Posted on 08/18/2024 8:28:47 PM PDT by ConservativeMind
A behavioral intervention designed to support weight loss can yield remission of type 2 diabetes, according to a study.
Jonathan Valabhji, M.D. and colleagues assessed remission of type 2 diabetes among participants in the NHS Type 2 Diabetes Path to Remission program, a 12-month behavioral intervention to support weight loss, which included a three-month period of total diet replacement (composed of nutritionally formulated products such as soups, shakes, and bars and a total daily calorie intake of 800 to 900 kcal).
A total of 1,740 participants started total diet replacement before January 2022 and had 12 months to complete the program by the time of data extraction in December 2022; 55% completed the program and had weight recorded at 12 months.
The researchers found that the mean weight loss for the 1,710 participants who started the program before January 2022 and had no missing data was 8.3% or 9.4 kg, and the mean weight loss was 9.3% or 10.3 kg for the 945 participants who completed the program and had no missing data.
Overall, 27% of a subgroup of 710 participants who started the program before January 2022 and had two hemoglobin A1c (HbA1c) measurements recorded had remission, with mean weight loss of 13.4% or 14.8 kg. Among 450 participants who completed the program and had two HbA1c measurements recorded, 32% had remission, with mean weight loss of 14.4% or 15.9 kg.
"Remission is possible outside of research settings through at-scale delivery, although the rate of remission is less than those reported in randomized controlled trial settings," the authors write.
(Excerpt) Read more at medicalxpress.com ...
A diet of steak and green veggies works good and tastes better.
T2 isn’t a measurable symptom, it’s a condition
Cutting your carbs is the main way to do it. Those who are prone to diabetes inherited a physiology that is most efficient for cold weather countries. They burn carbs more efficiently than those don’t have a cold oriented physique.
If you’re gaining weight, first cut your carbs to control the weight gain.
800,000 to 900,000 calories? That is a lot of intake. I don't think I can eat that much in one day.
I'm sure that they meant to say 800 to 900 calories.
Type 2...yes. taxes a lot of careful, consistent work.
I thought they meant milkshakes... Gonna make my own....
Additionally, I went from 248 to 169 lbs., BP from 140/90 to 110/70, all other labs within normal range, and I'm walking 3-7 miles a day, and healthier now at 61 then I've been in the last 30 years.
Praise the Lord!
Cutting calories or carbs?
Nope.
What you are calling calories are actually kilocalories.
In nutrition, they just leave off the kilo part.
(I once fell for that too. I calculated how many flights of stairs I would have to run up to burn a pound’s worth of calories - it didn’t work)
That’s a miracle. I would love to go from 230 to 170 without pharmaceuticals.
Are you taking any diabetes medicines?
Exactly. How surprising, shocking even. that if I cut out sugars, eat healthy, reduce my calorie intake and weight I can put type 2 into remission? How extraordinary!!
Yes it does and drinking canary seed milk twice a day with meals will also cure type 2.
Bkmk
Both. But I concentrated on my sugar and carb intake mostly. I brought my calorie count down by just portioning my food and cutting out all junk. My carbs are between 20-40 for meals and 15 for snacks.
Cut out carbs and sugar, eat healthy, walk, walk, walk. That’s how I did it. I was amazed how much I lost in the first few months. And of course, a year later, how much weight I took off.
I also realize just how much I was in denial of just how overweight I was. At the time, looking in the mirror, I knew I was overweight, but didn’t think it was that bad. Now, looking back at pictures, WOW, I was fat!!
When first diagnosed, my doctor put me on Metformin. About 5 weeks later, I had my first appointment with an Endocrinologist. She prescribed Trulicity and wanted me to stop Metformin.
Up until this point, I hadn’t bought a glucose meter and didn’t know (and really didn’t want to know until I was well into my journey) what my numbers were. But the day I picked up my Trulicity I bought a meter and also had a contrast CT scan scheduled that day. After the CT scan, they told me to hold off for 3 days before taking diabetes meds. So, the day I was to start my new meds, I decided to take my blood glucose and found that it was well within normal limits (I think it was 92). I decided to wait on the Trulicity for a few days to see if it was the residual Metformin. After about 4 days and normal numbers, fasting and after meals, I called the Dr. and they told me to keep monitoring my numbers and if they remained that way, hold off on meds.
Long story short, I haven’t been on meds since the Metformin. :)
A couple years ago my glucose was high — 108 — so I did 6 months on very low carb. NO sugar (that I knew of).
I lost 25 pounds but glucose only went down to 104.
I went to regular eating for 6 months and re-tested. Gained 10 pounds, and glucose went DOWN to 102.
Makes no sense. Am trying to do low carb again, as I definitely felt better overall.
Blood sugar and Diabetes is a strange animal. I can test one day for a certain food and then another day for the same food with different results.
If you were checking your numbers in the morning, fasting, there is another thing that a lot of people have called dawn phenomenon:
“The dawn phenomenon, sometimes called the dawn effect, is an observed increase in blood sugar (glucose) levels that takes place in the early morning, often between 2 a.m. and 8 a.m. First described by Schmidt in 1981 as an increase of blood glucose or insulin demand occurring at dawn,[1] this naturally occurring phenomenon is frequently seen among the general population and is clinically relevant for patients with diabetes as it can affect their medical management.”
Portion control and careful plating management also makes a huge difference:
1. Fill half your plate with non-starchy vegetables
2. Fill one quarter of your plate with lean protein foods
3. Fill one quarter of your plate with carbohydrate foods
4. Choose water or a low-calorie drink
Did you ever have an a1c test done?
If not, I encourage you to do so. If you are prediabetic, now is the time to talk to get a dietician and get it under control. Once you get into diabetes range, there is no turning back, other than getting it into remission. Once a diabetic, always a diabetic.
I will keep you in my prayers. :)
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