Reversal or control in type 2 diabetes?

My practice is focussed on the reversal of type 2 diabetes or prediabetes. If you visit a conventional doctor, the conversation will be about control. We think differently. Why is that?

Type 2 diabetes and prediabetes are the result of the inability of a declining population of Beta cells, the pancreatic cells that produce insulin, to produce the right amount of insulin at the right time. As a result average blood sugar levels rise and first prediabetes, then type 2 diabetes, develop. We agree on this.

Your GP or diabetes specialist thinks in terms of making the most of what insulin is being produced. He or she accepts that the population of Beta cells will continue to decline, and aims to makes the most of what is left.

That is one approach. It is wrong-headed. Control accepts that if you live long enough the complications of diabetes will inevitably appear. The best that can be hoped for is to extend the interval before kidney damage, eye damage, or whatever appears.

Reversal aims to improve the health of your insulin producing cells, to increase their numbers back to healthy levels thereby restoring insulin production to non-diabetic levels. At the same time reversal recognizes that prediabetes and type 2 diabetes are most often precipitated by an increase in insulin resistance, and that it is important to reduce insulin resistance.

If you are prediabetic (A1c greater than 40) or have type 2 diabetes, then you get to choose between control or reversal.

I won’t be telling you that you have to lose tremendous amounts of weight, because you don’t. We will talk about your intake of carbohydrates and substituting protein or fat for some of this. We will talk about your sugar intake and reducing this. However, there are more important things. To reverse type 2 diabetes we need to reduce the average workload of your Beta cells, to reduce the amount of time they spend working at maximum, and to increase the time they spend working at minimum. There’s nothing too hard in that.

We will try to do something about your insulin resistance. Exercise is good (but it’s unlikely I will give you the same advice as you have had before. Timing is important in diabetes reversal), so are supplements.






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