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Why Not Insulin

Given time " low carb" reduces insulin resistance so less insulin is needed per unit of carb as well as less insulin due to fewer units of carbs.
 
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There is a follow-up blog by Jason Fung from the one quoted earlier ... https://intensivedietarymanagement.com/medications-actually-work-type-2-diabetes-t2d-40/

Basically, what he is saying is that Type 2 diabetes is a problem where there is too much sugar in the body (not just the blood), Drugs like sulphonylureas and insulin lower blood sugars, but don't remove these sugars from the body. Hence they tend to increase weight as the excess glucose is stored as fat by insulin. This then causes long-term health problems such as heart, liver and kidney disease. Drugs which help eliminate this excess sugar have significant benefits to life expectancy.

However, the simplest way to get rid of this excess sugar is to reduce the amount of carbs we eat and to burn off the excess sugar (fat) by intermittent fasting. Lowering blood sugars will lessen the likelihood of diabetic complications such as blindness and neuropathy. However, most type 2 diabetics die of heart disease and the just lowering blood sugars does not reduce the likelihood of heart disease, but reducing the amount of accumulated stored sugar in the body (e.g. liver fat) does significantly increase life expectancy.
I love how this is made to sound so simple. I eat a reasonably low carb diet, around 30grams of traditional carbs per day. I dint eat fruit, sweet potato, pumpkin to corn either. After 30 years of this I have no heart disease. But I do have cardiomyopathy, probably viral, chronic kidney disease from high blood pressure, a pacemaker/defibrillator and some fabulous specialists. But, in my experience, most doctors are great at supporting average patients, not everyone. Same for diabetes allied health people. I’m fighting to maintain Metformin in my treatment as I go into severe insulin resistance as soon as I’m off it. Low carb makes me ill, low carb flu but I don’t get over it. they want me off Metformin because of my kidney disease, yet it’s not proven (correlation is not causation), yet they keep me on Lasix which is a proven risk. We're all different and doctors are often talking at the midle.
 
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