'I beat type 2 diabetes with 200-calorie drinks'
 

'I beat type 2 diabetes with 200-calorie drinks'
http://www.bbc.com/news/health-42154666


Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial
http://www.thelancet.com/journals/l...ext?elsca1=tlpr

Interpretation
Our findings show that, at 12 months, almost half of participants achieved remission to a non-diabetic state and off antidiabetic drugs. Remission of type 2 diabetes is a practical target for primary care.

This is getting press in US too.
ABC News http://abcnews.go.com/Health/rigoro...ory?id=51600933

"Rigorous Diet" for sure.

https://www.dietdoctor.com/type-2-d...-says-new-study

Why are these kinds of studies done as if there is not already evidence that type 2 diabetes can be reversed and in a manner that is much more likely to be sustainable, namely a low carb diet? I have ignorance or perhaps denial fatigue. I'm tired of seeing studies that ignore the elephant in the room.

Jean

I think lot of this is about trying to get people to stop ignoring the elephant. There's an embarrassment of data showing type II diabetes can often be reversed or at least put into remission. I think there's plenty of room for medically supervised "rigorous diets," what's needed is support for rigorous maintenance, and that can't mean sustaining unsustainably low calories long-term. Maybe an intermittent approach could work. I find steady-state keto a lot easier.

Roy Taylor points out, as a lot of the people studying very low calorie diets (3 digit calories, at least), that overweight people often experience a decrease in appetite when calories get that low, where with a smaller calorie restriction they might not. But this happens after three or four days or more have passed. If anything, being at a lower weight makes people more hungry not less--eating to maintenance at a reduced body weight is itself calorie restriction. An overweight person intermittently eating less calories might not make up for the deficit on ad-lib days, but a lean person will, and a reduced weight person might more than make up for the down days. That's my tendency.

Even with a low carb diet decreasing calories will probably give a quicker reversal, the problem might be in the CICO philosophy that often comes with the lower calorie approach. A low carb diet shines for weight loss. There are studies showing weight loss doesn't correspond with ketosis. For me, this is sort of true, but ketosis does seem to make for easier maintenance.

Recent researches show brain diseases might need to be classified as DB type 3 or 4.

Drink mixes and then what? Nobody can live that way indefinitely.

The original reports of Roy Taylor's protocol were in 2014. Supposedly the chap who wrote his reversal story for the Daily Mail was able to keep diabetes at bay even after eating real food again. Would like to see a current update from him.

http://forum.lowcarber.org/showthread.php?t=457405

These 800 calorie a day of shakes and soups plans have been around for years, Medi-fast, Opti-fast in the US. Where are similar reports of LT success? [I did one under doctor supervision in 1990, results maybe lasted 6 months ;). ] In the U.K., the same products are made by Cambridge Weight Plan ...what a surprise, the "reasearchers" have interests in that company or the affiliated nutrition counseling service. "The study was funded by Diabetes UK, but the principal investigators have financial ties to the Cambridge Weight Plan and Counterweight. Cambridge manufactures the Frankenfood *** starvation rations. Counterweight supplies the nutrition counseling. Their primary goal is to make money, not come up with the best possible way to get Type 2 diabetes into remission and keep it that way."

*** Skimmed Milk powder, soya flour, soya protein isolate, inulin, then flavors and stabilizers topped off with some Aspertame, the artificial sweetener most controversial. :yum:

That's not food. It's a toxic chemical brew.

Jean

I've found reducing food variety can make things easier losing weight (though never with such low calories). Pre-formed hamburger patties and spinach, brocolli etc. works just as good as shakes, though.

I think that's at least part of the reason I don't find it difficult to maintain my weight loss, I stick to the same foods day after day, a little variety in meat choices and a little variety in vegetable choice, but very little decision making involved. Easy, satisfying and works for me plus its all real food. It occurred to me the other day that I no longer just open the refrigerator and scan the contents to figure out what I want to eat. That's a habit from way back in my past pre low carb days. Lot's of variables involved in figuring out how best to eat, quality of food, quantity of food, selection of food, timing of food. The drink used in this study literally makes me nauseous just thinking about the ingredients.

Jean

It has always (37 yrs) been a problem for me that DH has a very small list of what he will eat. It has always made meal planning difficult. But he has never been the least bit overweight!!!

I was about to say pretty much the same thing.

If you don't spend a lot of time seeking out new foods to try, new and different combinations of flavors, tantalizing your taste buds (both during the mouth watering anticipation phase of "Oooh, that sounds good!", and the lip-licking eating phase), then it becomes just food to you, instead of "Food, glorious food!"

I think that's part of the reason that 800 calories/day of franken-shakes and soups works for them - they're resigned to the fact that this is what they're going to eat, this is all there is for them to eat, so they don't think about it any more than simply consuming it to ease hunger.

I once got into reading reviews of Nutri-System, which offers dehydrated food delivered to your door. It's very expensive and frankly sounds unappetizing, but there were people who loved it, lost weight, and were sadsadsad they couldn't afford to do it long term.

I discussed it on this board a while back, and expressed my puzzlement that, in these days of phone calculators and calorie information on labels, these same people didn't just throw frozen meals in their cart and eat them according to the same pattern. Re-creating Nutri-System for a fraction of the price and a somewhat upgrade in palatability. I mean, I did that while calorie counting, but of course it never worked :) But for people who claimed it did work, why not?

I was told true tales of people for whom that was "too much effort." As always, color me astonished.

Exactly - food is nourishment not entertainment in my world.

Jean

I'm working on that. For most of my life food has a reward, a taste treat, a way to socialize, a way to deal with depression & other problems. Very slowly it is becoming - just food.