Let’s remember that most people doing the ND who are members of this forum will not be doing it in the way it is likely to be rolled out by the NHS. Due to.
- The latest study included support based on Cognitive Behaviour Therapy as part of the food reintroduction phase.
- However, everyone on this forum knows about “low carb” and therefore is likely to consider the level of carbs they have when reintroducing food.
I am
very positive about people doing ND themselves on this forum provided they know the issues with the reintroduction of food. However, I don’t consider ND to be a good “
default” option for the NHS given how good results Dr David Unwin can get with all people by explaining the effect of carbs. Dr David Unwin method is much lower cost than ND and also does not exclude people who are not willing to commit.
One of the main issues I have with ND as it is likely to be presented by the NHS is that people who don’t lose a lot of weight and keep it off are considered to have failed due to lack of willpower. With “low carb” everyone can succeed as improved BG compared to what it would have been is easy.
Totally agree.
I feel ND a very old fashioned view to strict over weight people on a very low calorie diet. "There that will get rid of their fat" attitude. Erm "no". Not one of the 300 subjects reached perfect bmi. Half then 48% of that half hit remission (for a year).
So fat isn't the
direct cause of type2. Sorry but this research proves that. Some lost more weight than those who hit remission but not in remission.
Pathway for the insulin gets blocked. End of. Those who hit remission were lucky their body hadnt forgotten their insulin's pathway when drip fed nourishment.
I'd say their body hadnt developed properly when weaned as a baby. Hence a toddler version of insulin production, still not fermented the bodies routine of processing solid food and hitting the correct pathway for energy conversion. Hence a toddler very very energetic to burn solid food and eat very regularly. High metabolism starts there!
That is why 600/800cals works as it slows down the bodies need to convert. Of course it reduces insulin release. Less food needs processing.
So back to retraining your body from liquid food to solid food.
Very very much what bariatric surgery does.
A restart from scratch except not the constant hunger nor ignoring the leptin response that ND causes which bariatric surgery doesn't.
I still prefer bariatric option as your body gets that chance to start from scratch and given time to heal too. As long as it takes.
ND if fed out as common practice in the nhs it will be given ridget targets and black and white expectations.
At least with bariatric surgery that isn't imposed. Everyone heals differently, diabetics slower than others at times.
Remember bariatric surgery is more common in none diabetics than diabetics. Those who are diabetic get very very good remission/reversal rates. More than ND.
ND will be reserved for patients who aren't suitable for surgery, I guess. An alternative but not the best success rate.
