Calorie restriction does not work for me and it doesn't matter how many doctors or professors tell me it will, my body hasn't read the same manual as them. My body does have experience of being insulin resistant and having T2 though, which most of these doctors don't.
I'll listen to my body thanks.
@Tannith like @zand calorie restriction has not worked for me over the years - in fact I was told by an endocrinologist when I was 22 that I was one of his few patients who could honestly blame their metabolism for their weight and inability to lose it. What did work was starting treatment for an under active Thyroid in 2013 and eating less carbs but even then I only managed to lose approx 2 stone so am still classed as being overweight. However I have managed to keep it off and, after maintaining a normal hba1c for approx 8 years, I am officially in remission. My last hba1c was 36 so not much lower than yours at 39 - apart from the opinion of another forum member why do you think your levels are not good when they are in fact in the normal, not even pre diabetic, range?Prof Taylor, World Renowned Diabetologist would beg to differ: he says
"....a series of studies has introduced a paradigm shift in our understanding of the condition. Gradual accumulation of fat in the liver and pancreas leads eventually to beta cell dedifferentiation and loss of specialised function. The consequent hyperglycaemia can be returned to normal by removing the excess fat from liver and pancreas. At present this can be achieved only by substantial weight loss, and a simple practical and efficacious method for this has been developed and applied in a series of studies. For those people who used to have type 2 diabetes, the state of post-diabetes can be long term provided that weight regain is avoided."
Calorie restriction for long-term remission of type 2 diabetes
https://www.ncbi.nlm.nih.gov › articles › PMC6399621
"According to the paper from Newcastle ac that I posted Roy Taylor says good BGL control is insufficient to guarantee that there are no complications later. This is what he finds with the bariatric surgery patients, so will probably continue to find with the diet." Please would you post that link again. I have looked for it but can't find the one you are referring to here amongst the several others Thank you.Agree, but how much of the aetiology of Type 2 is due to the glucose levels alone, and how much is due to other factors associated with the disease itself. If we can control bgl to give remission levels, but cannot guarantee reversal or cure, then are we actually avoiding the projected outcome. According to the paper from Newcastle ac that I posted Roy Taylor says good BGL control is insufficient to guarantee that there are no complications later. This is what he finds with the bariatric surgery patients, so will probably continue to find with the diet. LCHF may be the same. The Heart paper I posted says the same thing, that tight bgl control does not affect cardiac outcomes but does reduce CVD events in severity at least. Sorry to be a party pooper, but we need to accept that we have not yet reached Nirvana or Shangri La. We have better tools to control bgl levels nowadays, and a cure may be in the ******, but it is still a waiting game.
"According to the paper from Newcastle ac that I posted Roy Taylor says good BGL control is insufficient to guarantee that there are no complications later. This is what he finds with the bariatric surgery patients, so will probably continue to find with the diet." Please would you post that link again. I have looked for it but can't find the one you are referring to here amongst the several others Thank you.
Of course good BG control is insufficient to guarantee complications later! Having high insulin levels is even more damaging to the body than having high BGs. Those of us with massive IR will have had that damage happening for years before our BGs reached diabetic levels."According to the paper from Newcastle ac that I posted Roy Taylor says good BGL control is insufficient to guarantee that there are no complications later. This is what he finds with the bariatric surgery patients, so will probably continue to find with the diet." Please would you post that link again. I have looked for it but can't find the one you are referring to here amongst the several others Thank you.
Post #47"According to the paper from Newcastle ac that I posted Roy Taylor says good BGL control is insufficient to guarantee that there are no complications later. This is what he finds with the bariatric surgery patients, so will probably continue to find with the diet." Please would you post that link again. I have looked for it but can't find the one you are referring to here amongst the several others Thank you.
