As a physician, it physically hurts whenever I read stuff like this. First off, this is in huge bold letters at the top of the second link that you cite as evi

As a physician, it physically hurts whenever I read stuff like this. First off, this is in huge bold letters at the top of the second link that you cite as evidence for a "cure" to diabetes: > We don’t call it diabetes reversal, because this might sound like it's permanent, and there’s no guarantee that your diabetes has gone forever. Second, starting with diet/exercise before medicines is already medical standard of care for mild diabetes [1, 2]: > 8.5 Individuals with diabetes and overweight or obesity may benefit from modest or larger magnitudes of weight loss. Relatively small weight loss (approximately 3–7% of baseline weight) improves glycemia and other intermediate cardiovascular risk factors. Larger, sustained weight losses (>10%) usually confer greater benefits, including disease-modifying effects and possible remission of type 2 diabetes, and may improve long-term cardiovascular outcomes and mortality. 8.12 Short-term nutrition intervention using structured, very-low-calorie meals (800–1,000 kcal/day) may be prescribed for carefully selected individuals by trained practitioners in medical settings with close monitoring. Long-term, comprehensive weight maintenance strategies and counseling should be integrated to maintain weight loss. Many doctors will stop diabetes medications if patients can sustain a hemoglobin A1c < 6.5%. People with a new diagnosis of diabetes often have a hemoglobin A1c in the high 6% to low 7% range, and for them diet alone is often enough to get there. For a new diagnosis with a hemoglobin A1c in that mild range, any doctor worth their salt will recommend a trial of diet and exercise for 3 - 6 months and start medications only if the patient's hemoglobin A1c has not shown much improvement. But there are also people with hemoglobin A1cs greater than 10. These people have blood sugar levels that are dangerously high. Waiting 3 to 6 months for diet/exercise before starting medications would leave them at significantly increased risk of risk of lethal com[plications like DKA [3]. Very heavy calorie restriction is also not an option for these people because they have a blunted beta-adrenergic response, which means that unlike you and me, they do not release stores of glycogen from their liver when their blood sugar drops low. Which means that if they don't get enough calories for 1 - 2 days, their blood sugar will drop critically low. We see this in the hospital all the time. So it's not just a matter of doctors throwing insulin and other expensive medications at everyone who walks through the door in diabetes. There is a broad spectrum of severity in diabetes, and different points on the spectrum require different approaches. [1]: https://diabetesjournals.org/care/article/46/Supplement_1/S128/148043/8-Obesity-and-Weight-Management-for-the-Prevention https://diabetesjournals.org/care/article/46/Supplement_1/S1... [2]: https://diabetesjournals.org/care/article/46/Supplement_1/S140/148057/9-Pharmacologic-Approaches-to-Glycemic-Treatment#4482956 https://diabetesjournals.org/care/article/46/Supplement_1/S1... [3]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5642652/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5642652/