Good News for Diabetics - Weight Loss Works
robingmurphy
Posts: 349 Member
I know a lot of diabetics or pre-diabetics, so I thought this was an encouraging result to a recent study. It showed that the vast majority of cases of diabetes can be reversed with weight loss. I'd maybe avoid the low-calorie diet they used at least without medical supervision, but I'd suspect it would also work with a more moderate calorie goal and rate of loss.
"Almost 90 percent of those who lost 15 kilograms (33 lbs) or more, successfully reversed their type 2 diabetes. More than half (57 percent) of those dropping 10 to 15 kilograms (22 to 33 lbs) achieved remission also.
For those who lost less weight – between 5 to 10 kilograms (11 to 22 lbs) – the reversal still worked for more than a third (34 percent) of participants."
https://www.sciencealert.com/extreme-diet-reverse-type-2-diabetes-up-to-86-patients-remission-weight
"Almost 90 percent of those who lost 15 kilograms (33 lbs) or more, successfully reversed their type 2 diabetes. More than half (57 percent) of those dropping 10 to 15 kilograms (22 to 33 lbs) achieved remission also.
For those who lost less weight – between 5 to 10 kilograms (11 to 22 lbs) – the reversal still worked for more than a third (34 percent) of participants."
https://www.sciencealert.com/extreme-diet-reverse-type-2-diabetes-up-to-86-patients-remission-weight
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Replies
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robingmurphy wrote: »I know a lot of diabetics or pre-diabetics, so I thought this was an encouraging result to a recent study. It showed that the vast majority of cases of diabetes can be reversed with weight loss.
Type *2* diabetes. Ain't no one fixing type 1 with exercise.6 -
duskyjewel wrote: »robingmurphy wrote: »I know a lot of diabetics or pre-diabetics, so I thought this was an encouraging result to a recent study. It showed that the vast majority of cases of diabetes can be reversed with weight loss.
Type *2* diabetes. Ain't no one fixing type 1 with exercise.
Yup. As the wife of someone with Type 1, this omission irks me.3 -
That's encouraging. I was just diagnosed last month, and my numbers aren't super out of control yet. I've already lost ~20 pounds (weigh-in is tomorrow!), so I hope I'm tackling it before it's too too late. Thanks for sharing!
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http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.8 -
Interestingly, there was a discussion on FB about this.
Apparently, there was an earlier intervention done that was attempting to mimic the results of bariatric surgery which often reverses T2D before the weight loss happens.
In that intervention, this reversal did happen very early on after starting the aggressive low calorie regimen.
This new protocol was an attempt to replicate those earlier results.
The bugbear with any approach is ongoing maintenance, of course.4 -
I was always under the impression people knew that diabetes had the chance of reversal with weight loss.
Thats why i was not at all surprised when i lost mine.1 -
When I was in nursing school we heard the story of a man who after being diagnosed with T2 diabetes started walking 6 miles a day (3 miles in the morning and 3 miles in the afternoon). After 6 months he had a healthy weight and was able to go off insulin.3
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Why is it that in the UK they talk about remission, but the US the doctors hang onto the idea of always diabetic, even when people adopt severe lifestyle mods?
I watch my own FBG to ensure that I do not get tagged with this diagnosis.0 -
Alatariel75 wrote: »duskyjewel wrote: »robingmurphy wrote: »I know a lot of diabetics or pre-diabetics, so I thought this was an encouraging result to a recent study. It showed that the vast majority of cases of diabetes can be reversed with weight loss.
Type *2* diabetes. Ain't no one fixing type 1 with exercise.
Yup. As the wife of someone with Type 1, this omission irks me.
I'm sure OP didn't mean to offend you. The fact is that 95% of diabetics in US are T2 so I don't It's an unreasonable statement by OP.
As for the 33 lbs lost, that's about what it took me for doc to declare me diabetes-free, even though I was still 100+ overweight.7 -
I have a problem with the term "reversal." After losing 110 lbs, I have a normal A1c - 4.7 - but that does not mean I am not diabetic. I still can't eat large amounts of carbs at a sitting. If I ate like my old self, my glucose would go up immediately and my A1c would be high again in three months. Which is, in fact, what the linked study found - that "remission" only lasted as long as the lifestyle changes. This is a very fancy way of saying diabetes can be managed with lifestyle changes.6
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I was diagnosed with Type II around 3 years ago. I had some health issues in August and decided to completely revamp my diet, start exercising and have lost ~25 lbs. More importantly in August my A1C was 7.7, two weeks ago it was 6.3 and I have not been on any medicine for the diabetes.0
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My husband got off insulin after he lost weight after being on it for 10+yrs!!1
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I'm sure OP didn't mean to offend you. The fact is that 95% of diabetics in US are T2 so I don't It's an unreasonable statement by OP.
