Panel Discussion - How type 2 diabetes remission can transform healthcare

[@marilynroper5739]

Congratulations Dr Unwin!! Recognition so well deserved!!

[@akhusal]

David Unwin is a superstar, he should be the next labour party health minister. Shocking the all the years and expense of a medical degree and he learns his best diabetes treatment accidentally from a patient.

[@ronachadwick7908]

Thnk goodness he had the humility to listen and learn.

[@johnallen7367]

Why labour party? Is diabetes political now too? The actual cure for t2 diabetes, and indeed the bulk of metabolic disease, is to completely eliminate sugar and carbs. Zero. Works virtually every time, in short order. Requires a modicum of discipline, but shows diabetes to be a choice, not a life sentence.

[@oldbiker9739]

Finaly a real diabetics panel discussion, and they are thin and healthy ,proof is in the pudding .

[@jobrown8146]

Great discussion. Thank you very much. This month I am celebrating 2 years of low carb. My diabetes was remitted in 3 months and the weight loss happened without me even trying, losing 22.5% of my starting weight.

[@neilmoody-jones9768]

Love the idea of paying GP’s £1000 for every case of remission! It will pay itself back in spades.

[@ketolomics]

Love Roy Taylor but his emphasis on "weight loss" seems to miss the opportunity of low carb: eat to satiety... just replace the sugary carbs. When a person who has dieted many times before goes low carb, they discover the empowering experiences of not feeling hungry while regaining health in a sustainable way.

[@Ge1Ri4]

​@@alaindelon5398 and the way to achieve it is low carb.

[@georgegoodenough823]

We owe a lot to Roy Taylor. He is the Godfather of T2D remission by low-cal. 800 a day. Low-carb is the natural progression from low-cal. Dr. David has picked up the flag and taken us to the next stage of T2D remission with low-carb.

[@prunelle19]

​@@georgegoodenough823I don't agree with you, in the 19th century diabetes was treated with what would be considered today a "ketogenic" diet, I do have a old cookbook from 1880 that describe it. It's not new but has been ignored, unfortunatly.

[@Alec_Collins78]

You can have T2DM with a "healthy" weight.

[@ketolomics]

@@Alec_Collins78 exactly. Normal weight overall but fatty pancreas and fatty liver. For a person in this situation, an 800 Cal diet is hardly sensible. Why encourage them to cut out everything when they could just cut the carbs - and never feel hungry doing it?

[@ArifAli-hg1eq]

Very informative and helpful. Thanks to the whole team. I'm watching from Virginia, USA.

[@jodydavison33]

I am also watching from the states, South Carolina

[@jameshunt7884]

Top effort guys and ladies involved for helping people from new Zealand

[@janetlesleypowers9529]

Great discussion! I'm a Life Coach, having studied human behaviour and emotional well-being over the last 20 years. Tendencies to over-eat, including massive obesity at one end of the spectrum, mostly result from emotional eating. This must also be considered as the source of over-eating and obesity, and it must be dealt with. ACES will inevitably affect long-term maintenance of adult weight loss, if patients actually have the will power to enter a weight-loss program and begin. Those working with the effects of ACES - Adverse Childhood Experiences - will know that emotional issues from childhood can remain an emotional battleground in adults who cannot lose weight, or cannot maintain their ideal healthy weight

[@johnandretaule185]

Here is my experience from two years ago. Unexpected db2 values on blood test, half day in hospital doing tests (i was feeling fine). Metformin prescription, but I was given option to eat healthy, oatmeal was supposed to be good. Also given finger blood test thingy. Same night oatmeal spiked me to record, and I was low carb after that. Blood values in 3 months was "normal" with just low carb. Back to hospital for followup I was expecting some sort of actuall followup. Would think reversing blood value with food would be worth noting? Nope, was told to continue 4 checkups a year by MD. No interest in insuline levels or what I had done. Lots of worry about the bad ldl. 2 years down the road I am still insulin resistant, but with a1c that would not be considered prediabetic. Fell back a bit on habits but a cgm keep me from pushing too far into comfort eating. Every diabetic should have one of those cgm devices. It keeps us honest and informed.

