Managing Type 2 Diabetes with Diet: Evidence from the Direct Trial | Roy Taylor | The Proof EP

[@BartBVanBockstaele]

This was an enjoyable and insightful interview with a brilliant, realistic and empathic scientist. Wholeheartedly recommended to anyone.

[@Capie]

I am 60 years old and did it twice .. 1. 20 years back (2004) I lost 57kg .. diabetes free 2. Did it now again .. lost 54kg .. again lost the diabetes And yes .. it is true .. losing the weight is easy .. BUT .. maintaining your weight is the difficult part!!

[@BartBVanBockstaele]

Congratulations with your weight loss! It definitely wasn't easy for me, and it has taken me decades to find a way of eating that made it possible, but now that I have I see no reasons why I would fall off the wagon as long as my situation does not change in a way that would make it impossible to continue this way.

[@ronhumphreys3762]

Yes great Keep in mind however I would caution not to try this approach again. Some, not mentioned in this video, find their pancreas so damaged it never does return to its functional state of ability. I would consider myself lucky if that be me.

[@BartBVanBockstaele]

@@ronhumphreys3762 That is the problem of diabetes. It is a serious disease. It does destroy the pancreas. That is not the consequence of this diet. Weight loss may not always be successful at restoring the pancreas, but until now, it is the only thing that has been able to do that.

[@ronhumphreys3762]

@@BartBVanBockstaele Yes the fat in the liver prevents the signaling and the fat in the pancreas affect the organs ability to produce insulin itself. Decades back they thought the pancreas would just wear out from over use which is not fact. A non completely functional glucose remediation system will cause the need for severe limitation of glucose spiking foods. But with a health person of not fat infiltration status, that is not a problem. Though caloric density of such foods may trend to overweight which then is the problem. Excepting those with very severe genetic tendency to diabetes, or prediabetics, in which glucose spiking also must be managed out, the spike is normal after meals. Muscle it is thought also may play a minor hand in this as skeletal muscle mass seems to temper the effects of glucose and serve as a store of glucose for utilization when under the stress of exercise. But with type two as Taylors results prove, it is invariably fat infiltration in liver and pancreas is the issue. How to remove that,and are the organs now damaged or not, is the concern as regards success. Weight must simply be kept off by whatever means possible to prevent fat accumulation in the internal organs.

[@BartBVanBockstaele]

@@ronhumphreys3762 In that case, it seems we are largely in agreement. I was put off by the comment not to try the diet again. I you had written"...again without medical supervision" I would have agreed. I would even say that for the first time. Losing weight is not a benign process unless it is only about a few kilos. More significant weight loss, even if it is intentional, may come with its own set of problems even if the benefits **tend** to outweigh the disadvantages. That said, one of the reasons I highly respect Roy Taylor is that he is not only empathic but combines that with truth telling. He tells patients what they need to hear, even if they don't like to hear it. And that is something the profession has largely stopped doing. probably in (large) part because they wanted to be liked by their patients, who otherwise have a tendency to run to the alternologists and the quacks. Unfortunately, reality does not vanish because we ignore it.

[@ad3781]

what brand of shakes can are best that you buy in grocery stores in the US?

[@lisaberry2064]

How do I do the trial on Feb 1st ?

[@chrissenior11]

I was diagnosed with Type 2 daibetes in 2017. After a few weeks following the then standard dietary advice and seeing no improvement I cut out all starchy foods and went low carb. I was only eating about 800 to 1000 calories per day. My fasting blood sugar immediately started to drop as did my weight. Within 3 months I'd lost 25kgs and my fasting blood sugars were in the normal range. I kept weight and blood sugars down until recently. The last half year or so I've gained about 6 to 7 kilos and blood sugar has edged up a bit to border on prediabetic so it's time to lose a few kilos again. I was 60 when I was first diagnosed.

[@Ansonidak]

I suggest that the low calorie intake leading to weight loss was the real determining factor rather than the low carbs. I reversed my diabetes and obesity while eating a fairly carb heavy diet with lots of fiber Big piles of veggies

[@chrissenior11]

@@Ansonidak Not in my case I'm afraid -although it depends what you mean by a "fairly carb heavy diet" as you mention your diet contained lots of fibre which suggests you weren't eating the worst sorts of starchy foods. Even today, 7 years later I am still sensitive to a starchy food intake - I need to limit the amount and type of such foods I eat to stay below 5.5 mmol/l.

[@Ansonidak]

Diet + exercise = weight loss = diabetes in remission. Knowing what to do is the easy part though. Actually doing it - that's the hard part.

[@nanrod3201]

I do the intermittent fasting but for me a little too late. Diabetic for 19 years.

[@kathygodfrey3158]

It will still be helpful to lower the insulin by reducing high glucose carbs. Best of luck

[@brendajohima]

Except - I think you need to add disclaimers - possibly you are speaking about Type 2? For example I was walking 5-10 kilometres per day, AND lost 60 pounds - and did all the major lifestyle changes you suggest - primarily a plant-based diet, cut out sugar and all sneaky sugar substitutes - ANd I’m still a diabetic- on insulin. Latent Autoimmune Diabetes in Adults likely isn’t gonna to go into remission-I’m proof with having lost 60 pounds AND kept it off for many years.

