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CamGreen said:
Hi Folks. Feeling pretty pleased with myself at the moment. I was diagnosed as T2 3 months ago with an Hba1c of 82. Since the I’ve worked really hard and lost 1st 9lbs, eaten carefully and just had my Hba1c has dropped to 46.
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Well done you! Keep up the good work!
 
CamGreen said:
Hi Folks. Feeling pretty pleased with myself at the moment. I was diagnosed as T2 3 months ago with an Hba1c of 82. Since the I’ve worked really hard and lost 1st 9lbs, eaten carefully and just had my Hba1c has dropped to 46.
Click to expand...
Yes, great result, well done. It reminds me of something I’ve puzzled over. We T2s are encouraged to lose a load of weight although I know some get the same results by carb reduction alone, with perhaps little or no weight loss. Anyway, considering the Taylor recommendation of losing 15kg to have an 80-odd percent chance of remission, how does that fit with claims that on a weight loss regimen the ectopic fat is the first to go and very quickly? If it has largely gone after losing just a few kg, what is the benefit T2-wise of losing a further 10kg? I just don’t know the science here.
 
chrisjohnh said:
Yes, great result, well done. It reminds me of something I’ve puzzled over. We T2s are encouraged to lose a load of weight although I know some get the same results by carb reduction alone, with perhaps little or no weight loss. Anyway, considering the Taylor recommendation of losing 15kg to have an 80-odd percent chance of remission, how does that fit with claims that on a weight loss regimen the ectopic fat is the first to go and very quickly? If it has largely gone after losing just a few kg, what is the benefit T2-wise of losing a further 10kg? I just don’t know the science here.
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I think it is just that by lowering carb intake we help our metabolism get back to more normal levels, and many type 2s will lose weight.
Many HCPs are so keen on weightloss that they eagerly seize on the successful weightloss being the cure, not the fad low carb diet.
I'm not saying that it is not important to maintain a normal weight, and many people will have benefitted from the change in body composition low carbing brings about, but I suspect that anyone laying the law down about percentage weightloss being the key is perhaps the author of a book or two rather than following scientific method.
 
Resurgam said:
I think it is just that by lowering carb intake we help our metabolism get back to more normal levels, and many type 2s will lose weight.
Many HCPs are so keen on weightloss that they eagerly seize on the successful weightloss being the cure, not the fad low carb diet.
I'm not saying that it is not important to maintain a normal weight, and many people will have benefitted from the change in body composition low carbing brings about, but I suspect that anyone laying the law down about percentage weightloss being the key is perhaps the author of a book or two rather than following scientific method.
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In the case of Roy Taylor he does not lay the law down, he publishes the results of research findings. The findings correlate weight loss with remission probability and of course we can query the significance of that - perhaps the probability is actually a function of causative concomitant carbs reduction. However that may, remission probability in his studies also correlated with degree of ectopic fat reduction. So my question could be re-posed: if a little weight loss / carbs reduction clears that fat away quickly, which evidently it does, why is it that to achieve remission one generally has to go much further than that with a lot more weight loss / carbs reduction?
 
One of the things to bear in mind is our oft-repeated mantra "we are all different". We cannot choose which bits of our body loses fat when we lose weight. It's more a case of reducing blood glucose and the weight coming off wherever it comes off. There are different body types, and if and where they lose fat depends on their type. Therefore it would be very helpful if research took this into account, but as I've never come across any that does (doesn't mean there isn't any, just that it doesn't seem to be acknowledged in mainstream) this important aspect seems not to be noticed. Some of us of course don't lose weight even when we bring our bloods down, others don't need to lose any but still do. Same as lots of non-diabetic people can eat junk food or a lot of food compared to others and don't put on weight and/or don't become diabetic. Fascinating stuff.
 
Outlier said:
One of the things to bear in mind is our oft-repeated mantra "we are all different". We cannot choose which bits of our body loses fat when we lose weight. It's more a case of reducing blood glucose and the weight coming off wherever it comes off. There are different body types, and if and where they lose fat depends on their type. Therefore it would be very helpful if research took this into account, but as I've never come across any that does (doesn't mean there isn't any, just that it doesn't seem to be acknowledged in mainstream) this important aspect seems not to be noticed. Some of us of course don't lose weight even when we bring our bloods down, others don't need to lose any but still do. Same as lots of non-diabetic people can eat junk food or a lot of food compared to others and don't put on weight and/or don't become diabetic. Fascinating stuff.
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Yes you are absolutely right that there is such a deficit of reliable research into some of these questions. And any such research would run into this confounding factor you point out as to individual differences among us.
 
CamGreen said:
Hi Folks. Feeling pretty pleased with myself at the moment. I was diagnosed as T2 3 months ago with an Hba1c of 82. Since the I’ve worked really hard and lost 1st 9lbs, eaten carefully and just had my Hba1c has dropped to 46.
Click to expand...
Kudos. Keep up the good work.
 
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