[@jodydavison33]

Post Prandial hypoglycemia or reactive hypoglycemia folks also would benefit from a continuous glucose monitor.

[@warthog733]

@@jodydavison33 If you eat low carb and are fat adapted, hypoglycemia is simply irrelevant. I was considered prediabetic and I was also a "reactive hypoglycemic" per a real glucose tolerance test. I browbeat my doctor into a prescription for a CGM and started an "almost carnivore" diet. The CGM showed my BG dropping below 70 on occasion...but I had ZERO symptoms of hypoglycemia. The body simply says...."gee...no glucose around...I'll just burn some of all this fat". As a result, I lost 60 pounds, am no longer prediabetic, and feel great.

[@jodydavison33]

Yes, I can see that for sure. My endocrinologist said that from his experience using a glucose tolerance test with patients, it put them through hell, for one thing, and furthermore, there was not a "magic" number that people would experience symptoms when they dropped below that number. Tolerance and symptoms vary from one person to another. So he stopped using a GTT altogether and when he had patients, he simply questioned them carefully to make a diagnosis and recommendations. Eating low carb has been the best thing I've ever done. It took about two weeks for the initial cravings to subside, then another month or so for energy, mood and sleep to improve on the low carb diet for it to become a lifestyle I want to continue, and have continued 16 years now. I was under weight when I began the low carb diet, so I had to eat some simple grains and low carb fruit to bring my weight up. Now, however, my weight is fine so I have to be careful to limit grains and fruit to stay in a fat burning mode. I'm so glad you are doing well! @@warthog733

[@peterbedford2610]

Ive had an a1c of 5.8 for a year. BMI of 21 and very athletic for 20 years. I think Dr Taylor has a point about "fat" being an individual assessment..

[@sallyansley3952]

Cut carbs……actually no carbs, use only real food.

[@tspicks4360]

Prof. Taylor sums it up with his opening statement starting at 1:26 - "We've grown bigger. And it's now regarded as normal. ... Looking at people with normal BMI and type 2 diabetes, of COURSE if they lose weight they will lose their diabetes. It's the same disease. There are some crashing simplicities here ... [if your organs] are clogged up with fat, they're not going to work well." Mic drop.

[@MsMsmak]

Yes, remission would definitely transform healthcare, but MED Inc as well as Food Inc. is not going to allow it. There's too much money in processed food production and the consequence that there's now a huge demand for healthcare now. Profits over people.

[@felipearbustopotd]

07:10 embrace the hunger. I do. 13:00 The assumption is one was ever slim at 20. 😂 16:40 WTF, first do NO harm, stop monetizing health, greedy Dr.... £1000 per patient. ****. ***. The individual needs to take responsibility for their own health. Health should be the incentive NOT money. 29:30 Nothing to do with the food environment especially in most towns / cities here in the UK..., it's the individual MINDSET. I am plagued every time I shop with FOOD LIKE SUBSTANCES, made by those in white coats in a factory that would resemble a chemical factory rather than a farm. Take care of own health, for when it's compromised so are YOU. Thank you for uploading and sharing.

[@prunelle19]

Why embrace hunger when you don't have to go hungry? A very low carb diet suppress hunger, making it easy to loose weight, better than an 800 calories diet!

[@petercyr3508]

Have this panel brief US insurance company executives and convince them to take their lobbying and legal resources and go to war with big food, big pharma and conventional nutrition "professionals".

[@paulnickelles207]

You need to change life styl full stop frona t2

[@johnallen7367]

There are an enormous percentage of diabetic people who are skinny, and/or vegan. My son in law is 36, skinny , pre diabetic. Weight gain is correlation, not causation.

