Eating Your Way Out Of Type 2 Diabetes: Your Doctor Is The Last To Know
There's been a stunning, patient-led revolution in medical care. Patients who have dropped 20, 30, 90, or hundreds of pounds eating high-fat/low-carb, and who have had their grim health stats turn around, have persuaded their doctors: the high-carb/lowfat approach advocated by the American Heart Association (long on the take from various packaged foods conglomerates) is the approach to unhealth.
Paul John Scott has an excellent piece in the Star-Tribune on low-carb and its transformative effects on those with Type 2 diabetes:
Diabetes arises when dietary glucose hits elevated levels long enough to wear out the body's system to correct the problem.Carbohydrate-rich foods like bread, pastry, pasta, potatoes, juices and sugar send glucose into the bloodstream. The arrival of this glucose triggers the body to release insulin, our hormone for clearing excess glucose and storing it for later use within fat cells. But that energy cannot be used as long as insulin remains in the bloodstream, and with insulin high, dietary energy is locked away, leading to endless cycles of carbohydrates followed by hunger. In this way, carbohydrates make patients simultaneously fatter, disregulated and malnourished.
The more refined the carbohydrate, the more insulin is released, but even high-fiber, so-called "healthy carbs" like brown rice, grains, fruit and whole-grain breads will cause insulin to enter the bloodstream. Protein, for its part, causes only a modest release of insulin, while dietary fat causes virtually no insulin to enter the bloodstream.
But there's no need to take this on faith. By monitoring blood sugar with continuous glucose monitors, diabetic patients can now see their glucose rising after differing meals in real time, enabling them to discover that while watermelon may be a "healthy whole fruit" it is causing the body to release insulin, prolonging the cycle of diabetes.
It will come as a surprise for many to learn that there is no penalty to eating unlimited saturated fat in the absence of carbohydrates, and that there is nothing unnatural or unhealthy about utilizing the body's system for burning ketone bodies in the absence of carbohydrates. It was once believed that saturated fat causes clogged arteries, obesity and diabetes -- and as the proliferation of skim milk and skinless chicken breasts all around us makes clear, this will remain the hardest dietary myth to shake off if we are to embrace LCHF [Low-Carb/High-Fat eating] as a first-line treatment for diabetes. But no fewer than eight systematic reviews of random controlled trials have found no association between these so-called "bad fats" and disease. It's quite possible they are beneficial.
via @garytaubes








All the gospel truth. My wife and I are both doing keto, and I'm down 55 since April 15th of last year, and she's down 17. I am no longer insulin resistant, have dropped my Metformin and my blood pressure medicine. My wife and I will never go back to the Great American Diet. Never.
Most doctors aren't yet on board. Our PCP, who's earnest but young, observed the "high" cholesterol numbers my wife has, and started clamoring for statins. The cardiologist she referred my wife to, however, just rolled her eyes. The cardiologist actually recommended the keto diet, and says she's seeing great results in many of her patients.
I stand in line at HEB and I marvel at the absolute shit that Americans are shoveling into their bodies. I think of my friends and co-workers who are diabetic or have Metabolic Syndrome, and I am astonished. We are killing ourselves. The dietary advice given by the fedgov and the medical establishment is totally and completely wrong.
Some interesting side effects, but all are manageable, and I'm moving forward. It's the hardest diet I've ever been on, because you have to give up so much, but I'm sticking with it. I'm getting my health back.
roadgeek at March 1, 2019 3:54 AM
Another, because Indiana.
Crid at March 1, 2019 5:14 AM
There's a hint at a logical error in here.
Americans don't look like pigs because of government programs. They eat themselves into an early grave because of convenience and eating for fun, not regulations.
That some are figuring out a BLT isn't all that bad for you isn't the whole story.
Radwaste at March 1, 2019 6:23 AM
Stuh-RONGly disagree. The corruption of policy to sustain carb-farmers (grains and sweeteners) and bless and encourage adoration of their products is arguably the greatest corruption in 20th-century American government... The manipulation of prices, the ludicrous & sinister "pyramid," all of it.
Preposterously misaligned prices for these carbs have much to do with these despicable health crises.
Have you ever, in your life, had a "Big Gulp"?
It's far too late to blame consumers or to feign concern with their libertarian dignity in such a (literally) poisoned environment.
Crid at March 1, 2019 7:21 AM
I can't answer for all "Americans" allegedly eating their way into overweight and cholesterol hell because of their weak natures and reliance on fast or "fun" foods, but my middle aged weight gain and eventual Type 2 came from not knowing that I should be eating carbs in limited amounts. Regular "healthy" whole grain bread, potatoes with the skin on, pasta with low-fat sauce. I was always super healthy and athletic and thought I was eating sensibly because I kept it low-fat, as absolutely every source was proclaiming. Would that I had known that my increasing attraction to carb-y food was the exact symptom of the imbalance in my metabolism. I would never have let it get this far if I'd known specifically what the mechanism was behind the weight gain and high cholesterol (even in my slender twenties). Now my weight and blood numbers are fine WHEN I eat fairly low-carb, but boy is it difficult to change a lifetime habit. And sadly, good low-carb food is still hard to find when out and about. I've even suggested, very nicely and positively, to managers of some of our favorite restaurants that they might find even more customers if they simply offered some low-carb bread options along with the regular menu. Nobody has been interested so far--I mean, how hard can it be to stock low-carb tortillas (which have a long shelf life) to offer along with the regular ones so that low carb peeps can enjoy the full fajita experience?
