Prof Taylor on the subject of Reversal.

[Oldvatr]

Apologies. This is the most recent one - does mention some patients coming off insulin:

https://nutrition.bmj.com/content/bmjnph/3/2/285.full.pdf?with-ds=yes

Yes. of 54 medicated patients at baseline, 19 were insulin dependant and 4 came off insulin, and 2 more had their insulin dose halved. One other turned out to be a T1D, I knew I wasn't dreaming, but at my age, memory can play tricks, So to my mind this is evidence for beta-cell function recovering that the ND studies did not give, which is why they probably excluded longer term from participating. What this means is that the NHS cannot recommend the ND or other LCal diets for insulin users because the evidence is not there. But they could use Low Carb to reduce their insulin doses it seems.

 

[bulkbiker]

Virta Health are conducting trials with Insulin users at baseline, but I cannot get past their paywall. Their trial report data is also a pay per view through AJMC.

They publish their stuff on the ViRTA website

https://www.frontiersin.org/articles/10.3389/fendo.2019.00348/full

Their claim is the 91% of insulin users reduce or eliminate insulin dose.

https://www.virtahealth.com/research

 

[Sugarcube2021]

Prof Taylor’s theory resonates with me. Although on diagnosis my BMI was normal, the body fat % was in the obese range. BMI can be misleading. It’s the body composition that is of significance. Telltale sign for me was my distended stomach.

Two months post dx, my body fat % has decreased by 3%, corresponding to a significant improvement in hbA1C.

I’m hoping to get bf% down to under 20% equal to approx. 15kg weight loss, which should put me in remission.

 

[bulkbiker]

Prof Taylor’s theory resonates with me. Although on diagnosis my BMI was normal, the body fat % was in the obese range. BMI can be misleading. It’s the body composition that is of significance. Telltale sign for me was my distended stomach.

Two months post dx, my body fat % has decreased by 3%, corresponding to a significant improvement in hbA1C.

I’m hoping to get bf% down to under 20% equal to approx. 15kg weight loss, which should put me in remission.

The problem with losing weight by crash dieting is that it's very hard to maintain the loss.

As the 2 year results from Taylor's own study show only about 36% remained in remission (sub 48 mmol/m so still pre diabetic possibly) after 24 months.

 

[Oldvatr]

Prof Taylor’s theory resonates with me. Although on diagnosis my BMI was normal, the body fat % was in the obese range. BMI can be misleading. It’s the body composition that is of significance. Telltale sign for me was my distended stomach.

Two months post dx, my body fat % has decreased by 3%, corresponding to a significant improvement in hbA1C.

I’m hoping to get bf% down to under 20% equal to approx. 15kg weight loss, which should put me in remission.

How are you measuring your body composition? The most accurate method for Gold Standard uses X-ray photometry and is a specialist instrument called DEX. Then there is the hydrostatic immersion method (like Archimedes and the bath), and this is fairly accurate for whole-body density type composition measurements. Then there is the caliper method that is not very accurate at all, and finally the electronic scales that are the most inaccurate (The Fitbit is very poor). These bio-impedance home testers can vary by up to 39% and are typically about 14% in error according to a USA test house (like Which?)

So relying on a 3% drop as being significant may be a tad misleading. Your stomach is a better indicator, Here in UK they use ultrasound to measure the fat around the pancreas and liver, and that can give reasonable estimated results, but to do the job properly Prof Taylor used MRI scans with a novel software analysis package that they had to invent themselves for this purpose. It is not an easy thing to measure in a live body.

The MRI software is another thing that Prof Taylor can be proud of since it can be used to easily DX NAFLD and normal Fatty Liver. A lasting legacy?

 

[Sugarcube2021]

How are you measuring your body composition? The most accurate method for Gold Standard uses X-ray photometry and is a specialist instrument called DEX.

So relying on a 3% drop as being significant may be a tad misleading. Your stomach is a better indicator........

Im using the Withings weighing scale, which estimates body fat (probably not 100% reliable, but as a rough guide). Im also using a tape measure to track waist circumference, as for me the distended stomach was of concern. Indeed the stomach bloat has reduced by 4' inches on my reduced carb diet.

 

[Oldvatr]

Im using the Withings weighing scale, which estimates body fat (probably not 100% reliable, but as a rough guide). Im also using a tape measure to track waist circumference, as for me the distended stomach was of concern. Indeed the stomach bloat has reduced by 4' inches on my reduced carb diet.

As I said, your stomach is probably a better indicator. I note you do accept that Withings scale is a rough guide, For me having to wear braces (suspenders in US) was a sign, and I too lost 6" off my waistband and had to buy a new wardrobe to boot. Those modifications to my life proved to me that low carb was a successful strategy for me, and the reductions in HbA1c and blood pressure etc were useful side effects that seemed to please my doctors, I'm just happy to bounce around in my new bgl playpen, and not worry too much about spikes or hypo's. My best mate is happy if he can keep his bgl below 20 mmol/l and worries if it drops below 8 mmol/l but then he is a T1D. It takes all sorts and we are all different.