“Try diets before taking diabetes pills”: Patients with type 2 disease should be able to reverse them by losing weight before they are given any medication, experts say
- Experts warn against stopping treating type 2 diabetes as unavoidable
- Panel examined scientific work on people overcoming type 2 through diet
- There is evidence that a low-calorie diet resulted in remission in 46 percent of people
- They say doctors must give an option to reverse through weight loss before being prescribed pills
Doctors need to give people with type 2 diabetes a chance to reverse it by losing weight before being prescribed pills, experts said.
A panel of obesity experts and nutritionists published a review of 90 scientific papers on people who have overcome type 2 diets.
They point to evidence from a low-calorie soup and shake diet, tested by the NHS, that resulted in remission in 46 percent of people.
They warn against stopping treating type 2, which is caused by obesity, as inevitable.
Dr. Duane Mellor, co-author of the review published in the Journal of Human Nutrition and Dietetics, said, “Lifestyle treatment is the best option and should be the first choice that people are offered.”
Doctors need to give people with type 2 diabetes a chance to reverse it by losing weight before being prescribed pills, experts said (stock photo).
Dr. Adrian Brown, lead author of the Scientific Review from University College London, said: “There is now a growing body of research showing that significant weight loss of 10 to 15 kg (1.6 to 2.4 stones) can be achieved either through weight loss surgery or dietary approaches are made. ” ‘Can bring about type 2 diabetes remission.’
Dr. David Unwin, a Southport, Merseyside general practitioner who also contributed to the review, said, “As a doctor, I haven’t seen a single case of drug-free remission in people with type 2 diabetes in 25 years now realizing it was my fault.
“I was prescribing medication way too quickly, but since I started on a low-carb diet, I’ve seen more than 100 patients go into remission.
“People just need to recognize that starchy foods like bread, grains and potatoes are digested in very large amounts of sugar and make the necessary changes.”
The review says that the typical weight loss of about 5 kg for most people is unlikely to achieve remission from type 2 diabetes.
The key is to try to get an effect similar to gastric bypass surgery – after which most people will no longer have type 2 diabetes.
These people achieve remission, often within 48 hours, because less food travels the traditional route through their digestive system, which can alter hormone signals so that their liver replenishes blood sugar less and their pancreas controls it better.
A drastic diet also reduces the amount of food in a person’s system so that their metabolism could be “reset” in the same way to defeat diabetes.
Meal replacement soups and shakes likely work so well because they help people lose 15 kg (two stones and five pounds) or more, according to the experts.
Diets seem to work best for men, under the age of 50, and people on small amounts of medication who have been diagnosed with type 2 diabetes in the past six years.
There’s not enough evidence to see how intermittent fasting, like the 5: 2 diet, works in remission from type 2 diabetes, but trending “keto” diets seem to be having an effect – although they no longer do than reducing carbohydrates in general.
The return to normal blood sugar levels for at least six months was defined as remission.
Type 2 diabetes can lead to complications such as heart disease, blindness, and amputation, and costs the NHS around £ 10 billion annually.
The review concludes that doctors should always talk to people about remission and that soups and shakes can be more attractive when they are free on the NHS.