NicoleC1971
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I agree with all your points and have asked our (Diabetes UK local group) rep on the local CCG hcp and patient group to mention:I too am utterly frustrated about the speed of change and the disparate interest groups. I do think that Swiss Re involvement is a game changer becuase they truly do have an interest in making this work.
The LCHF guys have been working in isolation and shunned by the establishment for so long that we who simply tried it cannot begin to see why they dont just announce it and get on with it and they know the uphill battle they have faced so far.
To me the next steps are
a) find a way to consolidate the various diabetes groups into a coherent umbrella
b) find a way to describe reversal consistently that enables the three basic methods
i) carb restriction ii) rapid weight loss iii) intermittent fasting into a single presentation that all three groups can sign upto and that can be done as a vegan,vegetarian, omnivore or carnivore
c) push the message out reliably and consistently through the popular press
d) find a way to truly make NEquals1million people a viable goal
e) change the guidelines to ensure that T2Prevention and Reversal Through Nutrition are clearly stated dietary options.
f) get the ridiculous saturated fat warning removed off food labels to allow industry to reformulate foods properly.
All the pieces are in place, we need some proper co-ordination to take the thing global and we need some PR support to get the message out relentlessly using the same starting point in terms of hashtags
eg #T2RTN. T2 reversal through Nutrition
and #T2PTN T2 prevention through Nutrition
All doctors need to be aware that T2PRN is possible
All doctors need to know that T2PTN is necessary with elevated Hba1C or other metablic syndrome markers
and reversal should be defined as achieving Hba1C at 42, or 6% or less and keeping it there
the same message needs to go to insurers the create a category for life insurance etc that allows people to take credit for their efforts in premiums
None of the above is rocket science ! not that it makes it any easier to do. (Oh if only I ruled the world lol )
T2 Rtn as a true first line of treatment (usually given lip service but undelivered) now that Taylor et al have a proof of the concept for shrinking visceral fat to achieve reversal quickly in most cases...The other methods (low carb, bariatric surgery and/or fasting are different ways of skinning that liver/pancreatic fat cat). NICE may go on to evaluate this dietary approach and I hope they will now also add low carb into that comparison with Low Fat and Mediterranean diets.
Secondly, I believe there should be more honest conversations with patients about the overall risks of taking a medication versus nutrition approach. I saw my CCG guidelines in which the main criteria appeared to be ability to lower bgs and cost with little regard for the drugs' impact on diabetic co morbidiites. Patients assume that if they reduce their blood glucose with medication then this is just as cardio protective as doing it via diet and lifestyle and as far as I know this is not the case with most of the drugs and particularly insulin and S U s if no dietary changes are made.
So if we can't rule the world we can start in our own surgeries and CCGs whose collboration we need to get the message out to the public.