Good news: type 2 diabetes is generally reversible

By | December 1, 2016

A new study from Newcastle University has shown that people who reverse their diabetes and then keep their weight down remain free of diabetes. …

A growing body of evidence is showing that people with Type 2 diabetes who successfully lose weight can reverse their condition because fat is removed from their pancreas, returning insulin production to normal.

A previous study led by Professor Taylor showed that diabetes could be reversed by a very low calorie diet.

This caused international interest, but the study was very short as it was only eight weeks and the question remained whether the diabetes would stay away.

In this new study, 30 volunteers with Type 2 diabetes embarked on the same diet of 600 to 700 calories a day.

Participants lost on average 14 kilograms — just over 2 stone. Over the next 6 months they did not regain any weight.

The group included many people with longer duration diabetes, defined as more than 8 years and ranging up to 23 years.

Overall, 12 patients who had had diabetes for less than 10 years reversed their condition. 6 months later they remained diabetes free. In fact, after 6 months a thirteenth patient had reversed their diabetes.

Though the volunteers lost weight they remained overweight or obese but they had lost enough weight to remove the fat out of the pancreas and allow normal insulin production.

Professor Roy Taylor said: “What we have shown is that it is possible to reverse your diabetes, even if you have had the condition for a long time, up to around 10 years.”

“If you have had the diagnosis for longer than that, then don’t give up hope — major improvement in blood sugar control is possible.”

“The study also answered the question that people often ask me — if I lose the weight and keep the weight off, will I stay free of diabetes? The simple answer is yes!”

“Interestingly, even though all our volunteers remained obese or overweight, the fat did not drift back to clog up the pancreas.”

“This supports our theory of a Personal Fat Threshold. If a person gains more weight than they personally can tolerate, then diabetes is triggered, but if they then lose that amount of weight then they go back to normal.

“Individuals vary in how much weight they can carry without it seeming to affect their metabolism — don’t forget that 70% of severely obese people do not have diabetes.

“The bottom line is that if a person really wants to get rid of their Type 2 diabetes, they can lose weight, keep it off and return to normal.

“This is good news for people who are very motivated to get rid of their diabetes. But it is too early to regard this as suitable for everyone. That is a separate question and a major study is underway to answer this.”

Participants in this study had Type 2 diabetes for between six months and 23 years. The team showed that Type 2 diabetes could be reversed even in people who had the condition for 10 years.

The team were able to identify in advance participants who would not respond to adequate weight loss by reversing their diabetes as at the start they had almost absent insulin production from the pancreas. … A larger trial involving 280 patients is already underway. …

The diet

* 3 diet shakes per day and 240 grams of non-starchy vegetables taking in between 600 and 700kcal a day for 8 weeks

* volunteers then gradually returned to eating normal food over the next two weeks with very careful instruction on how much to eat

* volunteers were seen once a month and supported with an individualized weight maintenance programme over the next 6 months

* to keep weight steady after the weight loss, they were eating around one third less than before the study

CASE STUDY:

Allan Tutty, 57, from Sunderland, transformed his health by taking part in the study.

He said: “I was diagnosed with Type 2 diabetes around May 2011 during routine checks by my GP but my family and I were in disbelief because I had no physical symptoms which led me to consider I had the condition.

“While I didn’t feel fat, I was fat — on the inside. I’ve since seen a scan of my liver and you can see the fat around it.

“I took part in the research spending eight weeks on an 800-calorie a day diet which was really tough over Christmas and New Year but I was determined to complete it. The pay-off for me — the possible reversal of my diabetes — was more than worth the effort.

“In the two months, I lost two and a half stones and my pancreas was working within normal limits. With my diabetes in remission, I haven’t looked back.

“I eat normal foods though I eat less than I used to, and I enjoy takeaways and chocolate but not on a regular basis so I have maintained my lower weight, it has been a total lifestyle change. In fact, my life has changed completely thanks to this research.”

Citation: Steven S, et al. (2016). Very low calorie diet and 6 months of weight stability in Type 2 diabetes: Pathophysiologic changes in responders and non-responders. Diabetes Care. DOI: 10.2337/dc15-9422.

I have a friend who lost a leg all the way up to his hip and then died from type 2 diabetes. It can be horrible. I hope this information saves lives.

The personal fat threshold is interesting. To reverse diabetes, eat less and move more, but how does that work exactly? Is it just overall calories or certain foods you need to cut? What really makes the pancreas store fat?

Update: The eventual discovery was that you only need to lose a small amount of fat (less than 1 gram!) to reverse type 2 diabetes and related blood sugar issues, but the fat you must lose is in the pancreas and this is difficult to do without improving your overall health and losing weight everywhere else. This explains the puzzling fact observed for years that not every overweight person had type 2 diabetes. It is that small amount of fat in the pancreas that counts for blood sugar dis-regulation.

A team from Newcastle University, UK, has shown that Type 2 diabetes is caused by fat accumulating in the pancreas — and that losing less than one gram of that fat through weight loss reverses the diabetes. – Link

A brisk daily walk, 45 minutes a day, is enough to do it. Another way is with interval training, also known as high intensity training. The right kind of exertion up to around your maximum for just a few minutes once or twice a week can do the trick.

Low-volume high-intensity interval training (HIT) is emerging as a time-efficient exercise strategy for improving health and fitness. … findings indicate that low-volume HIT can rapidly improve glucose control and induce adaptations in skeletal muscle that are linked to improved metabolic health in patients with type 2 diabetes. – Link

I wish I’d known this before my friend died of diabetes. I might have been able to save him. You do need to find the will to exercise. I know some people would rather die than break a sweat, but perhaps if they knew the goal was real, that they only have to lose less than a gram of fat in the right place, perhaps then they would get up and get outside. Can you spare 10 to 15 minutes twice a week to add healthy years to your life (on average)?

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