Dramatic Rise in U.S. Kids Hospitalized for Type 2 Diabetes

[kebaldwin]

Dramatic Rise in U.S. Kids Hospitalized for Type 2 Diabetes

By Steven Reinberg
HealthDay Reporter
Sat May 5, 11:46 PM ET

SATURDAY, May 5 (HealthDay News) -- In another sign of the alarming childhood obesity epidemic in the United States, researchers report a 200 percent increase in the number of children hospitalized for type 2 diabetes.

Type 2 diabetes, which used to be called adult onset diabetes because it was rarely seen in children, is typically diagnosed in patients who are overweight. Left untreated, it can lead to such complications as heart disease, blindness, nerve damage and kidney damage.

The dramatic increase in pediatric type 2 diabetes occurred nationwide between 1997 and 2003, according to the study by researchers at New York University School of Medicine.

"The rapid rise in childhood obesity is now common knowledge," said Dr. David Katz, director of Yale University School of Medicine's Prevention Research Center, who was not involved in the study. "Increasingly, so is the concurrent rise in type 2 diabetes in children -- a generation ago, this condition did not exist. What is now called type 2 diabetes was called adult onset diabetes until quite recently."

"Epidemic childhood obesity has transformed a chronic disease of mid-life into a pediatric scourge," Katz added.

For the study, Dr. Rhonda Graves, a pediatrician, and her colleagues used data from nationwide hospital discharge records from 1997, 2000 and 2003. They compared the trends in hospitalization rates, length of stay and costs for children with type 2 diabetes and type 1 diabetes.

They found that rates of hospitalization for type 1 diabetes increased 15 percent between 1997 and 2003, while rates of hospitalizations for type 2 diabetes increased 200 percent.

"These findings, based on hospital records of a nationally representative sample of hospitals in the U.S.A., indicate that type 2 diabetes is increasingly becoming a pediatric illness that results in hospitalizations. It is associated with a very serious number of co-morbidities and complications which may have profound health implications both in childhood and in adulthood," Graves said in a prepared statement.

Graves' team also found that hospitalizations for type 2 diabetes were 1.3 times more likely for boys than girls. Children 9 to 12 years old had the highest rates of hospitalization.

The researchers also found that black, Hispanic and Native American children were at greatest risks of increasing hospitalizations.

The researchers also found that children hospitalized for type 2 diabetes were hospitalized longer than children with type 1 diabetes. Type 1 diabetes is a disease caused by the body's inability to produce insulin, and it's not related to obesity. Insulin is a hormone that converts blood sugar to energy for cells.

The findings were expected to be presented Saturday at the annual meeting of the Pediatric Academic Societies, in Toronto.

"The dramatic increase in hospitalizations for type 2 diabetes in children reported here confirms this trend and further demonstrates that it affects ethnic minorities disproportionately," Katz said.

The National Cholesterol Education Program considers diabetes such a potent risk factor for heart disease that, in adults, treatment guidelines essentially equate the two, Katz noted.

"There is no reason to think this will be any different in children. If 7- and 8-year-olds can get adult onset diabetes, 17- and 18-year-olds can start getting heart disease. I personally know of a 17-year-old boy, with early onset obesity and type 2 diabetes, who has already had a triple coronary bypass. If current trends persist, cases like his could become the rule rather than the rare and terrible exception," Katz said.

Graves thinks much more needs to be done prevent obesity in children.

"As pediatricians, we must learn to recognize the signs and symptoms of type 2 diabetes, and, in turn, educate the next generation of young physicians to be aware of this ever-growing epidemic and how best to prevent and treat it," she said. "Equally important is our duty to further explore the mechanisms causing health disparities in this new and profoundly serious child health problem."

One expert, however, thinks that this striking increase in hospitalization for children with type 2 diabetes needs to be viewed with some skepticism.

"There is a side of me that wonders if these children were diagnosed correctly," said Dr. Larry Deeb, the president for medicine and science at the American Diabetes Association. "Type 2 diabetes is rare in 9- to 12-year-olds. That's the age group that has the highest incidence of type 1 diabetes."

Deeb, a pediatric endocrinologist, noted that type 2 diabetes wasn't recognized until 1997. "The increase in type 2 diabetes seen here may be a function of more recognition rather than more of it," he said.