Quite simply, complications caused by diabetes will take quite some time to develop and be recorded. It is too early to declare that the war is over, and that following Diet XXX will banish forever any chance of getting a complication. Life ain't like that. Roy Taylor can say whatever he likes, He is a voice crying in the wilderness at the moment, and until others provide independent evidence that substantiates his claims, then he is merely postulating. His bandwagon is attractive, and that may be good to follow, or it may be a pied piper clarion call. By all means, use his plan, it's better than doing nothing. But treat what he states with a degree of skepticism until validated by further research. And bear in mind that you can be one of the 60% for whom the diet did not work.And posts #53 55 and 60 explain why low calorie, bariatric surgery and low carb may not have the same results with regards to complications even with normal bgl. Fundamentally it’s depends on insulin and other metabolic markers too, not just bgl or weight
Thank you very much OldvatrPost #47
"And bear in mind that you can be one of the 60% for whom the diet did not work.[/QUOTE]"Quite simply, complications caused by diabetes will take quite some time to develop and be recorded. It is too early to declare that the war is over, and that following Diet XXX will banish forever any chance of getting a complication. Life ain't like that. Roy Taylor can say whatever he likes, He is a voice crying in the wilderness at the moment, and until others provide independent evidence that substantiates his claims, then he is merely postulating. His bandwagon is attractive, and that may be good to follow, or it may be a pied piper clarion call. By all means, use his plan, it's better than doing nothing. But treat what he states with a degree of skepticism until validated by further research. And bear in mind that you can be one of the 60% for whom the diet did not work.
Or maybe it never would have “worked” (according to your goals) because it was never the problem or the resolution for your body or Prof Taylor’s theory isn’t accurate or doesn’t apply to you and continuing won’t change that. Or you have already made all the recovery that is possible in your circumstances.it could be an indicator that my diet won't work because I restarted it too late in the course of my T2.
As I said in the post just above, I am only too well aware that it could not work. And although I shall be deeply disappointed if it doesn't, I am prepared for that possibility as I know I have had T2 for at least 4 years. And beyond 4 years the chances of the diet working start to fall. But I should be absolutely gutted if I failed because I stopped too soon, as happened last time. Then it would be entirely my own fault if I got stuck with this horrible disease for life.Or maybe it never would have “worked” (according to your goals) because it was never the problem or the resolution for your body or Prof Taylor’s theory isn’t accurate or doesn’t apply to you and continuing won’t change that. Or you have already made all the recovery that is possible in your circumstances.
At some point, if you don’t get to your goals, you have to face this might be true. How long do you wait though?
No, it won't be your own fault. The reason you will be disappointed is the same reason I was disappointed. Quite simply, Professor Taylor doesn't have all the answers and that diet was never right for either of us. Please, please stop pinning your hopes on the work of one doctor. Look at other doctors' work too, and please stop blaming yourself. The 4 year's limit isn't correct at all, people here have proved that, Professor Taylor got that part wrong.As I said in the post just above, I am only too well aware that it could not work. And although I shall be deeply disappointed if it doesn't, I am prepared for that possibility as I know I have had T2 for at least 4 years. And beyond 4 years the chances of the diet working start to fall. But I should be absolutely gutted if I failed because I stopped too soon, as happened last time. Then it would be entirely my own fault if I got stuck with this horrible disease for life.
I am not sure he even said that. In his study I believe he selected people who had been diagnosed for less than 4 years? In which case he wouldn't have had any data for more than 4 years. Also it seems a bit arbitrary, is 5 years with an HbA1c of 50 more likely to do more permanent damage than 3 years at an HbA1c of 90?The 4 year's limit isn't correct at all, people here have proved that, Professor Taylor got that part wrong.
But when will you draw the line? How do you know that will be the reason it failed? Quite simply you don’t.As I said in the post just above, I am only too well aware that it could not work. And although I shall be deeply disappointed if it doesn't, I am prepared for that possibility as I know I have had T2 for at least 4 years. And beyond 4 years the chances of the diet working start to fall. But I should be absolutely gutted if I failed because I stopped too soon, as happened last time. Then it would be entirely my own fault if I got stuck with this horrible disease for life.
It was in fact 6 years for DiRECT.I am not sure he even said that. In his study I believe he selected people who had been diagnosed for less than 4 years?
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