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Diabetes Discussion
Type 2 Diabetes
T2 or NAFLD? ...or, a funny thing happened on the way to the surgery
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<blockquote data-quote="BarbaraG" data-source="post: 2686454" data-attributes="member: 47277"><p>*HbA1C is 42 and I'm on zero meds.*</p><p></p><p>Which is excellent, congratulations on all your hard work. But you are achieving this by - if I’ve understood you correctly - eating extremely low carb one day and nothing at all the next. I have great admiration for you having the discipline to do that.</p><p></p><p>I just want to point out that if you were metabolically healthy, then your HbA1C would be lower than that (low 30’s, even high 20’s) while eating a “normal” diet every day.</p><p></p><p>So all is not well with your metabolism, although you have undoubtedly improved it massively with your regime. And it’s likely it will improve further the longer you go on. But be in no doubt that if you were to return to a “normal” diet, then the genetic susceptibility you have towards metabolic syndrome would reactivate.</p><p></p><p>I know, I’ve been there. I got my HbA1C into the normal range and off all meds, after more than 15 years with T2. But guess what? Fall off the wagon with the eating/exercise regime, everything reverts to the bad place it was before.</p><p></p><p>So, whether you do it by periodic short sharp efforts, or a gentler sustained effort over time, you do need to make a permanent change.</p><p></p><p>And I agree that a lower carb whole food approach is much better for us than the low fat paradigm. And I’m becoming increasingly convinced that ultra processed foods are a big part of the issue. They fool our appetites and have addictive qualities. They are poison. They just taste sooooo good (while being deficient in micronutrients) and you can eat soooooo many of them. Once you pop, you can’t stop.</p></blockquote><p></p>
[QUOTE="BarbaraG, post: 2686454, member: 47277"] *HbA1C is 42 and I'm on zero meds.* Which is excellent, congratulations on all your hard work. But you are achieving this by - if I’ve understood you correctly - eating extremely low carb one day and nothing at all the next. I have great admiration for you having the discipline to do that. I just want to point out that if you were metabolically healthy, then your HbA1C would be lower than that (low 30’s, even high 20’s) while eating a “normal” diet every day. So all is not well with your metabolism, although you have undoubtedly improved it massively with your regime. And it’s likely it will improve further the longer you go on. But be in no doubt that if you were to return to a “normal” diet, then the genetic susceptibility you have towards metabolic syndrome would reactivate. I know, I’ve been there. I got my HbA1C into the normal range and off all meds, after more than 15 years with T2. But guess what? Fall off the wagon with the eating/exercise regime, everything reverts to the bad place it was before. So, whether you do it by periodic short sharp efforts, or a gentler sustained effort over time, you do need to make a permanent change. And I agree that a lower carb whole food approach is much better for us than the low fat paradigm. And I’m becoming increasingly convinced that ultra processed foods are a big part of the issue. They fool our appetites and have addictive qualities. They are poison. They just taste sooooo good (while being deficient in micronutrients) and you can eat soooooo many of them. Once you pop, you can’t stop. [/QUOTE]
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