More information

For more information on type 2 diabetes, visit the American Diabetes Association.

http://news.yahoo.com/s/hsn/20070506/hl_hsn/dramaticriseinuskidshospitalizedfortype2diabetes;_ylt=ArxQVqt4dvFSLKGsncEoBz_VJRIF

[Gostrydr]

Must be from all that fat and meat these kids were consuming

[kebaldwin]

Instead of fixing the type 2 epidemic in kids - we can put them all on a handful of prescription drugs and put defibrillators in all the schools!

There is a reason that type 2 diabetes was only a senior citizens disease, then people in their 50s, then 40s, ... now in their teens.

What has changes across these generations? Nutrition!

But not a single researcher mentioned what the problem is. The one doctor sounds like he doesn't even believe in type 2.

When they teach the kids that this

http://forum.lowcarber.org/gallery/showimage.php?i=26046&catid=member&imageuser=20510

is a healthy menu - no wonder type 2 diabetes is soaring amongst kids!

[Daryl]

Gostrydr wrote:

Must be from all that fat and meat these kids were consuming

*gets out my sarcasm detector* :)

kebaldwin wrote:

Instead of fixing the type 2 epidemic in kids - we can put them all on a handful of prescription drugs and put defibrillators in all the schools!

There is a reason that type 2 diabetes was only a senior citizens disease, then people in their 50s, then 40s, ... now in their teens.

What has changes across these generations? Nutrition!

Scary stuff, Keith. How many people will have to suffer before the mainstream world "gets it"?

[dina1957]

Must be from all that fat and meat these kids were consuming
Processed sugars and sweets ( donuts are nor low fat food) and junk in addition on all the crap from processed meat: burger king, mcdonald, KFC, pepperone pizza, hotdogs, cheap cold cuts, do I need to continue? You keep blaming fruits in obesity but choose to ignore chemical loaded processed meats, that is consumed in large amounts on a daily basis. Pure lard is healthy, commercial bacon - is not so much. Insulin is very important and processed sugar in large quantities is not healthy, but nitrates, nitrites, lots of sodium, and other crap in processed meats, plays big role as well.
Obesity alone causes impaired glucose metabolism in some, but sky rocketing of diabetes in children is indeed caused by junk food, and lots of eat. Unfortunately, majority from low income families.

[Kristine]

How exactly do preservatives and nitrates "play a big role" in T2 diabetes? I eat my fair share of weenies and bologna, but I seriously doubt it impacts my insulin sensitivity.

[Whoa182]

Must be from all that fat and meat these kids were consuming

Yeah probably. But don't forget excess calories in general... high consumption of processed food, and none or very little consumption of fruits vegetables and nuts known to be protective against type 2 diabetes.

[RobLL]

"burger king, mcdonald, KFC, pepperone pizza, hotdogs, cheap cold cuts"

Some of that meat is processed, but much of it not at all. Grinding for hamburger and sausage, spicing for sausage are not harmful processing. Even the flavorings for ham are not very processed.

[kebaldwin]

Five meals a day ... it is an all high glycemic ... all day ... for kids today. Rarely do kids today eating something that is not high glycemic.

Compare that to the way people ate 50 years ago.

Deeb, a pediatric endocrinologist, noted that type 2 diabetes wasn't recognized until 1997

That is because it (type 2 diabetes and its symptoms) were considered just being a "senior citizen". Then it was considered being "middle aged". Now I guess they just consider it part of being a kid.

If I was in charge - I would charge them with child abuse. Its one thing to lie to and decieve adults. Its not right to do that to kids.

[Gostrydr]

Sorry Daryl, I just can't help it when it comes to Dina..

My mother died of diabetes and now I am prediabetic. I was a skinny active kid. There were 7 kids in our family and we couldn't afford to eat Mcdonalds or other fast foods.

My mom would make a meat dish and always have bread,potatoes,rice,pasta..and we had "good" cereal like Cheerios,Raisin Bran,Shredded Wheat,Buckwheats,Wheaties.

My acitivity kept me thin,but no so for most of the rest of my family. We are all now pre diabetics and all of us have eaten better than we had during our youth.

Genetics is a big part of it,but I'm teling you the constant bombardment of ANY SUGAR (good or bad) is going to take its toll.

I wish we had more meat and eggs only and less bread,pasta and rice.

My high carb bodybuilding days totally put me over the top.

[Daryl]

Sorry Daryl, I just can't help it when it comes to Dina..

My mother died of diabetes and now I am prediabetic. I was a skinny active kid. There were 7 kids in our family and we couldn't afford to eat Mcdonalds or other fast foods.

My mom would make a meat dish and always have bread,potatoes,rice,pasta..and we had "good" cereal like Cheerios,Raisin Bran,Shredded Wheat,Buckwheats,Wheaties.