[@ronhumphreys3762]

Roy Taylor is completely clear about that in other things he has stated and written. Yes this is a type two discussion. I think this did not present here as it is just a clip and then part of what he says. At times the pancreas can become to damaged to function by various cause, only one of which is fat infiltration. Even with fat infiltration of the pancreas and liver as sole cause, with time it may progress to far for remediation. And at times a prior viral infection may produce a untoward attack on internal organs. This is quite common with the heart. Then the issue becomes to prevent it worsening... But yes I had a friend who was hit by a car as a pedestrian. Instant diabetes was the result which had not a thing to do with any of this.

[@gabymalembe]

I wonder if lowering glucose spikes without weight loss will prevent diabetes.

[@ronhumphreys3762]

No The spikes are done away with as a necessity in management of diabetes as a consequence of not having enough of a insulin response to handle the glucose conversion process. The cause of diabetes type two are a fatty infiltrated pancreas and liver, which impairs the production of insulin and the stimulus to produce insulin. Glucose spikes are a normal thing, everyone has them after eating. Exercise of a intense kind also produces a glucose spike. They are normal and only important when one has diabetes are prediabetic or has a very strong tendency by their genes to diabetes. Then it is as a consequence of disease management to survey and prevent them as much as possible. Eating junk which spikes glucose does tend to make us fat so in that they are related. A healthy person they are not the cause of diabetes nor witl they prevent nor cure diabetes. This is a common you tube misrepresentation to my opinion in the interest of selling glucose monitoring devices. Fat loss cures diabetes. Some however he did not mention in this clip are to far gone and their pancreas does not return to its functional state Fat in the liver and pancreas is interstitial fat and not obvious to the eye, it presents mainly by waist size. Some quite skinny looking may by fat tendency have it.Like big hips or big chests fat where it ends up has variance individually.

[@sandrasiewbaran9230]

33.069 pounds = 15 kg

[@sandrasiewbaran9230]

33.069 pounds = 15 kg

[@sandrasiewbaran9230]

Drink ginger water without sugar, green tea without sugar, little coffee without sugar, diluted apple cider without sugar when you are hungry...

[@sandrasiewbaran9230]

I do intermittent fasting,it helps with weight loss and diabetes

[@mykalhildebrand5727]

Woohoo 🎉

[@HakuCell]

if you look at how many carbs are in those shakes you will find out it's actually a ketogenic diet, that's why the hunger goes away after a day or two.

[@ronhumphreys3762]

The cure is in losing the weight not absolutely how to do that. Yes having more protein comparatively, he states does aid in feeling satisfied after eating. But no it is not a keto diet, no one does keto by living on shakes. Ketosis is a byproduct of diabetes uncontrolled. It produces a acidic state that results of a inability to process carbs into glucose. Fat is used instead mostly as well as some protein. After the initial weight loss the diet he espouses is similiar to keto in many respects. A pure ketosis producing situation can only be tolerated for a limited amount of time, and has detrimental effects of a longer term. Which is why people suffering diabetes uncontrolled go into ketogenic introduced shock state..That if their diabetes is so out of control they can no longer process glucose at all. Most early on at least do maintain some ability to process carbs into glucose. So in a keto diet you have some carbs though simple ones are totally avoided and protein is emphasized. The claim is being made by some, keto cures diabetes which is simply not true. The cure in type two is in losing the 15kgs not in how to do it. Though yes keto due to the protein is easier to stay on. Hunger goes away when fasting after a day or so, which any who have done that will attest. So his initial shake diet seems to be replicating that.

[@ronhumphreys3762]

medline reference "Diabetic ketoacidosis Diabetic ketoacidosis (DKA) is a life-threatening problem that affects people with diabetes. It occurs when the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel called ketones, which causes the blood to become acidic. Causes DKA happens when the signal from insulin in the body is so low that: Blood sugar (glucose) can't go into cells to be used as a fuel source. The liver makes a large amount of glucose. Fat is broken down too rapidly for the body to process. The fat is broken down by the liver into a fuel called ketones. Ketones are normally produced by the liver when the body breaks down fat after it has been a long time since your last meal. These ketones are normally used by the muscles and the heart. When ketones are produced too quickly and build up in the blood, they can be toxic by making the blood acidic. This condition is known as ketoacidosis.

[@trotskyite1]

​@@ronhumphreys3762they didn't state the cure is in the ketosis they just said you'd be in ketosis on 700kcal/ day which is likely true. You can lose on 2500kcal if you want to but you'll not be in ketosis and depending on your size you may be hungry for years which is not as easy for many as just 8 weeks or fewer.

[@trotskyite1]

​@@ronhumphreys3762ketoacidosis is nothing to do with ketosis in real terms

[@wishingb5859]

Hunger goes away on whole food plant based very low fat, too.