[@seesharp81321]

I think weight gain is symptom, we mean the same thing. If weight gain only shows on a scale it's all atopic and visceral fat, the most dangerous kinds of fat. Not having enough lean body mass and bone (typical to a lot of vegans) may mask how fat they actually are. My personal experience It's clearly the chronic high insulin. When I crossed over from healthy to pre-diabetic I gained a lot of weight. Crossing over from pre-diabetic to diabetic I lost about 20-25 kg and then I got diagnosed with T2D put on insulin and put the weight back on in no time. Sugar overload induces insulin overload induces energy overload in the cells induces mitochondrial disfunction which leads to a lot of diseases. Cheers

[@johnallen7367]

@@seesharp81321 hello, thanks for responding. My story is; i was 63, 120kg, on heart meds, bloated, sick, fat. 5mths ago I went full carnivore diet. Im now 30kg lighter. Arthritis gone, ibs gone, gastric reflux gone, joint pain gone, prostate issues gone, depression gone, anxiety gone, sleep apnoea gone, mental health is excellent, sleep like a baby. Every chronic illness I had, has been reversed. My prediabetes is gone, my inflammation is gone, including gum disease. I have kicked all my meds and I am thriving. Only eating once a day, usually a fatty steak and maybe an egg. I dont know what to say. Cold turkey zero sugar, zero carbs, zero plants. I exercise hard and my recovery time after exertion is phenomenal. I never tire, never feel hungry. Its crazy, counter-intuitive and opposite of conventional wisdom. However, conventional wisdom has made western countries fat, sick and dependent on medical profession. Our metabolic health is appalling. I also have discovered some astonishing truths regarding cholesterol, if you would like to engage. John.

[@johnallen7367]

@@seesharp81321 where are you located?

[@beginner1991]

Sadly no word on seed oils or PUFA at all and too much focus on weight without a recipe how to loose it. Weight isn't the issue, visceral fat is. Yes most obese (but not all!) will have visceral fat but also skinny people can have it. When losing weight, visceral fat tends to be the first to go, therefore a relatively quick loss of 5-10kg can be enough to fix a lot of metabolic issues, over time. Also no mentioning of Kempner diet or newest research around the role of BCAAs. Paradoxically a very high carb, very low fat (less than 10% of calories, essentially just rice or potatoes) and low protein diet, seem to be the best way to resolve insulin resistance. Simple rationalizations don't work in a complex system as our body. removing carbs (glucose) will remove blood glucose spikes but not solve the underlying problem. Cells get insulin resistant because they can't properly burn glucose anymore likley because the mitochondrial membrane is dysfunctional probably also due to too much PUFA in the phospholipids. The cell then turns to beta oxidation of fats which itself also induces insulin resistance. Again it's fats that induce insulin resistance not glucose! Therefore the fat must be removed from the diet in an extreme way and PUFA should be completely avoided. Once the mitochondria heal and there is very little fat, the cells are forced to burn glucose which removes the insulin resistance, the cell now wants glucose = insulin sensitive. Low protein especially BCAA matters because they can block the healing. And to be clear saturated fat, protein and with that BCAAs are completely healthy in a healthy individual. they don't make you sick but must be temporarily limited to "unstick the engine". Low carb / keto is a permanent crutch. it does not fix the underlying problem, you just mask it, so it seems to work but carbs are off the table for the rest of the life while actually healing the issue will make a person be able to include all macros again, only rule is no omega-6 PUFA like seed oils (or nuts).

[@oldbiker9739]

root cause CARBS .

[@UMS9695]

Low Carb, Medium Fat, High Protein.

[@floridamontanaman1028]

My life changed with No Carb, Medium Protein, High Fat

[@oldbiker9739]

life time , life style , low carb style

[@Alec_Collins78]

This is really disjointed. Better luck next year.

[@maryannehill8821]

LOW CARB IS A LIFE STYLE - we need to embrace 🫶👍🙏