My acitivity kept me thin,but no so for most of the rest of my family. We are all now pre diabetics and all of us have eaten better than we had during our youth.

Genetics is a big part of it,but I'm teling you the constant bombardment of ANY SUGAR (good or bad) is going to take its toll.

I wish we had more meat and eggs only and less bread,pasta and rice.

My high carb bodybuilding days totally put me over the top.

I wish I could change things too, my friend. I was found to be pre-diabetic in July of 2004, fbs of 102, then got hit with the full-blown thing last December, fbs of 339. It's scary, and awful, and I am doing all I can to get healthy. I agree totally, the sugar we feed on (or used to) is devastating, far more so than any meats, processed or not. Hang in there.

[Gostrydr]

You hang in there to Daryl..You and I both know what we need to do to ge our healths in order.

I'm in the health and wellness field, and I have always been passionate on promoting health. I lifted weights for years, I ran a chain of health food stores and started my own supp company.

But if you have any predisposition to this ailment, the indiscriminate eating of carbs(even the supposed good ones) can be detrimental to your health.

That's why I'm really watching my 2 year old. He has had no juice,very little grain or starches and is allowed one piece of fruit a day.

He eats mostly fats and proteins along with breastmilk and is one lean, mean child. And he is the smartest child I have ever seen.

[Daryl]

He sounds like a good boy, and off to a good start :)

I wish I could find a link to a talk Dr. Bernstein gave in which he discussed how he took his son's blood sugar years ago, and it was in the pre-diabetic range; after putting him on a low carb diet, his son has grown up strong and healthy, and is not even pre-diabetic anymore.

[HairOnFire]

But if you have any predisposition to this ailment, the indiscriminate eating of carbs(even the supposed good ones) can be detrimental to your health.

That's why I'm really watching my 2 year old. He has had no juice,very little grain or starches and is allowed one piece of fruit a day.

He eats mostly fats and proteins along with breastmilk and is one lean, mean child. And he is the smartest child I have ever seen.

Good job on your childrearing.

Think about how the diabetes and obesity epidemics could have been thwarted if they had pushed meat and eggs the last 30 years instead of grains and carbs. Mind boggling.

[Gostrydr]

Thank you both, he is a good little guy..

and if I may brag..he knows over 350 words of sign language at 2 years old!!

Now I have to learn it damn it!!! lol

[LC FP]

The researchers also found that children hospitalized for type 2 diabetes were hospitalized longer than children with type 1 diabetes
I wonder why this was? T2D is new for pediatricians, maybe they were just unfamiliar with it. But most kids admitted with DM get an endocrinology consult, and most endo's are very familiar with T2.

Kids admitted with T2 probably had high BSs, but these kids aren't prone to ketoacidosis. Lots of kids with T1D come in sicker than hell with ketoacidosis and sometimes die if not managed well. You'd think that the average kid admitted with T1 would be sicker.

One difference I assume between T1s and T2s, although I've never really read about it, would be that T1s aren't insulin resistant. They couldn't be, they have no insulin! So they don't have all the metabolic syndrome-type co-morbidities, at least until we begin to give them too much insulin and too much carbohydrate in our typical faulty management. The T2 kids are no doubt very insulin resistant, have hypertension, lousy cholesterol, and the beginnings of coronary artery disease. Maybe this is what prolongs their hospitalizations, as their doctors are amazed that they can have so many "grown-up" diseases, and they have to try to figure out a strategy to treat all this stuff, with medications, which aren't usually used in kids. I can see the poor pediatrician now, leafing through the PDR, trying to figure out the pediatric doses of Lipitor and Zetia and Norvasc and Plavix, plus all the new T2 meds.

[Whoa182]

My mom would make a meat dish and always have bread,potatoes,rice,pasta..and we had "good" cereal like Cheerios,Raisin Bran,Shredded Wheat,Buckwheats,Wheaties.

What about... its not the food you're eating, but you were eating too much?


Genetics is a big part of it

No it isn't, its a really small part of the picture. Lifestyle changes like Eating less, eating fruits and veggies can give 100% protection from insulin resistance. People blame 'genes' too much these days.

[kebaldwin]

What about... its not the food you're eating, but you were eating too much?

Whoa - I will try once again - but I doubt it will do any good since I doubt you will listen.

People prone to type 2 diabetes can eat just small amounts of high glycemic foods and have disasterous health problems. Or they can eat massive amounts of low/zero carb foods and make huge gains in health.

