I admire your enthusiasm. I am interested, but not as able or motivated as you at the moment. Happy to give opinion, and input. Your baby, I will rock it sometimes. Run any ideas by me, and possibly others too.Hi Pip
So with our collective experience this may be doable.
It is worth spending time getting the question right and then agreeing a methodology and methods. Should we see if Prof T has any insights to offer. If we can dovetail this into his work that may give it more traction.
I also think there may be a bit of a Hawthorn effect. That is - some participants may be motivated to take part in a study because doing so may provide motivation to keep weight off.
Hi B
I reached a stage in weight loss too when I could not tolerate the meds. So - no answers - but good q Euston. It is not really appropriate for any of us to advise other than your DN or Dr.
But I did wonder in low med tolerance was a sign of being below my personal fat threshold!
I recall the DN saying (when i was first prescribed) that if 2g is not tolerated to reduce to 1.5g, think I am going to have to do that tonight … plan to call the GP as he's the one who is supporting me (too afraid to ask the DN as she is a bit scary)
Think I would do that.I also think there may be a bit of a Hawthorn effect. That is - some participants may be motivated to take part in a study because doing so may provide motivation to keep weight off.
Hi BrettszaHi @Steve50 how are your readings like fasting and pp
I'm not sure I can stick to the ND. I didn't have my first shake till 1PM with lashings of black coffee before that so 2 cals / cup of black coffee comes to almost nada. So at that point I'd had about 230-250 calories. I then went on a 15 mile ride that I've since worked out had me effectively consuming my own muscle http://caloriesburnedhq.com/calories-burned-biking I used about 800+ calories doing the ride to the end of my avatar. So I had cauliflower + steak for dinner. One thing I did notice was that on the ride back from the 1/2 way point my feet felt very good very quickly..So maybe one of these days my FBGs will plummet like a stone? Who knows?
Like it AB
Will go with that, I thought it was the sudden loss, but if the " learned one " Prof Taylor, says " steady but substantial weight loss is the answer" then ..... So be it
LBB - Can I suggest you invest a little time reading @Andrew Colvin 's thread where he describes his journey with T2?
http://www.diabetes.co.uk/forum/threads/got-my-first-3-month-hba1c-results-this-morning.55719/
He also has another thread where he outline his post transformation adjustment to his normalised way of eating.
Vis-a-vis the detail of the ND; In his article dated January 2013, Professor Taylor comments:
".... In this, it is explained that a very low energy diet was chosen in the research study to mimic the effects of gastric bypass surgery. However, steady but substantial weight loss achieved by reducing portion size was recommended as the preferred method. The focus was on the need to achieve substantial and sustainable weight loss through the best approach for that individual..... "
http://www.ncl.ac.uk/magres/research/diabetes/documents/CounterpointReflections.pdf
This is in the paragraph headed "Introduction".
Personally, I do not believe the shock of the brutally reduced calorie meal replacement regime is essential or even materially significant, but I do believe that the fast results of the brutal approach are likely to be significantly motivational.
I want to thank everyone who has chimed in on my recent post with opinions. I am serious about putting my T2 into remission Yet I also sense that I am living somewhat in the unknown. Some folks still have a BMI north of 25 and are now in T2DM remission and are working off to a BMI of say 24 or so. Yet with my BMI now at 23 and sketchy numbers on my FBGs I am very concerned if the actual path I chose, which was slow and steady weight loss was the right move? While I'll not give up the ground already attained, if I had a do-over @ a BMI of 27 I might have gone ND / NP. Then, if with that shock to the system, when I got a BMI of 25 I'd have cleared the pancreas and liver of the issues and it would then be my choice to decide where I'd like to finish my NP ND at (say) a BMI of 24. Now I am at a BMI of 23 and still not seeing the end in sight..This is the real concern as far as It faces me right now. As a bit of background I've actually lost close on 26% of my body weight or 63lbs without becoming un-diabetic yet.
Does this make more sense?
I think he is saying either way is fine. It's whatever suits the individual, and he does acknowledge (although not in this paper) that the ND isn't for everyone because of it's brutality, lifestyle and social ramifications.
Good luck with whatever you try. Again, if you haven't read it, @Andrew Colvin 's threads are extremely informative. He achieved his desired result using real, proper food, whilst doing plenty of exercise and working full time.
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