You can’t break the “model” as it is basic thermodynamics.
If a diabetic is consuming many calories but also excreting many calories, that is still calories in and calories out.
If a diabetic is consuming many calories but also excreting many calories, that is still calories in and calories out.
If CICO does not factor in what is not stored or digested. Therefor it's a flawed model. Therefor it would be better to look at what is working, and wath was working before we got unto the low fat craze. In the 1950 up to 1980 bodybuilders where eating low carb high protein diets. Everyone was thin back then, just now we are returning to knowlegde.
But the thing is according to latest science obesity the focus is not on CICO anymore. Would be great if more people would be willing to conduct their own N=1 studies and try low carb dieet, keto, or intermittent fasting. It works the same way by keeping insulin low. It might do wonders.
[0]https://www.healthline.com/nutrition/what-are-obesogens
[1]https://www.health.harvard.edu/staying-healthy/stop-counting...
That’s not necessarily true for diabetics, so someone with that condition will have a different experience with it.
> Despite intensive research, the causes of the obesity epidemic remain incompletely understood and conventional calorie-restricted diets continue to lack long-term efficacy.