My BMI was 25.1 when my report said my fasting glucose was 130 and I had the 51.96% chance of getting diabetes. I am now at 23.6%. I hope to be at 22 BMI or lower with an 86 cm waist for a 173 cm male. I hope that is enough to fully lower my fasting glucose numbers and trigs.
My BMI was around 25.5 when I finally went to a doc for the first time in decades & was diagnosed with out-of-control T2D which would have been festering for at least a couple of years. HbA1c was 10.3%, fasting glucose around 15 mmol/l.
The key question is whether it is reasonably safe to say that if one follows the Taylor prescription of eliminating excess fat from liver and pancras and maintaining that, then will there continue to be an active disease process that will eventually take us down the insulin road? The evidence does not support that. In DiRECT’s second year the cohort was no longer on the very low cal diet, they were just eating normally but more moderately and under the injunction to maintain weight. Some of them had lost their remission status by the year’s end. These people had not maintained their weight loss. This was not a failure of Taylor’s method or of his analysis. Some of the people just regained some weight. It is true that from a long term statistical viewpoint diabetes remission is a virtually complete failure in the general population. A year after diagnosis about 1 in 22 will be in remission, but five years on it will have dropped to fewer than 1 in 14000. This is why most HCPs know so little about it and attach so little credence to it. Almost all in remission will lose the plot for one reason or another. If you are a T2 then are you “doomed”? Not if you happen to be that 1 in the 14000. See to it.
I am indeed one of the "lucky" ones.. and have been for the past 7 years.
Ancel Keys "Minnesota starvation experiment" fed it's test subjects just under 1600 cals per day yet you don't consider half of that to be a "crash diet".
I'm not sure why you're arguing that the authors of counterweight are there to be making money from it. The Counterweight paper states:
I was talking about this "Counterweight" https://www.counterweight.org/pages/nhs
Taylor did find that the remission success rate was higher for those who lost the most weight, within a cohort all on the same diet. I don’t think there is much significance in observing that “remission” in the trivial sense of reducing A1c by low-carbing can precede weight loss, that just reflects that if less glucose-producing food goes down the gullet then there will likely be less glucose swilling around in the bloodstream. Non-diabetics would observe that too. I believe the more important thing is to clear visceral fat even after one’s A1c has fallen, in order to recover normal metabolism and become truly non-diabetic again. That is Taylor’s real aim. Now there is a valid question as to whether clearing visceral fat does require significant weight loss or can be accomplished by low-carbing in itself, and I think that is not so clear, and is at the heart of so much confusion in these discussions. By the way, you have said that you passed an oral glucose test with flying colours so I am interested that you adhere to a very low carb diet. Is that a gastronomic preference? I presume you could in principle now eat a high carb diet with no effect on your A1c? In any event you have done well.
So is it the case that you reduced the A1c by low-carbing? If so, given there has been such little weight variation, your species of T2 may have arisen from some pancreatic or other endocrine insufficiency not owed to visceral fat.
So far as I am aware a high carb diet was a major contributing factor to my becoming morbidly obese and developing T2 (along with many other health problems). Why oh why would I ever want to return to that state?
It is interesting that you say high carbs contributed to you becoming morbidly obese.
If high carbs was indeed the cause in your case then of course you wouldn’t want to repeat that. We all have our own views on how we got here. In my case it was nothing more than going very slightly overweight and being too sedentary, not carb related. My wife has eaten prodigious amounts of carbs for half a century, is in excellent health and has A1c of 32. So, no uniform answers in any of this.
But what do they usually eat? What's their carb intake?
Companies names you've screen shotted are: Slabbert, Gordon, Ross, Bell-higgs, Broshahan, Mongia, Dow, Donald
At the 1 year mark 47% (53%failure) of Taylors Intervention group were in remission on his definition. At 2 years 36% were in his definition of 'remission' (64%failures ). So it seems the benefits of the short sharp shock were washing out as the basics of the condition, chiefly insulin resistance, reasserted themselves. Taylor was saved by the pandemic ( or he hid behind it) and no reports on the 3 or 4 year stage were made. One suspects most of his guinea pigs were back on meds.
They eat cereal for breakfast, sandwiches for lunch, pasta, rice or potatoes with meat and veg for tea with cake, biscuits and fruit in between. They drink juice every day. A traditional diet.
Names number 4 and 16? I also stated quite clearly DiRECT study authors.