Now are you going to tell all of us this does not happen?


No it isn't, its a really small part of the picture. Lifestyle changes like Eating less, eating fruits and veggies can give 100% protection from insulin resistance. People blame 'genes' too much these days.

Are you trying to tell me that health problems do not run in families? Whoa you are wrong here also.

[Whoa182]

Are you trying to tell me that health problems do not run in families? Whoa you are wrong here also.


Problems run in families because of 'learned behaviour' from each other. A typical family will generally eat the same food, with some exceptional cases. Therefor confer similar health risks and problems. Full blown type 2 diabetes is an end-point, its not something you get from eating a few bananas... but something that is associated with excess calories from al macronutrients. I know that I ate what my mum ate at the dinner table... or I snacked on crisps and chocolate instead. This is not uncommon!

Carbohydrate intake was 77% of calories, and insulin droped by an average of 42% !!! and the diet was High Glycemic!
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12023257&dopt=Abstract

[Gostrydr]

Whoa you better get a fricking clue!. Genetics is a HUGE part of the equation when to comes to health and disease..

You are constantly quoting mainstream media in your Cronie quest and these same people have always stated genetics as a determing factor.

My dad died from cancer,my mom died from diabetes..

I have had cancer and I am prediabetic..coincidence, maybe but I am 100% sure genetics played a factor.

Dude, how the hell can a high sugar food like FRUIT keep you form getting insulin resistance? What the hell are you thinking?

I feel like taking your little 120lb bony a*# body and shaking some sense in to you.

do you have posters of Covert Bailey and Richard Simmons hanging on your wall?

[Lisa N]

Problems run in families because of 'learned behaviour' from each other.

Studies of twins living apart showed this kind of thinking to be pretty much nonsense. :idea: Yes, environment does play a part, but so does the genetic 'hand' you've been dealt.

[kebaldwin]

Whoa:

Why do you think that alcoholics can't just cut back to one or two drinks per day?

Why do you think that smokers can't just cut back to a few cigarettes per day?

Why do you think that hard core gamblers can't cut back to just one or two small bets per month?

Why do you think that people with pre type 2 diabetes can't just cut back to smaller portion sizes?

What you don't realize is that most of the people here have tried to "eat less and exercise more" and that advice fails as bad as telling an alcoholic to just "drink less" and a smoker to just "smoke less" and a gambler to "gamble less".

[Whoa182]

Whoa you better get a fricking clue!. Genetics is a HUGE part of the equation when to comes to health and disease..

I think you better get a clue! Diet and energy intake influence the expression of important genes involved in disease and more to the topic at hand, insulin sensitivity. This has been proven so many times in rodents and other animals. Monkeys on Calorie restriction get 100% protection from type 2 diabetes, and the same goes for rodents. Even works on transgenic mice that have a predisposition to developing diabetes. Latest evidence suggest it works excellent on humans too. Life-extending protein keeps blood sugar in check (SIRT1 which gets up regulated when you eat less! Eat more and it gets down regulated)
http://www.medicalnewstoday.com/medicalnews.php?newsid=29279

I have no doubt that genes influence disease, but it doesn't mean one will get it and that there is no way to prevent it. More on this later.

My dad died from cancer,my mom died from diabetes.. I have had cancer and I am prediabetic..coincidence, maybe but I am 100% sure genetics played a factor.

Cancer again is heavily influenced by calorie intake. In fact, almost all rodent studies would have to probably be redone now that we know this fact. Taking vitamin y might lead to less food intake and thus less cancer. Calories now almost ALWAYS have to be controlled for in studies, in rodents, AND humans.
There are mice that have been genetically predisposed to developing breast cancers at a very high rate. It typically afflicts around 60-80% of the group. Normal cancer in rodents is usually liver and lymphoma btw. When that strain of mice are Calorie Restricted the incidence of cancer drops to ZERO!. Even though they have really BAD genes.

Dude, how the hell can a high sugar food like FRUIT keep you form getting insulin resistance? What the hell are you thinking?

They contain fiber? Antioxidants? Polyphenols, flavinoids that protect against type two diabetes? Again, see the study above, their calorie intake was mostly from bananas and sweet potatoes for two damn years and they had improvements in EVERY important biological marker of disease.

