I'm sure his diagnosis was sound as it required more than one snapshot fasting test to confirm it. I also note that he increased his exercise as well as losing weight. It all depends what one's trigger factors are. For some it is weight gain, for others it is inactivity. Maybe stress played a role in the development, as with many conditions, but I doubt it was a perpetuating factor. If you remove the trigger you may reverse the condition. I have a lower BMI than he achieved at the end of the ND but it's not resulted in any change of BG levels, so weight isn't a factor for me. I believe it is insulin resistance caused by enforced inactivity in my case. This man lost weight and increased his exercise considerably, so was it the his weight loss or the exercise regime? I don't think there is a one-size-fits-all solution for everyone.
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