NicoleC1971
BANNED
- Messages
- 3,450
- Type of diabetes
- Type 1
- Treatment type
- Pump
Until we get to the bottom of why either protocol works then it will be tricky for people to decide the best route for them. As I understand it the reason it works to a drop carbs drastically b) drop calories including carbs drastically is that the liver and pancreas are rapidly stripped of their fat thus making the body a lot more insulin sensitive and able to burn off its' excess stores of fat. Roy Taylor was keen to perform detailed scans to show this happening and the experience of bariatric patients who are required to strip down their liver fat prior to the op to faciitate the surgeon's access to their intestines provides evidence for this too (they mainly lose their type 2 diabetes quickly and long before they have lost most of their weight).
So it it is the same mechanism that causes remission, the question then might be how would people like to achieve the same result? For some I imagine rapid weight loss is very appealing as is the implication that they are on a short and sharp diet but not a future in which all of their favourite foods are off the menu. It is known that drastic diets do cause metabolic slowdown greater than what would be expected by merely weighing less so post ND, people would have to accept a life long discipline to be able to eat pasta and bread etc. without regaining weight and liver fat.
I am not type 2 but as a lazy type 1 I'd rather adapt to low carb so that I can be freer with what I eat but I do understand how difficult giving up those foods is and am certainly not perfect at it!
The beeb will take the official line promoted by DUK which having funded the Direct study, will be confident about promoting it. Whilst I think the study did a great job of establishing the principle that remission is possible, I think the low carb option should also be a legitimate choice given all the Virta Health and anecdotal clinical evidence, as the BBC acknowledges in their comment re insulin management. However I suspect the elephant in the room is the question of meat and fat hence the false dichotomy of shall I cure my diabetes but give myself heart disease? Until that one's cleared up, I think low carb will be a tricky sell to the GPs at the coal face of dia-obesity and the answer will be a change to the medical orthodoxy around causes of diabetes and the dietary orthodoxy perpetuated by EatWell plates. Lets see what the 2020 US dietary guidelines come up with!
So it it is the same mechanism that causes remission, the question then might be how would people like to achieve the same result? For some I imagine rapid weight loss is very appealing as is the implication that they are on a short and sharp diet but not a future in which all of their favourite foods are off the menu. It is known that drastic diets do cause metabolic slowdown greater than what would be expected by merely weighing less so post ND, people would have to accept a life long discipline to be able to eat pasta and bread etc. without regaining weight and liver fat.
I am not type 2 but as a lazy type 1 I'd rather adapt to low carb so that I can be freer with what I eat but I do understand how difficult giving up those foods is and am certainly not perfect at it!
The beeb will take the official line promoted by DUK which having funded the Direct study, will be confident about promoting it. Whilst I think the study did a great job of establishing the principle that remission is possible, I think the low carb option should also be a legitimate choice given all the Virta Health and anecdotal clinical evidence, as the BBC acknowledges in their comment re insulin management. However I suspect the elephant in the room is the question of meat and fat hence the false dichotomy of shall I cure my diabetes but give myself heart disease? Until that one's cleared up, I think low carb will be a tricky sell to the GPs at the coal face of dia-obesity and the answer will be a change to the medical orthodoxy around causes of diabetes and the dietary orthodoxy perpetuated by EatWell plates. Lets see what the 2020 US dietary guidelines come up with!