RigelDog at March 1, 2019 7:36 AM
You prescribe malice to what is actually bureaucratic inertia Crid. Prior to 1940 the calories per acre producible was largely fixed. The only way to get more energy was to farm more land.
http://mathscinotes.com/2017/01/calorie-per-acre-improvements-in-staple-crops-over-time/
This meant that the biggest problem for most nations was starvation. Generating enough calories to keep everyone alive was quite difficult. While not that healthy starches are easy to store and far cheaper to produce than most alternatives.
Why did this change around 1940? World War 2. That cut off global supply lines. Both the Nazis and the Allies blockaded each other from nitrogen rich sources of bird shit, which was a critical component in explosives. This lead Germany to invent the Haber process which allowed production of synthetic ammonia at reasonable prices and industrial scale. Today that same process is used mainly to manufacture fertilizer and has lead to the so called green revolution. Starvation is no longer a concern in any well managed nation. Instead it is largely a result of intentional military action, not environmental happenstance.
Should governments be able to respond over an 80 year period? That would be nice but clearly isn't reality. It was only a few years ago we finally ended the tax to fund the Mexian-American War in 1848.
Ben at March 1, 2019 8:22 AM
My observations about diet is that with most people the perfect is the enemy of the good enough.
Low carb is best, not arguing with that, but you have to find a way to get there that does not make you feel like a failure when you eat something that is not on the list.
I try to avoid bread, potatos, rice and pasta except on an occasional basis, they only thing I avoid completely is canned and bottled drinks either with sugar or artificial sweeteners and caffeine. I stick to water, coffee, and tea. Only one caffeinated drink in the morning. Nothing after two in the afternoon. And I eat very little fruit because of allergies.
Blood sugar is normal, and going down. Same as my 35 year old daughter’s who is a very normal weight, and walks five to eight miles a day. She has big dogs, and they like to go for walks.
Isab at March 1, 2019 8:24 AM
The story is complex for me. I have always been fit and not overweight except briefly (2 yrs) and I dropped it quickly (even that was only 15lbs). My BP and blood sugar have always been perfect BUT my cholesterol is high. I tried a diet for that (no meat except salmon and chicken breast, whole wheat bread and pasta, lots of veggies) and my total cholesterol went UP from 218 to 250. So statins it is.
If you only gain 1lb/yr or 1/365 of a lb per day, by age 50 you will be 30 lbs overweight. I blame cars and sedentary jobs that I think throw off our internal regulatory mechanisms.
cc at March 1, 2019 8:54 AM
Ben...interesting data, but actually, the Haber-Bosch process was invented during WWI, not WWII. The nitrates from bird guano had been essential not only for fertilizer, but also for manufacturing of explosives.
David Foster at March 1, 2019 9:07 AM
Blame the government Food Pyramid (yuck). Know-it-all, nannying, ninny government getting in the way of good health.
mpetrie98 at March 1, 2019 9:12 AM
You are right David. It was WW1 not 2 for the invention. And it was after the end of WW1 that it started entering civilian use for fertilizer production. It was after the end of WW2 that it's use really took over leading to the sharp increase in corn and potato crop yields.
Honestly high nitrate bird guano wasn't significantly used for fertilizer. It was too rare and too high of a price. Instead farmers had to rely on animal urine, migratory bird poop, and nitrogen fixing crops. But as you can see from the chart they just can't compete with synthetic ammonia.
Ben at March 1, 2019 9:25 AM
> You prescribe malice to what is
> actually bureaucratic inertia
☛ THEY ARE THE SAME THING. ☚
In my new, inconsistent pursuit of Haidt-ian comety, much accusatory vulgarity has been excised from this comment.
OF COURSE they're the same thing.
Crid at March 1, 2019 9:54 AM
Comity. Sorry. Reclining with a laptop, you take any vowel you can reach.
Reoch.
Crid at March 1, 2019 9:55 AM
I affirm the righteousness and correctitude of this here tweet, if not the particulars of its source themes.
For reasons.
Crid at March 1, 2019 12:01 PM
Wrong thread again.
What's happening to me? Is this Alzheimer's? Have you seen my keys? I love Tuesday afternoons! Angie Aklin is great L.A. blogger! We all love a blonde!
Crid at March 1, 2019 12:12 PM
"this here tweet"
I think we need to recognize that intending to be a doctor is just as self-authentic as being a doctor.
Besides, disorders like sexlexia are suffered by even the famousest of starship captains.
Gog_Magog_Carpet_Reclaimers at March 1, 2019 2:50 PM
> suffered by even the famousest
A tweet for every occasion.
Crid at March 1, 2019 6:26 PM
Errg… I said, A TWEET FOR EVERY OCCASION.
Okay, there.
Ever been to Nashville? (Indiana???)
A night in the Quality Inn is like a million dollars in your Christmas stocking!
These people have an ice machine that will knock you one your ass! Oh, how you envy me in this moment.
Crid at March 1, 2019 8:08 PM
Y'all need to go to a Golden Corral and see what people pick.
"Leave room for dessert." Oh, yeah, that's a Federal program did that (no).
Or just read the McDonald's sign. They sold and sell more billions because IT IS FUN TO EAT THERE. It's SO much fun that SJWs clamoring for dietary information from the fastfooderies didn't even notice that Ronald had already published it and put it on the wall.
Radwaste at March 2, 2019 4:14 AM
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