As for the 33 lbs lost, that's about what it took me for doc to declare me diabetes-free, even though I was still 100+ overweight.
I was told that you can never be diabetes-free once you are diagnosed diabetic. Your pancreas will never work normally again, but your lifestyle changes can reduce your sugar level and thus reduce the risk of diabetic complications.
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http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
Do you really think that's what that study says?
Hint: it's not.3 -
http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
Out of curiosity are there studies to back this up? Wondering because this still is not the recommended diet for diabetes and many have had the same results from weight loss alone.1 -
http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
The fat intake on both arms of the study was the same.
I'm not sure how you're reaching your conclusion here, to be honest.
The carb intake on the high protein arm was modest and not exactly low (45%), and the fat intake is around what MFP recommends. The carbs were only fractionally reduced from what most MFP'ers already eat.
You adding a LCHF slant to these findings is a real reach, considering the macro mix in the actual study.7 -
Lillymoo01 wrote: »http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
Out of curiosity are there studies to back this up? Wondering because this still is not the recommended diet for diabetes and many have had the same results from weight loss alone.
If you read the study cited it was lean proteins, unsaturated fats, nuts, legumes, plants, and a modest carb reduction. Nothing earth shattering.
If you compared the macro distribution between the two arms of the study, the fat was constant and the protein and carbs were juggled around.
If anything, it's a call for adequate lean protein, modest carbs, reasonable fat, low sat fat.8 -
GottaBurnEmAll wrote: »http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
The fat intake on both arms of the study was the same.
I'm not sure how you're reaching your conclusion here, to be honest.
The carb intake on the high protein arm was modest and not exactly low (45%), and the fat intake is around what MFP recommends. The carbs were only fractionally reduced from what most MFP'ers already eat.
You adding a LCHF slant to these findings is a real reach, considering the macro mix in the actual study.
I put the "(and higher fat)" in parenthesis because that part was not addressed in the link I posted. I guess I should gave added italics and a disclaimer, eh?
Replacing less healthy carbs - meaning refined carbs and sugar - with fats is also an effective way to reduce BG, A1C and prevent diabetic complications that go along with uncontrolled or poorly controlled T2 diabetes.3 -
GottaBurnEmAll wrote: »http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
The fat intake on both arms of the study was the same.
I'm not sure how you're reaching your conclusion here, to be honest.
The carb intake on the high protein arm was modest and not exactly low (45%), and the fat intake is around what MFP recommends. The carbs were only fractionally reduced from what most MFP'ers already eat.
You adding a LCHF slant to these findings is a real reach, considering the macro mix in the actual study.
I put the "(and higher fat)" in parenthesis because that part was not addressed in the link I posted. I guess I should gave added italics and a disclaimer, eh?
Replacing less healthy carbs - meaning refined carbs and sugar - with fats is also an effective way to reduce BG, A1C and prevent diabetic complications that go along with uncontrolled or poorly controlled T2 diabetes.
Grammatically, you ought to have used square brackets to signify the inclusion of a factor not referred to in the original source
4 -
Alatariel75 wrote: »GottaBurnEmAll wrote: »http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
The fat intake on both arms of the study was the same.
I'm not sure how you're reaching your conclusion here, to be honest.
The carb intake on the high protein arm was modest and not exactly low (45%), and the fat intake is around what MFP recommends. The carbs were only fractionally reduced from what most MFP'ers already eat.
You adding a LCHF slant to these findings is a real reach, considering the macro mix in the actual study.
I put the "(and higher fat)" in parenthesis because that part was not addressed in the link I posted. I guess I should gave added italics and a disclaimer, eh?
Replacing less healthy carbs - meaning refined carbs and sugar - with fats is also an effective way to reduce BG, A1C and prevent diabetic complications that go along with uncontrolled or poorly controlled T2 diabetes.
