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I'm confused. De-loading carbs for fat makes sense for overall wellness and health (since healthy things tend to be fatty and/or low carb), but it is not possib

by mlsu 3y ago

I'm confused. De-loading carbs for fat makes sense for overall wellness and health (since healthy things tend to be fatty and/or low carb), but it is not possible to "manage" T1 without insulin treatment. The fact that either he or this article does not seem to distinguish between the two types in this regard is a basic category error. The low carb "managing" of T1d before the 1920s was basically a permanent hyperglycemia which you could last months, maybe years. Once your honeymoon period ends you die a spectacularly brutal death -- your blood turns to acid and you starve in insatiable hunger. None of this is "manageable" through diet, since your body has a baseline rate of gluconeogenesis entirely independent of diet. Type 1 and Type 2 sharing the "diabetes" name has to be up there on "most frustrating lexical errors" ever.

locallost 3y ago
The article says the exact same thing. Quote: Another example, for Taubes, of how early researchers were mistaken, concerns the differences between type 1 and type 2 diabetes, which are so different they almost shouldn’t share a name. Type 1 diabetes is an autoimmune disease in which the body’s immune system attacks and destroys the cells in the pancreas that produce insulin, the hormone which regulates the level of glucose in our blood; people living with type 1 need insulin injections or an insulin pump, to survive. Like type 2, type 1 can cause complications such as heart, kidney or eye disease, and nerve damage. Type 2 diabetes accounts for about 90% of cases, and is a metabolic disorder in which the body either can’t make or can’t use insulin (AKA insulin resistance) to metabolise glucose, leading to persistently high levels in the blood. Ultimately, people living with type 2 diabetes may need insulin and other diabetes medications, too, but for a lot of people, diet and lifestyle modifications can defer that need.

by mlsu 3y ago

locallost 3y ago

The article says the exact same thing. Quote: Another example, for Taubes, of how early researchers were mistaken, concerns the differences between type 1 and type 2 diabetes, which are so different they almost shouldn’t share a name. Type 1 diabetes is an autoimmune disease in which the body’s immune system attacks and destroys the cells in the pancreas that produce insulin, the hormone which regulates the level of glucose in our blood; people living with type 1 need insulin injections or an insulin pump, to survive. Like type 2, type 1 can cause complications such as heart, kidney or eye disease, and nerve damage. Type 2 diabetes accounts for about 90% of cases, and is a metabolic disorder in which the body either can’t make or can’t use insulin (AKA insulin resistance) to metabolise glucose, leading to persistently high levels in the blood. Ultimately, people living with type 2 diabetes may need insulin and other diabetes medications, too, but for a lot of people, diet and lifestyle modifications can defer that need.