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Newcastle Diet - Lets Go!!!

That makes sense. I'm seeing the DS consultant next week and have a bank of questions that surround diet, other factors that drive T2 etc.

I may still fall within the diet category for some reason or another so it's good to have all the information I can - thank you for responding 🙂

Be interested to see what they say, worst case you could try the diet for 2 weeks and see if it reduces your fasting levels (they're supposed to return to normal or close to it by the end of week 2) and if nothing else you'd lose a few pounds.
 
Be interested to see what they say, worst case you could try the diet for 2 weeks and see if it reduces your fasting levels (they're supposed to return to normal or close to it by the end of week 2) and if nothing else you'd lose a few pounds.
That's why I went for my real food Newcastle diet. The GP said I MUST take metformin AT ONCE to get my levels down as they were off the scale. I did not want to take metformin and I wanted to see to if I could prove her wrong.
 
Be interested to see what they say, worst case you could try the diet for 2 weeks and see if it reduces your fasting levels (they're supposed to return to normal or close to it by the end of week 2) and if nothing else you'd lose a few pounds.
Well this whole topic has got me very interested and I am currently experimenting with a few things and so far the results have been surprising and encouraging.

I will post much fuller details once I am more confident of what I am seeing as so far I am even more confused than I was a few days ago but in a positive way 🙂
I did not want to take metformin and I wanted to see to if I could prove her wrong.
Mainly for medical reasons I have point blank refused metformin which has been supported so I get your stance here!
 
Weirdly the last few days I haven't felt hungry at all in the evening, thought about missing out the final shake and just having some veg but think if you're going down to 550/600 calories it's a bit dangerous for more than a day or 2. Switching it up tonight and having 1 sea bass fillet (150 cals) and some veg, nice to have something other than a shake.

I think your stomach shrinks quite a bit, I just had my dinner which would be 240 calories and I'm absolutely stuffed now. Feel like I've had a monster steak, chips and dessert.

Also been researching some non invasive blood glucose monitors, looks like there's lots of companies developing them but they're all still in early trails mostly with tens of people so I'd guess they're still 2-3 or more years away. Would be a huge win, don't enjoy testing, does hurt a little sometimes and my pen is on the lowest setting and I'm only doing it once a day. This one looks really promising - https://www.businesswire.com/news/h...s-Published-Clinical-Data-on-GWave-Technology. I imagine this will be a big money spinner especially if they can get it to take other body measurements using the same technology.
 
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@CurlyWurly
Have you seen these recent videos of Roy Taylor addressing GPs: this and this? I think they go a long way to answering your questions.

As I understand it, a summary is:
1. Lose sufficient weight [8-20+ kg] to put your diabetes into remission [ideally 'full' remission with HbA1c < 39/42 according American/UK standards]
2. Maintain your new low weight by eating 75% of what you used to eat [Roy Taylor's advice] or following a low calorie diet [David Unwin's diet and the others I mentioned as well as anecdotally numerous members of this forum]
3. If you achieve 2, you may well be able to avoid any recurrence of prediabetes or T2D year after year, but there are not yet any longitudinal lifetime studies to prove or disprove the point.

If you read all of Roy Taylor's papers you will find the one describing how the pancreas was observed to shrink just before the onset of T2D (ref not to hand).

Other than that I suggest you have a good look at the technical article you quoted:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8247294/

One of its conclusions, These data demonstrated that the profound pathophysiological changes underlying reversal of type 2 diabetes do not depend upon a continued hypocaloric state but rather are durable during normal eating.

The $64 question is what does normal eating mean for each of us. My own view is that a diet with plenty of pasta, potatoes and flapjacks is a high risk interpretation. Better to stick with low carb proteins and vegetables with occasional excursions into 'enemy territory' as Harbottle's posts in this and other threads describe.

I don't have a CGM but, if and when I do, I will use it to explore what foods to add to my menu. Meanwhile I plan to take advantage of Jonno Proudfoot's RMR Cookbook to improve my culinary repetoire.

Thank you for this, I hadn't seen the links but he doesn't really talk about pancreas re-generation. I feel this is the missing piece, people generally understand:
  • Lose weight to reduce your levels (usually to non diabetic levels for most people if they follow his diet)
  • Maintain a strict diet and weigh and monitor your levels regularly
Some people can do the 2nd bit fairly easily and stay on Keto or give up the right foods but I can't see much info on your point on what is normal eating but I guess this will vary for each person. I see some people can handle large amounts of pasta and rice without a spike and others can't. The safest way for most people is to keep it controlled but if you have the odd toast, takeaway, beer etc every so often then you should be fine. Hopefully that's what I'll be able to do longer term.

By the David Unwin diet do you mean this (https://phcuk.org/wp-content/uploads/A_5_page_low_carb_diet_leaflet_Unwin_2021-converted.pdf)? Sounds pretty sensible overall though he suggests to limit cheese which I love.
 
Thank you for this, I hadn't seen the links but he doesn't really talk about pancreas re-generation.
He mentions the pancreas just before talking about the Twin Cycle Hpothesis.

For more information here's a list of his department's papers. About a dozen have pancreas in the title, see the ones dated around 2019:

You could start with:
... and then follow its references to find more details/charts: e.g. https://pubmed.ncbi.nlm.nih.gov/30078554/ (load full text).
 
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Week 5 Update
  • Lost 1.8 lbs
  • Total weight lost is 19.7 lbs
  • BMI down to 22.8
  • Average fasting level - 5.1
Fairly standard week with not much going on, continuing to lose weight but at a much slower pace, from what I've read here this seems to be fairly normal that your body adjusts and the weight loss slows down. Still pretty constipated but now taking Fybogel everyday which is helping.

Last couple of days I've been feeling pretty full and only had 2 shakes plus the veg yet my fasting levels in the morning have been ticking up (average of 5.3 this week). Strangely yesterday it was 5.3, I did the school run which is about 4,500 steps and without having eaten anything I'd gone up to 6 whereas the same experiment the previous week saw me go down to 4.7. Not a major difference but slightly annoying at the same time, will have to read a little more on the dawn phenomenon and effects of stress/poor sleep as well as that could be having an impact. Been up at 4am with the kids the last 2 nights for example.

Been reading some keto cookbooks and also got some low carb pasta which I'll test out this week in place of a shake.
 
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