5 ms·

Modern medicine is great when you get in a car crash, and it's horrific if you have type 2 diabetes. Doctors get very little training in diet and lifestyle, be

Modern medicine is great when you get in a car crash, and it's horrific if you have type 2 diabetes. Doctors get very little training in diet and lifestyle, because those are low-status and left to non-MD specialists, and many of them dogmatically cling to 1960s-era science.

primroot 7y ago
No diet, no lifestyle, and not even history https://www.ncbi.nlm.nih.gov/pubmed/24811552 https://www.ncbi.nlm.nih.gov/pubmed/24811552
qrbLPHiKpiux 7y ago
Today we know that: limit eating, calorie restriction, little sugar consumption, can reverse type 2 diabetes and greatly reduce body inflammation, which is thought to give rise to all our modern diseases.
- scarface74 7y ago
  All modern diseases - really?
rscho 7y ago
You really think endocrinologists have no training in diet and lifestyle? Well, what can I say. No?
- rhinoceraptor 7y ago
  > On average, U.S. medical schools offer only 19.6 hours of nutrition education across four years of medical school https://health.usnews.com/wellness/food/articles/2016-12-07/how-much-do-doctors-learn-about-nutrition https://health.usnews.com/wellness/food/articles/2016-12-07/...
  - rscho 7y ago
    That's for basic med school education. Happily, medical education doesn't stop at the end of med school. It is more like, beginning just at that moment. Otherwise many more patients would die. So yes, on paper you're right. In practice, there are even clinical nutrition specialists and those are MDs.
    - rhinoceraptor 7y ago
      In practice, nutritional interventions are much less favored over drug interventions. For example, a simple ketogenic diet intervention can be a very effective treatment for type 2 diabetes. But most doctors still favor the 1960s-era, discredited science saying dietary fat causes heart disease. So diabetics are given metformin and whatever fancy new insulin came out recently. And then in 20 years, those people will likely lose their feet and eyes.
      - rscho 7y ago
        Diet and lifestyle changes are first line as per current guidelines. Drugs are initially optional, unless I am mistaken. However, you seem very optimistic regarding the ability of people to follow diets.

primroot 7y ago

No diet, no lifestyle, and not even history https://www.ncbi.nlm.nih.gov/pubmed/24811552 https://www.ncbi.nlm.nih.gov/pubmed/24811552

qrbLPHiKpiux 7y ago

Today we know that: limit eating, calorie restriction, little sugar consumption, can reverse type 2 diabetes and greatly reduce body inflammation, which is thought to give rise to all our modern diseases.

scarface74 7y ago
All modern diseases - really?

rscho 7y ago

You really think endocrinologists have no training in diet and lifestyle? Well, what can I say. No?

rhinoceraptor 7y ago
> On average, U.S. medical schools offer only 19.6 hours of nutrition education across four years of medical school https://health.usnews.com/wellness/food/articles/2016-12-07/how-much-do-doctors-learn-about-nutrition https://health.usnews.com/wellness/food/articles/2016-12-07/...
- rscho 7y ago
  That's for basic med school education. Happily, medical education doesn't stop at the end of med school. It is more like, beginning just at that moment. Otherwise many more patients would die. So yes, on paper you're right. In practice, there are even clinical nutrition specialists and those are MDs.
  - rhinoceraptor 7y ago
    In practice, nutritional interventions are much less favored over drug interventions. For example, a simple ketogenic diet intervention can be a very effective treatment for type 2 diabetes. But most doctors still favor the 1960s-era, discredited science saying dietary fat causes heart disease. So diabetics are given metformin and whatever fancy new insulin came out recently. And then in 20 years, those people will likely lose their feet and eyes.
    - rscho 7y ago
      Diet and lifestyle changes are first line as per current guidelines. Drugs are initially optional, unless I am mistaken. However, you seem very optimistic regarding the ability of people to follow diets.