Grammatically, you ought to have used square brackets to signify the inclusion of a factor not referred to in the original source
LOL my mistake. 2 -
AmericanExpat wrote: »I'm sure OP didn't mean to offend you. The fact is that 95% of diabetics in US are T2 so I don't It's an unreasonable statement by OP.
As for the 33 lbs lost, that's about what it took me for doc to declare me diabetes-free, even though I was still 100+ overweight.
I was told that you can never be diabetes-free once you are diagnosed diabetic. Your pancreas will never work normally again, but your lifestyle changes can reduce your sugar level and thus reduce the risk of diabetic complications.AmericanExpat wrote: »I'm sure OP didn't mean to offend you. The fact is that 95% of diabetics in US are T2 so I don't It's an unreasonable statement by OP.
As for the 33 lbs lost, that's about what it took me for doc to declare me diabetes-free, even though I was still 100+ overweight.
I was told that you can never be diabetes-free once you are diagnosed diabetic. Your pancreas will never work normally again, but your lifestyle changes can reduce your sugar level and thus reduce the risk of diabetic complications.
this is what I was told to. i'm type two diabetic. I beat it once with just exercise but then I went back to old habits it came back with fury. but yeah I was told once you have it. you have it for life1 -
GottaBurnEmAll wrote: »http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
The fat intake on both arms of the study was the same.
I'm not sure how you're reaching your conclusion here, to be honest.
The carb intake on the high protein arm was modest and not exactly low (45%), and the fat intake is around what MFP recommends. The carbs were only fractionally reduced from what most MFP'ers already eat.
You adding a LCHF slant to these findings is a real reach, considering the macro mix in the actual study.
I put the "(and higher fat)" in parenthesis because that part was not addressed in the link I posted. I guess I should gave added italics and a disclaimer, eh?
Replacing less healthy carbs - meaning refined carbs and sugar - with fats is also an effective way to reduce BG, A1C and prevent diabetic complications that go along with uncontrolled or poorly controlled T2 diabetes.
But the study didn't even support that. Because the fat was constant. If anything, it called for replacing carbs with protein. And saying that's a reach. You're not interpreting the study correctly, and it seemed as if that's what you were trying to do.
Now, if you're making a separate statement, that's another story.
The study itself was about something else entirely, though.2 -
GottaBurnEmAll wrote: »GottaBurnEmAll wrote: »http://drc.bmj.com/content/bmjdrc/4/1/e000258.full.pdf
Eating fewer carbs and higher protein (and higher fat) can also reverse many cases of T2D or prediabetes too, often before weight loss.
The fat intake on both arms of the study was the same.
I'm not sure how you're reaching your conclusion here, to be honest.
The carb intake on the high protein arm was modest and not exactly low (45%), and the fat intake is around what MFP recommends. The carbs were only fractionally reduced from what most MFP'ers already eat.
You adding a LCHF slant to these findings is a real reach, considering the macro mix in the actual study.
I put the "(and higher fat)" in parenthesis because that part was not addressed in the link I posted. I guess I should gave added italics and a disclaimer, eh?
Replacing less healthy carbs - meaning refined carbs and sugar - with fats is also an effective way to reduce BG, A1C and prevent diabetic complications that go along with uncontrolled or poorly controlled T2 diabetes.
But the study didn't even support that. Because the fat was constant. If anything, it called for replacing carbs with protein. And saying that's a reach. You're not interpreting the study correctly, and it seemed as if that's what you were trying to do.
Now, if you're making a separate statement, that's another story.
The study itself was about something else entirely, though.
That was my point. My parenthesis were separate and had nothing to do with the paper. i know it was a separate point. I should have written:
"The link shows fewer carbs and higher protein can reverse many cases of T2D or prediabetes too, often before weight loss.
Replacing carbs with higher fat can also reverse many cases of T2D and prediabetes too, often before weight loss. This information is from a separate source!! Read Dr Bernstein's Diabetes Solution for more information. Or use common sense to realize that reducing the amount of exogenous glucose/carbs you consume will result in lower blood glucose because gluconeogenesis tends not to creat excessive glucose for no reason."1 -
Exercise and diet cures most cases of DM2. MEds get very little training on nutrition and still know that and that's why it's the #1 recommendation.1
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