I feel like taking your little 120lb bony a*# body and shaking some sense in to you.
http://forum.lowcarber.org/showthread.php?t=333760


1. http://en.wikipedia.org/wiki/Sir2

2. Nutrient control of glucose homeostasis through a complex of PGC-1alpha and SIRT1
Homeostatic mechanisms in mammals respond to hormones and nutrients to maintain blood glucose levels within a narrow range. Caloric restriction causes many changes in glucose metabolism and extends lifespan; however, how this metabolism is connected to the ageing process is largely unknown. We show here that the Sir2 homologue, SIRT1—which modulates ageing in several species1, 2, 3 —controls the gluconeogenic/glycolytic pathways in liver in response to fasting signals through the transcriptional coactivator PGC-1alpha. A nutrient signalling response that is mediated by pyruvate induces SIRT1 protein in liver during fasting. We find that once SIRT1 is induced, it interacts with and deacetylates PGC-1alpha at specific lysine residues in an NAD+-dependent manner. SIRT1 induces gluconeogenic genes and hepatic glucose output through PGC-1alpha, but does not regulate the effects of PGC-1alpha on mitochondrial genes. In addition, SIRT1 modulates the effects of PGC-1alpha repression of glycolytic genes in response to fasting and pyruvate. Thus, we have identified a molecular mechanism whereby SIRT1 functions in glucose homeostasis as a modulator of PGC-1alpha. These findings have strong implications for the basic pathways of energy homeostasis, diabetes and lifespan.
http://www.nature.com/nature/journal/v434/n7029/full/nature03354.html

[kebaldwin]

Diet and energy intake influence the expression of important genes involved in disease and more to the topic at hand, insulin sensitivity.

And since different foods have greatly different effects on disease and insulin - you can simply eat low carb without having to starve yourself.

[Samuel]

I'm not for either point of view, but I like to remind you that if you strongly believe that eating plenty of carbs causes diabetes, you are thinking the same as the ones who believe that eating plenty of fat causes obesity.

[Nancy LC]

My opinion is, if you're eating a calorie restricted diet, carbohydrates don't matter much and lots of physical activity also helps.

Even T2 diabetics can, from what I've read, eating higher carb if they keep their overall calories low. This is really, really hard to do for reasons most of us know about... insulin driven hunger.

But the truth is most people don't eat this way. They eat an over abundance of carbohydrates and they're not getting much exercise.

It is both genetic and environmental. Genetic in that if you've got the right genes, you won't have an issue with the environment. Sort of like how not everyone died of the black plague, some people were probably immune. But most of us aren't immune.

That's my opinion. :)

[Samuel]

My opinion is, if you're eating a calorie restricted diet, carbohydrates don't matter much and lots of physical activity also helps.

Even T2 diabetics can, from what I've read, eating higher carb if they keep their overall calories low. :)
I see your point. However I'm not talking about the effect of carbs on a person who is already T2 diabetic, I'm talking about the effect of carbs on a person who is not yet a diabetec.

[Nancy LC]

I see your point. However I'm not talking about the effect of carbs on a person who is already T2 diabetic, I'm talking about the effect of carbs on a person who is not yet a diabetec.
I am too. :) I just used a diabetic to illustrate.

[kebaldwin]

I'm not for either point of view, but I like to remind you that if you strongly believe that eating plenty of carbs causes diabetes, you are thinking the same as the ones who believe that eating plenty of fat causes obesity.

No not at all.

Eating lots of high glycemic foods raises insulin levels which tells the body to store the excess carbohydrates as fat.

Eating fat does not tell the body to do that.

[kebaldwin]

My opinion is, if you're eating a calorie restricted diet, carbohydrates don't matter much and lots of physical activity also helps.

You can eat less and exercise more and get healthy. When I was 15 - that was easy to do. In my 20s hard to do, in my 30s difficult, and now almost impossible.

If you are trying to keep your blood sugar (insulin) under control and lose weight:

Low glycemic carbs are better than high glycemic carbs.

Fewer carbs are better than more carbs.

More fat and protein will help keep the carbs in your diet from spiking your insulin.

The bottom line is insulin release over time.

Starving yourself does lower the insulin spikes. But so does low carb/glycemic diet.

Exercise helps on any diet.

[Samuel]

No not at all.

Eating lots of high glycemic foods raises insulin levels which tells the body to store the excess carbohydrates as fat.

Eating fat does not tell the body to do that.
Most doctors don't buy that. They tell you that fats are worse since they need minimum change to become your body fat.

[Whoa182]

Eating fat does not tell the body to do that.

