All sensible Type 1 diabetics count carbohydrates Yet many would claim this isn't good for Type 2 diabetics - why is this?
1. They claim it upsets Type 2's and causes poor mental health.
2. They say that 'eating less and moving more' is enough.
3. They agree with the NHS, GPs (and( apparently Diabetes,org.uk) that Blood Glucose meters are not required for Type 2's unless they deteriorate such as to have to use strong (potential hypo causing) medication. At which juncture it's apparently then OK for a Type 2 to test their Blood Glucose so they can (at last) tell what makes it go too high as well as when the medication is overpowering the carbs and driving it too low.
Some serious consequences of uncontrolled Type 2 diabetes include retinopathy, neuropathy and wounds not healing - the same as those for hyperglycemia in Type 1 diabetes, so why are Type 2's discriminated against? Possibly because around 90% of us are either obese or overweight, so it is thought to be self-inflicted.
But this means that 10% of Type 2 diabetics are apparently normal, healthy, slim even.
What are the the possible means of Type 2 remission?
1. Bariatric Surgery.
2. Medication.
3. Lifestyle/way of eating/weight loss.
4. Or some combination of the above.
What are the rates of longer term remission from these methods.
(Figures are all approximate but are taken from records of Bariatric surgeons, GPs and diabetes researchers).
1.Bariatric Surgery: 50% at best. Dr Robert Cywes (a bariatric surgeon) says that surgery gives the patient a 12 month to 18month window in which to learn to eat appropriately. Hence the surprisingly low success rate.
2. Medication : approx 0% . Dr David Unwin (a GP) says he was so disappointed at his lack of success in treating diabetes he was about to leave the medical profession. He had treated Type 2 patients for over 20yrs, seen their numbers more than quadruple, seen their medication increase over time and yet had never had a single case achieve remission! Then a patient he didn't recognise came in and called him a terrible doctor. He didn't recognise her because she had 'cured' herself. No longer obese, no longer hypertensive, no longer hyperglycemic. Her Blood Glucose was now normal despite stopping taking all her medications for those conditions.
3. Lifestyle/way of eating/weight loss: Remission rates vary since different approaches suit different people, but up to around 50%.
A). Moderation: - Eat less and move more. These are not starvation diets, yet for long term weight loss they only have a success rate of around 10%. Remission is perhaps a little higher than just for weight loss since their is a greater incentive. But since people continue to fail at weight loss so let's say 20% at best.
B). Weight loss diet: Success for these varies considerably but the 2 main problems with them are that they put your body into starvation mode and that you can only stay on them for a limited time before you start to suffer from deficiencies. So you might expect a success rate of around the same as for WW or SW .Having said that, the Newcastle diet (a shakes based 800 calorie per day diet) supported by diabetes.org.uk has a remission rate of around 40% measured after 2yrs.
C). Way of Eating: Three well known facts about Carbohydrates I). They are not an essential macronutrient unlike Proteins and Fats. II). They turn into glucose very quickly when eaten III). Farmers feed livestock a carbohydrate rich feed in order to fatten them up.
Yet many people including doctors feel it isn't worthwhile for Type 2 diabetics to measure their own individual body's tolerance to carbohydrates in order be able to limit the carbohydrates they eat.
Limiting carbs has been shown in studies both by Virta and in Dr David Unwin's patients to have a remission rate of around 50% or more. So why aren't Type 2's at least advised about using Blood Glucose meters to aid in reducing carbs when it has such a good remission rate - even if the NHS prefers to waste money on medication instead? Instead Low Carb (which doesn't restrict calories or nutrients is treated as a 'fad'diet' not even on a par with WW or SW etc.
1. They claim it upsets Type 2's and causes poor mental health.
2. They say that 'eating less and moving more' is enough.
3. They agree with the NHS, GPs (and( apparently Diabetes,org.uk) that Blood Glucose meters are not required for Type 2's unless they deteriorate such as to have to use strong (potential hypo causing) medication. At which juncture it's apparently then OK for a Type 2 to test their Blood Glucose so they can (at last) tell what makes it go too high as well as when the medication is overpowering the carbs and driving it too low.
Some serious consequences of uncontrolled Type 2 diabetes include retinopathy, neuropathy and wounds not healing - the same as those for hyperglycemia in Type 1 diabetes, so why are Type 2's discriminated against? Possibly because around 90% of us are either obese or overweight, so it is thought to be self-inflicted.
But this means that 10% of Type 2 diabetics are apparently normal, healthy, slim even.
What are the the possible means of Type 2 remission?
1. Bariatric Surgery.
2. Medication.
3. Lifestyle/way of eating/weight loss.
4. Or some combination of the above.
What are the rates of longer term remission from these methods.
(Figures are all approximate but are taken from records of Bariatric surgeons, GPs and diabetes researchers).
1.Bariatric Surgery: 50% at best. Dr Robert Cywes (a bariatric surgeon) says that surgery gives the patient a 12 month to 18month window in which to learn to eat appropriately. Hence the surprisingly low success rate.
2. Medication : approx 0% . Dr David Unwin (a GP) says he was so disappointed at his lack of success in treating diabetes he was about to leave the medical profession. He had treated Type 2 patients for over 20yrs, seen their numbers more than quadruple, seen their medication increase over time and yet had never had a single case achieve remission! Then a patient he didn't recognise came in and called him a terrible doctor. He didn't recognise her because she had 'cured' herself. No longer obese, no longer hypertensive, no longer hyperglycemic. Her Blood Glucose was now normal despite stopping taking all her medications for those conditions.
3. Lifestyle/way of eating/weight loss: Remission rates vary since different approaches suit different people, but up to around 50%.
A). Moderation: - Eat less and move more. These are not starvation diets, yet for long term weight loss they only have a success rate of around 10%. Remission is perhaps a little higher than just for weight loss since their is a greater incentive. But since people continue to fail at weight loss so let's say 20% at best.
B). Weight loss diet: Success for these varies considerably but the 2 main problems with them are that they put your body into starvation mode and that you can only stay on them for a limited time before you start to suffer from deficiencies. So you might expect a success rate of around the same as for WW or SW .Having said that, the Newcastle diet (a shakes based 800 calorie per day diet) supported by diabetes.org.uk has a remission rate of around 40% measured after 2yrs.
C). Way of Eating: Three well known facts about Carbohydrates I). They are not an essential macronutrient unlike Proteins and Fats. II). They turn into glucose very quickly when eaten III). Farmers feed livestock a carbohydrate rich feed in order to fatten them up.
Yet many people including doctors feel it isn't worthwhile for Type 2 diabetics to measure their own individual body's tolerance to carbohydrates in order be able to limit the carbohydrates they eat.
Limiting carbs has been shown in studies both by Virta and in Dr David Unwin's patients to have a remission rate of around 50% or more. So why aren't Type 2's at least advised about using Blood Glucose meters to aid in reducing carbs when it has such a good remission rate - even if the NHS prefers to waste money on medication instead? Instead Low Carb (which doesn't restrict calories or nutrients is treated as a 'fad'diet' not even on a par with WW or SW etc.
