Isn’t this obvious?
Further, I don't know what it has to do with race - all humans respond to low calorie diets in the same way. There is the case of lactic intolerance due to loss of a particular gene. I'm not aware of any similar gene being involved in insulin intolerance.
Please consider wondering why no doctors/scientist know how to heal people with diabetes. Do they miss something obvious?
>Studies with therapeutic dosing typically used very low energy diets (600-1100 kcal/day) with a weighted mean remission rate of 49.4%, while studies with subtherapeutic dosing typically used more moderate caloric restrictions (reducing energy intake by 500-600 kcal/day) and the weighted mean remission rate was 6.9%. Conclusions. Remission should be the clinical goal in T2D treatment, using properly dosed intensive lifestyle interventions as a primary component of medical care for T2D patients.[0]
So while not exactly obvious, it isn't true that "no doctors/scientist know how to heal people with diabetes." The real issue is that people with DMT2 generaly will not accept low calorie diets. But those that do have a high rate of remission and almost all have improved symptoms and decreased progressions.
Edit: I should note that obviously the American College of Lifestyle Medicine would advocate for this. My point is that there is sufficient liturature to back this up.
[0]Type 2 Diabetes Remission and Lifestyle Medicine: A Position Statement From the American College of Lifestyle Medicine (2020) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7692017/?report...
I'm really confused how T2D are special such that crash dieting doesn't mess them up further and put them further in a hole. They're already messed up because of the T2D, aren't they?
It really is that simple. The first law of thermodynamics doesn't go away so simply. Combine that with the evolutionary preassure that favors those who can save and expend energy and this all makes perfect sense. For example, increased insulin sensitivity on a low calorie diet makes sense evolutionarily. The only drawback is that muscle will be consumed as well. The amount varries by person, diet and exercise but it is minimal with a high protien diet. So say eating 500 kcal of chicken brest everyday and the rest of the calories spilt between carbs and lipids would be a good way to do this diet.
"Crash diets" do work as long as you do it for a few months. People generaly do a few days and then start binging >200 TDEE. Obviously that won't work:
>The active stage is characterized by a very low-calorie diet (600–800 kcal/day), low in carbohydrates (< 50 g daily from vegetables) and lipids (only 10 g of olive oil per day). The amount of high-biological-value proteins ranged between 0.8 and 1.2 g per each Kg of ideal body weight in order to preserve lean mass and to meet the minimal daily body requirements. This stage is further divided in 3 ketogenic phases: in phase 1, the patients eat high-biological-value protein preparations five times a day, along with vegetables with low glycemic index. In phase 2, one of the protein servings is replaced by natural proteins such as meat/egg/fish either at lunch or at dinner. In the phase 3, a second serve of the natural protein low in fat replaced the second serve of biological protein preparation. Being a very low caloric nutritional pattern, it is recommended to supplement patients with micronutrients (vitamins, such as complex B vitamins, vitamin C and E, minerals, including potassium, sodium, magnesium, calcium; and omega-3 fatty acids) according to international recommendations. This active stage is kept until the patient loses most of weight loss target, about 80%. Therefore, the ketogenic phases are variable in time depending on the individual and the weight loss target. The active stage generally lasts between 8 and 12 weeks in total.[0]
[0]The management of very low-calorie ketogenic diet in obesity outpatient clinic: a practical guide (2019)
I was always told crash diets fuck you up for years. How can this be true and also people are apparently starving for months and that's totally fine?
EDIT: Wait, is my understanding is that you have to starve for up to 4 months for a worse-than-coinflip chance at diabetes? Do we know if it stays off for 5 years? 10 years? Do you have to coinflip again? What happens if it doesn't work?
It is not true.
Many people experience that and scientists/doctors agree. In addition there is a risk of higher mortality.
https://journals.physiology.org/doi/full/10.1152/physiol.000...
"Many men and women in the United States diet to lose BW; however, most regain the weight they lost after the diet ends (73). Dr. Kelly D. Brownell coined the term “yo-yo dieting” to reflect BW fluctuations during repeated cycles of diet-induced weight loss and BW gain after the diet is terminated (74). Approximately 20–55% of women and 18–34% of men report weight cycling (75–77). What remains unclear is the impact of weight cycling on cardiovascular health.
Several large studies, including the Honolulu Heart Program (78), the Framingham Heart Study (79), and >9,500 participants in a Treating to New Targets trial (80), have shown a strong correlation between BW fluctuation and rate of cardiovascular events that are independent of traditional cardiovascular risk factors.
A recent meta-analysis of >440,000 participants from 23 studies showed that BW cycling was associated with a 1.4-fold higher relative risk of mortality due to all causes and to cardiovascular disease. The meta-analysis also revealed that BW cycling was associated with 1.4-fold and 1.5-fold higher relative risk of hypertension and CVD morbidity, respectively"
To give an extreme parallel, when heroin adicts recover, if they go back they will die much faster becasue their dosage needed for a hit is almost as high it was at the peak but their liver is not strong enough because it shrunk durring their recovery as it wasn't abused as much.
In my case, what works is a low glycemic diet.
If fasting was a solution, Muslims would experience less diabetes. Yet the prevalence of diabetes in several countries with large Muslim populations appears to be similar to the rates observed in western countries and increasing by 10% per year as a result of urbanization and socioeconomic development.
https://diabetesjournals.org/care/article/27/10/2306/23219/A...
>>Studies with therapeutic dosing typically used very low energy diets (600-1100 kcal/day) with a weighted mean remission rate of 49.4%,
If by "heal" you mean something else that is not remission, then you should not have taken issue with "isn't that obvious" as "that" was reffering to remission.
>If fasting was a solution, Muslims would experience less diabetes.
see Table 2 of your linked study:
type 1 type 2
More 206 (20.3) 2,025 (18.6)
Less 234 (23.1) 3,284 (30.1)
Same 574 (56.6) 5,594 (51.3)
More 228 (22.5) 2,210 (20.3)
Less 214 (21.1) 3,312 (30.4)
Same 573 (56.5) 5,356 (49.2)
More 237 (23.4) 2,452 (22.7)
Less 211 (20.8) 2,677 (24.7)
Same 565 (55.8) 5,688 (52.6)
No change 562 (62.5) 5,286 (54.1)
Gain 161 (17.9) 1,861 (19.1)
Loss 176 (19.6) 2,628 (26.9)
Overall population 332 (0.12 ± 3.79 ) 4,367 (−0.25 ± 3.25 )
Patients who fasted at least 1 day 235 (−0.51 ± 3.23 ) 4,152 (−0.32 ± 3.08 )
Patients who reported weight gain 159 (+3.24 ± 2.71 ) 1,811 (+2.78 ± 2.49 )
Patients who reported weight loss 173 (−2.74 ± 1.92 ) 2,556 (2.39 ± 1.61 )