The Lemon Fool

Hi
Can anyone recommend a decent book covering the best diet to manage (or even reverse) type 2 diabetes?
I'm not after a book of recipes, more a general discussion about which foods to avoid/embrace, weight management etc

ta
A C
(it's not for me... I have tested negative twice in the last three weeks. It's a long story)

Keto diet. As proselytised day by Weincove at Hope Hospital (Manchester) many years ago, when he was out on a limb... now mainstream thinking.

It's for a 'senior' (80 ish) relative. The various keto diets have always seemed a bit extreme to me - any risks for the elderly?

You may also be interested to hear that it also combats depression... https://pubmed.ncbi.nlm.nih.gov/31336509/

Dr Michael Moseley has some good books on diet. http://www.michaelmosley.co.uk/books.html, the blood sugar diet might be most relevant.

AleisterCrowley wrote:It's for a 'senior' (80 ish) relative. The various keto diets have always seemed a bit extreme to me - any risks for the elderly?

Not aware of any, and can see no reason for there to be. But I have reservations about the diagnosis of diabetes in the elderly. Presently diagnostic criteria are fasting glucose (or two-hour glucose after 75g glucose load) or HbA1c > x, with no account taken of age. Yet we know that all these rise with age (as with cholesterol) and as age rises they become less and less important as predictors of mortality. E.g. while it’s fasting plasma glucose > 7.0 mol/l for diagnosis, I’d have no qualms if an 80 year old’s fpg was 10.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483426/

I recall but can’t at the moment find, evidence that stricter control in the elderly engenders worse outcomes.

The Michael Mosley book ( The 8-Week Blood Sugar Diet) looks interesting
Anyone had any success with this ?
I've ordered a copy just now

FFS. Michael Moseley; making hay (& £££s) by simply popularising a concept that was hard fought for by unsung, jobbing clinicians who did all the hard work. Well, at least you’re not buying “Dr” Gillian McKeith. Enough.

I’ll leave you with this https://youtu.be/da1vvigy5tQ

My first wife was an insulin dependent diabetic from the age of 4 until she died of the long term effects at the age of 60. I was married to her for just about 35 years so got to know quite a lot about it. That video that has been highlighted by GrahamPlatt is I think very good. Most GPs in my experience do not really know an awful lot about diabetes but she does. I think that is the answer. Change the diet and try to get some exercise for the 80 ish relative.

I have a good friend of mine who was diagnosed with type 1 diabetes quite late in life. He eats all the wrong stuff but balances his blood sugar levels by adjusting his insulin intake. Completely the wrong way round but I am not going to be the one to tell him!

Dod

I must apologise for my earlier outburst re Michael Moseley. Of course these ideas need “popularising” (disseminating to a wider audience).

He's always struck me as a fairly serious and straightforward medic- unlike some of the fad diet pushers
I read the intro to the book online (Amazon) and it's very interesting

Probably going beyond DAK now - could this be moved to the 'Health' board or whatever it's called?

The video was very interesting. A few questions occurred to me.
The advice is avoid GPS, grains, potatoes, sugar
Now, rice is a staple for billions in Asia and as far as I know there hasn't been a diabetes / obesity epidemic there until fairly recently - possibly as they have moved to a more Western diet?
In the West, we have a diet more based on wheat/barley/oats. Our diabetes / obesity problems seem to have increased massively since WW2

Is the real problem highly processed/refined carbs, or are there other factors?

AleisterCrowley wrote:The Michael Mosley book ( The 8-Week Blood Sugar Diet) looks interesting
Anyone had any success with this ?
I've ordered a copy just now

I read it a couple of years ago and took on board its principles for health reasons even though I don't have diabetes. I lost 30 pounds without actually trying to lose weight simply because I took most of the sugar from my diet. I imagine that would be good for a diabetes sufferer.

I'm slightly overweight BMI 24.8 which is top of normal I think but a bit of flab round the middle
I may try it to see if I can shed ~ 7lbs

AleisterCrowley wrote:I'm slightly overweight BMI 24.8 which is top of normal I think but a bit of flab round the middle
I may try it to see if I can shed ~ 7lbs

Yes but that does not have any real connection with diabetes. I have in the last month or two lost quite a bit round my waist, largely through simply eating less in general and more salads. By eating less I have cut right down on potatoes for instance and other stuff in general. I do not take sugar in or on anything except of course what manufacturers put in stuff. Diabetics should not add sugar to anything nor eat cakes and other stuff like that but as the lady in the video says reduce carbs and do not eat stuff like M & S prepared meals. They are horrible anyway and I am appalled when I see people with trolleys full of this sort of stuff.

Dod

I'm not too worried about diabetes to be honest - I know being severely overweight is a risk factor, but I'm only slightly plump. hence the desire to lose a bit.
I have coincidentally been tested twice in the last two or three weeks (general testing) and everything came back negative. I assume urine glucose tests wouldn't pick up a pre-diabetic state though (?)

The Longevity Diet by Valta Longo. Many other diet books use it as a source. Follow it and you won't go far wrong.

https://www.valterlongo.com/daily-longe ... or-adults/

AleisterCrowley wrote:It's for a 'senior' (80 ish) relative. The various keto diets have always seemed a bit extreme to me - any risks for the elderly?

I am not an expert
But having managed the oldies for however long, i can't imagine asking 80+ to go on either the fasting plan or a keto plan.

Of course a lot depends on the details of the diagnosis but if it's just a blood glucose test, I'd look at it carefully. The difference in how things are treated and diagnosed in the elderly can be vastly different, then there's the issue of have you got a GP getting their boxers in a bunch over nothing etc.

I myself have been a regular in the medical system for more than twenty years...patterns are interesting....or v boring depending on your experience