I do have a question, how safe is 830 calories/day for a diabetic? For an otherwise healthy person I can see it being safe with medical supervision but for an individual already seeing blood sugar spikes due to diabetes, I wonder about the dangers?
I guess what I am getting at is that this intervention for diabetes might only be safe enough to try in early stage even if it would work for more progressed diagnosis.
They're largely not at risk of anorexia, if that's what you're asking. "Somewhere in the neighborhood of 85% of people who develop type 2 diabetes are overweight or obese."[0]
> For an otherwise healthy person I can see it being safe with medical supervision but for an individual already seeing blood sugar spikes due to diabetes, I wonder about the dangers?
That's why it's done under medical supervision. A very low calorie diet (VLCD) should result in fewer blood sugar spikes, not more, simply due to the body having less sugar available.
[0]: https://www.health.harvard.edu/blog/diabetes-can-strike-hard...
I was diagnosed T2 in my early 30s. Really confused me. I was normal weight, active, year round bike commuter, long distance runner, vegan, etc. and couldn’t make any sense of it.
After about 2 frustrating years I ended up on insulin and got finally correctly diagnosed as T1.
The thing I learned is that most doctors don’t think very hard about whether their diagnosis matches up with what they’re seeing in front of them. To them, high A1C in an adult = T2. They see it so often, they don’t think beyond that.
I asked about the safety of diabetics on low calorie diets. I have no idea how stringent the entry criteria was for this study, they could have picked the [otherwise] healthiest diabetics they could find.
Which brings us back to the question I asked, which was how this could scale to older or in worse health individuals suffering from type 2 diabetes? Even with medical supervision.