiber a day, caused by our diets high in meats, saturated fats, and ultra-processed foods.