@Bubbsie @DJC3 @Goonergal and others amused / interested in the DESMOND experience
I just wanted to add a note of balance. As well as demonstrating what we already know about the course, that it takes a polar opposite view of dietary control to most of us, I did get a sense in the room of what the NHS is up against, and why the course isn’t all bad.
I never want to consider myself superior to anyone else, or criticise a fellow T2D for their choices. I was amazed though at the lack of knowledge and understanding in the room of the condition, and basic nutritional facts. (“I don’t really understand what carbohydrates are”).
Very few of the participants (who each had diagnoses for between 6 and 10 weeks) had started to take more than cursory steps to manage the condition. With a couple of exceptions, I didn’t get a sense of real motivation to really tackle the condition head on, and quite a bit of fatalism. People were engaged, interested and chatty, but the attitude to the condition seemed a bit of a shrug of the shoulders, and desire to maintain as much of the things they enjoy as possible (“I like ice cream, I want to know how much I can eat”).
I was the only one citing Low Carb, finger prick-testing, online research, seeking out other T2’s advice, and I was only person able to point to real health improvements in the short period since diagnosis – lower Hba1c, cholestol down, BP down, weight down 13%. One of the presenters said she was surprised the Dr had referred me on the course given the improvements I’d already made by myself.
I wanted to get across to them that I’m not some superfit athlete achieving things beyond the average man-in-the-street – I’m just a 44 year slightly overweight diabetic just following good advice and really putting some effort and determination in. Everyone can do that within the limits of their mobility.
Whilst I’m dismayed that the course diet material focusses on fat and not carbs, I did feel that it played to the crowd. I genuinely think some of those people will follow the advice they got, and they will lose some weight and get some health benefits as a result. I think if I’d started a debate in the room about Low-Carb I would have confused the hell out of people and overall it would have been counterproductive. I can't save everyone - advocate not evangalist.
I wish them well because they are all really lovely people.