In my last post, I was trying to help you understand that individuals who are about to develop type 2 diabetes have late disease. They are already maximally resistant to the effects of insulin, and they have lost about 80% of their insulin producing capacity. When they become diabetic, if they do not manage their diabetes aggressively, their damage to the pancreas will continue and their ability to make insulin becomes less and less. If they don’t manage their diabetes effectively, they become more and more like patients with type 1 diabetes with little or no insulin production.
Do you discount (meaning view as unindicative) A1C levels below 5.6, which in the US is widely interpreted as not prediabetic? Your comment appears to do so.
Apr 18·edited Apr 18Liked by William H Bestermann Jr MD
I don't claim any great knowledge on this, but it does seem to me 800 calories of liquid slop is guaranteed to fail as a blanket health policy.
I can imagine a more individualised approach working. I understand some people with T2D do well with a ketogenic diet for instance, which will be more forgiving than 800 calories of lettuce juice.
And where is the role of exercise in all this ?
I'm sure there's a better mid ground, and not saying drugs are evil, but a lot of people can be well managed more or less drug free, which is the other side of what you're saying.
Do you discount (meaning view as unindicative) A1C levels below 5.6, which in the US is widely interpreted as not prediabetic? Your comment appears to do so.
Thank you
Dr Bestermann, your ideas and writing are always superbly excellent! I love your posts. Thank you so much for this information!
I don't claim any great knowledge on this, but it does seem to me 800 calories of liquid slop is guaranteed to fail as a blanket health policy.
I can imagine a more individualised approach working. I understand some people with T2D do well with a ketogenic diet for instance, which will be more forgiving than 800 calories of lettuce juice.
And where is the role of exercise in all this ?
I'm sure there's a better mid ground, and not saying drugs are evil, but a lot of people can be well managed more or less drug free, which is the other side of what you're saying.