The Diabetes Code by Dr Jason Fung

[Ljc]

With all those variables, how can one solution suit everyone?

It doesn’t. Many of us suffer years of being a square peg being shoved into a round hole . That’s why forums like this one are so helpful, their are many experienced eyes reading posts, we each offer advise according to our own experiences/ knowledge.

 

[Deleted member 21371]

It doesn’t. Many of us suffer years of being a square peg being shoved into a round hole . That’s why forums like this one are so helpful, their are many experienced eyes reading posts, we each offer advise according to our own experiences/ knowledge.

I must admit, I think the same.

 

[Eddy Edson]

https://www.newsweek.com/type-2-diabetes-treatment-intermittent-fasting-reverses-disease-1159579

A three-person study ... issuing hype-y PR's on the basis of something like this doesn't give me a warm feeling.

Study author Dr. Jason Fung, of the Department of Medicine, Scarborough Hospital, Canada, told Newsweek: “This study show that a dietary intervention, therapeutic fasting, has the potential to completely reverse type 2 diabetes, even when somebody has suffered with the disease for 25 years. It changes everything about how we should treat the disease.”

 

[Deleted member 21371]

https://www.newsweek.com/type-2-diabetes-treatment-intermittent-fasting-reverses-disease-1159579

A three-person study ... issuing hype-y PR's on the basis of something like this doesn't give me a warm feeling.

Study author Dr. Jason Fung, of the Department of Medicine, Scarborough Hospital, Canada, told Newsweek: “This study show that a dietary intervention, therapeutic fasting, has the potential to completely reverse type 2 diabetes, even when somebody has suffered with the disease for 25 years. It changes everything about how we should treat the disease.”

No follow up, no mention of diet, and one of three was still on meds?
Not really his normal criteria for a success when the NHS prescibe drugs for diabetics.

And fasting is actually a low calorie diet, exactly as the Newcastle diet by Prof Taylor?

It seems a lot of re definitions apply here.

 

[conundrum]

As advised by another poster on here I've been reading up on the Newcastle Diet, and its a very low calorie regime of about 800 calories a day. Very effective, the results are impressive. Dr Fungs theories seem to be based on this, but he advocates time restricted feeding, not calorie counting.
So it's when you eat, not what you eat, that is the main thrust of his argument.
I'm a fan of Dr Fung, but I have to admit to being perturbed by this three person study. He refers to his results of this study in his book, but doesn't mantion the extremely low participant base. Disappointing.
However, I'm cracking on with Intermittent Fasting as it seems to be working for me, and I'm hopeful of keeping the weight off long term by following this diet.
But that study concerns me....

 

[Ralph-YK]

With all those variables, how can one solution suit everyone?

I've missed any suggestion of just one solution in this thread. I'm just discussing insulin in relation to diabetes, bg levels & wait gain. No suggestion of it being the one, only or best solution for T2.

 

[Pandora71]

Sadly, there seems to be no real proof of his idea.
It may come.
His diet may have some merit, and indeed low carb for life will certainly reduce hba1c, if you can stick with it.

But for balance, have a look at Professor Roy Taylor's solution.
It's free online, "Newcastle diet" a fairly similar concept.
With proven results for reversal

FYI Virta Health trials are good proof of the pudding! https://www.virtahealth.com/research Virta offered standard of care to US patients versus a low carb diet (both remotely and got better metabolic results all round at 1 and 3 years.
An RCT is the gold standard obviously but there are plenty of N of 1 experiments going on out there and I think these options could be more widely offered to Type 2 patients given that NICE guidelines suggest an individualised approach.
Some people prefer the simplicity of fasting, others might like the more drastic 800 kcals method (not really a similar concept IMO) and low carb is a very successful method for those looking for a permanent lifestyle solution without the need to count calories. It also works well for us type 1s! All of the above trump the current EatWell plate advice which I think is highly inappropriate for most type 2s (High Carb, Low Fat).

 

[ianf0ster]

FYI Virta Health trials are good proof of the pudding! https://www.virtahealth.com/research Virta offered standard of care to US patients versus a low carb diet (both remotely and got better metabolic results all round at 1 and 3 years.
An RCT is the gold standard obviously but there are plenty of N of 1 experiments going on out there and I think these options could be more widely offered to Type 2 patients given that NICE guidelines suggest an individualised approach.
Some people prefer the simplicity of fasting, others might like the more drastic 800 kcals method (not really a similar concept IMO) and low carb is a very successful method for those looking for a permanent lifestyle solution without the need to count calories. It also works well for us type 1s! All of the above trump the current EatWell plate advice which I think is highly inappropriate for most type 2s (High Carb, Low Fat).

I disagree with earlier posters who say that the Intermittent Fasting and longer-term Fasting approach of Dr Jason Fung is equivalent to that used by Prof Roy Taylor in the DIRECT study (= Newcastle diet). There is a difference in the way the body reacts to Fasting to calorie restriction. Calorie restriction tend to lead to lean mass (protein being used as 'fuel' and leads to the resting metabolic rate reducing- which is why crash diets fail for the majority of people. However a fast actually mimics Low Carb (or vice versa) so the insulin drops enough for the body to start using its own stored excess body fat as fuel.

I agree that the Virta Health trials are impressive, but I'm much more impressed with Dr David Unwin's results at his GP surgery in Southport. he is @lowcarbGP on Twitter.
Yes, I know he is associated with 'the other UK diabetes forum' but his figures are reported to the NHS. His Surgery not only had the lowest diabetic drugs cost per 1K patients in the UK, but also the highest Type 2 remission rate - 50% of those who tried his Low Carb advice had HbA1C down even out of pre-diabetic range and on no diabetes medication after 2yrs.

Personally I use both Low Carb High(er) Fat together with occasional Intermittent Fasting. Longer fasts wouldn't be suitable for me since I am a slim Type 2 - Thin Outside, Fat Inside = TOFI.

Dr Fung's patient at his Toronto clinic are nearly all Morbidly Obese, so they can fast for weeks at a time supplemented by micro nutrients.
They are also too poor to be able to afford a LCHF approach since vegies like Broccoli an leafy greens are very expensive there.
So Fasting is their best option.

 

[offspin]

Hi , This morning I watched a pod cast on YouTube given by Dr Berry.

I though certain areas could make sense but and always a but you need to be careful.

My brother !Ives in France and was in hospital for over a week and the doctors could not for sure decide what type of diabetic he was.( The food was excellent )

 

[Leadinglights]

Hi , This morning I watched a pod cast on YouTube given by Dr Berry.

I though certain areas could make sense but and always a but you need to be careful.

My brother !Ives in France and was in hospital for over a week and the doctors could not for sure decide what type of diabetic he was.( The food was excellent )

This is quite an old thread but I found the theory as explained in that book made lots of sense.

 

[Deleted member 21371]

Eat less,
lose weight.

Seems to be a running theme.
No one could disagree?