When I wanted to gain a little weight back, I increased my intake of olive oil. Guess what? I gained weight! (big shock!). I know that a ketogenic can produce a result that you describe above, but it is NOT realistic for the whole world to go on a ketogenic diet. Therefor, balance and avoidance of junk food is the key. A diet away from processed foods high in sugar and fat, and more consumption of: vegetables, fruits, nuts, fish, legumes and lean meats. This is not unrealistic, suggesting the government fix the problem by suggesting everyone go on a < 10% carb diet is never going to happen and there is absolutely no need for it at all. I think Zone diet has the best approach.

[Samuel]

When I wanted to gain a little weight back, I increased my intake of olive oil. Guess what? I gained weight! (big shock!). I know that a ketogenic can produce a result that you describe above, but it is NOT realistic for the whole world to go on a ketogenic diet. Therefor, balance and avoidance of junk food is the key. A diet away from processed foods high in sugar and fat, and more consumption of: vegetables, fruits, nuts, fish, legumes and lean meats. This is not unrealistic, suggesting the government fix the problem by going on a < 10% carb diet is never going to happen and there is absolutely no need for it at all.
I personally think that the body's tendency to gain weight is a disease. If you don't have the disease, you can eat any food you like with no problem. Our ancestors have been living on all kinds of diets and this should mean that we are capable of doing the same. Eating balanced meals has been impossible those days, so I think it's not so important.

[kneebrace]

When I wanted to gain a little weight back, I increased my intake of olive oil. Guess what? I gained weight! (big shock!).

Geez Matt, haven't you learnt anything from hanging around a low carb forum for so long? Of course you gained weight when you upped your fat intake. You're also on a high carb diet. Even Barry Sears himself would probably rather have his pancreas removed before describing Zone as a low carb diet. High carbs plus high fat equals weight gain.

And a low carb diet doesn't have to be ketogenic for its health and weight loss benefits to occur. You really ought to read Life W/O Bread (or any other Low Carb book for that matter, instead of the out of context 'studies' you quote ad infinitum ;) ). Lutz specifically recommends against ketogenic diets for the best long term health benefits from low carb and he has fifty years of clinical experience which clearly demonstrate it.

Matt, listen carefully:

Read a Low Carb book. No ifs, and definitely no buts. If you want to be taken a little more seriously on this forum, get informed.

[kebaldwin]

When I wanted to gain a little weight back, I increased my intake of olive oil. Guess what? I gained weight! (big shock!).

Whoa you weigh - what - 110 pounds? You are not like most of us. There is no telling what eating fat is doing for you. Every cell in your body needs different types of fat. It could very well be that you are deficient in that type of fat and your body is absorbing and storing all it can. But on this forum - you are the exception and not the rule.

Most of us are grossly over weight and have tried everything under the sun to lose weight. One common low carb diet is the fat flush diet. Guess what - you eat a very high percentage of fat and lose a ton of fat on this diet.

Fat in does not equal getting fat.

When I was on a low fat diet - I reached 45% body fat and 310 pounds. When I went to a high fat and high protein diet I am down to about 20% body fat and 250 pounds.

I agree that avoiding high glycemic foods (i.e. junk foods) is good for everyone. I agree that balance is good for people that are of healthy weight and body composition.

But for most of us - people that are overweight, unhealthy, and have tried every diet there is - limiting carbs are very important.

[kebaldwin]

Most doctors don't buy that. They tell you that fats are worse since they need minimum change to become your body fat.

Who believes anything doctors tell people now a days? Anyone that is stupid enough to believe what doctors tell you - get what they deserve.

I went in and saw who knows how many doctors and nurses with most symptoms of pre type 2 diabetes / syndrome X / metabolic syndrome. How many diagnosed it? Zero. none. nada.

Doctors can only do what the FDA, AMA and big pharma let them do. And IMHO the FDA, AMA, and big pharma don't want anyone healthy.

[JL53563]

Most doctors don't buy that. They tell you that fats are worse since they need minimum change to become your body fat.
This is only true on a higher carb diet. On a very low carb diet, with the resulting low insulin levels, it is difficult, if not impossible to store body fat. I proved this to my own satisfaction by eating an extra 1200 calories per day for a week. I did not gain an ounce. In fact, I lost a pound.

[Samuel]

This is only true on a higher carb diet. On a very low carb diet, with the resulting low insulin levels, it is difficult, if not impossible to store body fat. I proved this to my own satisfaction by eating an extra 1200 calories per day for a week. I did not gain an ounce. In fact, I lost a pound.
We all agree upon this. The differences are in explaining why.

[JL53563]

We all agree upon this. The differences are in explaining why.

Yes, I agree.....but I guess my point was that many/most doctors probably do not agree with this.