Skip to main content

Type 2 Diabetes Melittus.

This is a big subject. One that I feel it's way above my station. But it's also one that shouldn't be ignored. Especially when the official advice is to prescribe medication, insulin and carbohydrates.

Insulin and insulin resistance seem to be at the core of everything I read in relation to what keto helps improve.

Diabetes is still deemed as a progressive and irreversible disease. Treatment could include shots of insulin so that it helps bring blood glucose down. Once I learned the basics of how Keto works, it became hard to understand why diabetes, especially type 2, is still going up.

In the Keto community, there's an abundance of people that have reversed type 2 diabetes mellitus.

Yes, you could argue that is not a cure because if they stop Keto they will get it back. However, one could also argue that they are free from any biomarkers of the disease, are not taking any drugs, have lost weight and as far as everything else are healthier than ever. So our argument of that they will get T2DM again if they go back to eating unhealthy sugars and carbohydrates is no argument at all. Keto is sustainable and healthier than a low fat, high carb diet. And as such if they eat Keto for the rest of their lives, not only are they healthier, they are also free from diabetes, hence cure.

But how is carbohydrates linked to type 2 diabetes?

Dr. Jason Fung Lectures on Type 2 Diabetes is a great source of information on this so I will just steal some of his key points in hopes to make it easy to understand.

T2DM is characterized by high blood sugar levels.
Carbohydrates are broken into glucose in the mouth, stomach and gut by enzymes. The glucose then enters the blood stream and is ready to be used as energy. Contrary to type 1 diabetes, in type 2 insulin is at the right level but it's not doing the job properly. It is now believed by many doctors that this is due to insulin resistance. We have consumed high levels of carbohydrates for so long that our cells became insulin resistant.

Insulin resistance or metabolic syndrome is now being named as the root cause for many diseases. 

Insulin resistance is believed to be caused by long periods of high carbohydrates, fructose alone, insulin itself and genetic predisposition.

The solution could be to follow a very low carb diet. This will keep your glucose levels low. Because we are not relying on glucose, insulin is not required as much. On a ketogenic diet, we get our energy from fat, so the lack of carbohydrates does not impact our lifestyle, quite the opposite.

Another solution, and one that compliments LCHF approach is fasting, which Dr. Fung prescribes in his Intensive Dietary Management program.

Why are we not addressing the high blood glucose? Are we just assuming that nothing can be done?
Part of the problem is because health practitioners have to follow the standard and approved guidelines. And these guidelines (a subject for another post) recommend low fat and a good amount of carbohydrates. Another problem is the belief that all other diets are dangerous. Some doctors would much rather prescribe drugs and treat symptoms than treating the cause.

However, the good news is low carb and keto are gaining traction, both as a weight loss tool and health improvements.

Recently in the UK,, has been recognized by its efforts in attacking the disease using low carb high fat.

And it's not just Dr. Fung and the folk at that use LCHF.

Doctors and professors like David Unwin, Ted Naiman, Eric Westman, Jeffrey Gerber, Aseem Malhotra, Tim Noakes and more are spreading the word of low carb and its benefits.
Sometimes presenting the results in a form of a little competition.

Tim Noakes, himself diagnosed with the disease, has given several talks about diabetes like this one in Reykjavik last year.

Carl Franklin and Richard Morris, from the 2 Keto Dudes, have also reversed their own T2D diagnose and they talk about it in detail on their podcast, see episode 8 for example.

So, why isn't this way of treating type 2 diabetes the standard option rather than filling people up with meds? Big pharmaceutical companies, or ignorant governments?


Popular posts from this blog

What To Eat - Food List

Keto is all about eating clean and healthy foods. By that I mean unprocessed, natural and real.

So on top of keeping an eye on carbs, look out for hidden sugars, be suspicious of weird, long and unnecessary ingredients, say no to foods you don't know what they are made from.
The rule of thumb is, if it can be made from scratch by yourself using good sourced ingredients then it should be ok to eat.
But what exactly are you allowed? Imagine a society before this massive reliability on grains.  Once you eliminate sugars, starches and grains you should be left with meat, fat, green vegetables, cheese, some fruits and berries, nuts and seeds. A word of caution on fruits, berries: they are not the same. Check their nutrition value and eat them in moderation.
A quick google on Keto foods and you will get roughly the same list from different sources. From Tim Noake's Real Meal Revolution or Banting to Tim Noakes actually has a color coding, Green, Orange and Red, to show what…

I'm not strict, I just choose my battles

I often hear "I'm still doing Keto, but not as strict as you." to which I usually reply with "as long as you are feeling good and still losing weight then that's all good.".
But the reality is I am not strict. I don't consider myself as having this super self controle and discipline. I just chose my war. And my war is with sugar mainly.

Looking back at pictures of me prior to Keto, regardless of what period it was I seem to be looking the same... puffy, round, chubby. And yet many of my friends claim they never saw me as being fat (bless their honesty).

I was not morbidly obese, nor was I told I had to lose weight for health reasons, but for the last 20 years I had been above 90kg and the weight would go up to 100s and back depending on the time of the year. I have selfies, upon selfies, in gym gear. Hoping that one day I could look back and see the difference. But I pretty much looked the same.
I counted calories, I skipped meals, I tried juice diets, soup …

Am I eating too much fat?

There's a slight misconception about the amount of fat one should consume.

Fat has been painted as the bogey man of the nutrition world.
But high fat in LCHF means that the majority of your calories will come from fat, not necessarily that fat will be high. It can be, but not necessarily.
In fact, Kim Dinis and I logged and compared a typical day in our old diet versus Keto and the amount of fat wasn't that much higher.
Fat has been THE ONE THING to avoid and for that reason the reminder/advice to increase fat is a solid one since it's very likely you are not consuming enough.
Plus when we start keto and while our bodies are not fat adapted (meaning, not efficient at accessing the fat stores) we will feel tired and lack of energy. The body will signal that this would be the time to have a snack, and most people would have been eating every two hours. Again, increasing fat makes you feel less hungry in between meals while signalling the body that this is the fuel it will get.