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Diabetes Discussion
Type 2 Diabetes
Is progression/decline inevitable?
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<blockquote data-quote="Yorksman" data-source="post: 460949" data-attributes="member: 55568"><p>The NHS line is a self fullfilling prophecy. The advice is stay below 8.5 2 hours after a meal. Roy Taylor writing in Medscape states:</p><p></p><p><em>"A clear distinction must be made between weight loss that improves glucose control but leaves blood glucose levels abnormal and weight loss of sufficient degree to normalize pancreatic function. The Belfast diet study provides an example of moderate weight loss leading to reasonably controlled, yet persistent diabetes. This study showed that a mean weight loss of 11 kg decreased fasting blood glucose levels from 10.4 to 7.0 mmol/L but that this abnormal level presaged the all-too-familiar deterioration of control."</em></p><p></p><p>Why not try to aim at being less than 6.0 in the morning?</p><p></p><p>The other point Taylor makes is:</p><p></p><p><em>"The extent of weight loss required to reverse type 2 diabetes is much greater than conventionally advised."</em></p><p></p><p>Many people on this forum report that people manage very well for many years without medication and only go onto tablet forms as they get older, havng had the disease for a few decades. The danger is that people rely on their medication to do the job for them or that they follow NHS advice which has not been properly communicated in the first place. They are confused, poorly advised and told 'well, there's nothing you can do about it anyway'.</p><p></p><p>Many posts on this forum are testament to the fact that if you are motivated to be careful with what you eat and do whatever you can to help yourself, you can manage the condition well.</p></blockquote><p></p>
[QUOTE="Yorksman, post: 460949, member: 55568"] The NHS line is a self fullfilling prophecy. The advice is stay below 8.5 2 hours after a meal. Roy Taylor writing in Medscape states: [I]"A clear distinction must be made between weight loss that improves glucose control but leaves blood glucose levels abnormal and weight loss of sufficient degree to normalize pancreatic function. The Belfast diet study provides an example of moderate weight loss leading to reasonably controlled, yet persistent diabetes. This study showed that a mean weight loss of 11 kg decreased fasting blood glucose levels from 10.4 to 7.0 mmol/L but that this abnormal level presaged the all-too-familiar deterioration of control."[/I] Why not try to aim at being less than 6.0 in the morning? The other point Taylor makes is: [I]"The extent of weight loss required to reverse type 2 diabetes is much greater than conventionally advised."[/I] Many people on this forum report that people manage very well for many years without medication and only go onto tablet forms as they get older, havng had the disease for a few decades. The danger is that people rely on their medication to do the job for them or that they follow NHS advice which has not been properly communicated in the first place. They are confused, poorly advised and told 'well, there's nothing you can do about it anyway'. Many posts on this forum are testament to the fact that if you are motivated to be careful with what you eat and do whatever you can to help yourself, you can manage the condition well. [/QUOTE]
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Is progression/decline inevitable?
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