What is the subject of the book The Diabetes Code?
The Diabetes Code (2018) tackles one of the most serious public health crises facing the western world: the development of type 2 diabetes, a disease that is strongly associated with poor nutrition and obesity. However, as Jason Fung demonstrates, the situation may be turned around. The most essential thing is to find out what works and what does not work for you. Fung presents a compelling argument for a nutritional approach to prevent and cure type 2 diabetes, drawing on his professional expertise as well as the most recent scientific evidence. You may begin following this strategy right now, according to Fung.
Who is it that reads the book The Diabetes Code?
- Patients with type 2 diabetes
- Anyone who is attempting to lose weight
- Nutritional therapists and medical professionals
Who exactly is Jason Fung?
Medical specialist Dr. Jason Fung has been in practice for more than a decade. Type 2 diabetes, nutrition, and obesity are among his specialties. He is a well-known proponent of the use of fasting to treat the condition. The Atlantic and the Daily Mail, among other publications, have published a number of Fung's pieces on health-related subjects. His popular book, The Obesity Code, is a best-seller, and he is a frequent guest on Fox News (2016).
What exactly is in it for me? A step-by-step strategy for overcoming type 2 diabetes.
Type 2 diabetes is a contemporary pandemic that affects millions of people. Nearly 400 million individuals suffer with the disease across the globe, with 28 million suffering from it in the United States alone — and the number is growing. What is the root of the problem? Carbohydrate- and sugar-heavy diets, combined with a sedentary lifestyle, have created a situation in which our bodies are unable to keep up. In turn, this leads to insulin resistance and a host of other severe health problems. Unfortunately, the usual therapy for type 1 diabetes does not function in the case of type 2 diabetes, for whatever reason. In reality, there is plenty of data to suggest that taking insulin injections increases your chance of developing cardiovascular illnesses, such as strokes and heart attacks, if you have diabetes type 2.
However, there is a solution. As Jason Fung demonstrates in his book The Diabetes Code, dietary modifications and intermittent fasting may help type 2 diabetes patients get back on the road to health while avoiding costly and invasive surgical procedures. Using the information in the following notes, you will discover why medications may not be the best solution for type 2 diabetes, about the dangers of weight reduction surgery, and about how to prevent and cure type 2 diabetes via diet modification.
Diabetes is associated with elevated blood sugar levels, although the causes of various types of the disease are distinct.
There has been an increase in the number of people diagnosed with diabetes, particularly type 2 diabetes. The numbers are alarming: one hospital in New York recently revealed that it was treating ten times as many diabetes patients in 2000 as it had been in 1990, with type 2 diabetes accounting for the vast majority of new cases. Diabetes is a metabolic disease characterized by elevated blood sugar levels. There are four main kinds of diabetes. Types 1 and 2, as well as gestational diabetes, which is caused by elevated blood sugar levels during pregnancy, are all examples of diabetes. Other forms of the disease are linked to hereditary issues as well as a malfunctioning pancreas, among other things.
Thirst and the urge to pee on a regular basis are among the symptoms. Both of these symptoms indicate that the patient's kidneys are not properly processing blood sugar, or to use its official term, glucose, in his or her body. The body reacts by attempting to remove excess glucose from the bloodstream by urinating often. Here are some of the key distinctions between Type 1 and Type 2 diabetes. The former is a condition caused by an autoimmune response. This indicates that the immune system of the body is targeting the cells that produce insulin. Insulin is the hormone that is in charge of controlling blood sugar levels in the body. When the body is unable to produce enough insulin, blood sugar levels rise dramatically. It is for this reason that type 1 diabetes patients need insulin injections in order to live healthily.
Type 2 diabetes, on the other hand, is different. Most of the time, it is the consequence of a bad, sugar-rich diet. In an effort to control all of the sugar that has been consumed, the body reacts by generating huge quantities of insulin. Insulin resistance develops in the cells of the body throughout time. This implies that they are no longer responsive to insulin since the body has produced an excessive amount of it. As a consequence, Insulin injections aren't very effective for treating type 2 diabetes, according to research. After all, the issue isn't a shortage of insulin – as is the case with type 1 diabetes – but rather an excess of insulin.
Type 2 diabetes, like obesity, cannot be cured by merely reducing calorie consumption to a healthy level.
The manner in which we explain the world is always evolving. We are always on the lookout for new terms to characterize novel occurrences. For example, consider the word "bromance," which is a term often used to denote intimate, non-sexual interactions between two guys. However, have you ever heard of the term "diabesity"? Once again, it is a relatively recent coinage that serves as an effective means of drawing attention to a new trend in western society: the pandemic of individuals who suffer from both obesity and type 2 diabetes. Several decades ago, Walter Willett, a nutritional specialist at Harvard University, made a convincing demonstration of the tight relationship between obesity and type 2 diabetes in humans.
According to his findings, post-puberty weight increase is the most important factor in raising the chance of developing type 2 diabetes after puberty. As an example, gaining between 44 and 77 pounds increases our risk of developing the disease by an incredible 11,300 percent! In 1995, Willett and his colleagues conducted follow-up investigations on their findings. These revealed that even little weight increases significantly raised the likelihood of developing type 2 diabetes. Type 2 diabetes is 90 percent more likely to occur in those who gain 10 to 20 pounds above their ideal weight. Unfortunately, it took a long time before these discoveries were generally recognized by the broader medical community as being legitimate. However, there is no longer any space for dispute about the fact that type 2 diabetes is closely linked to weight increase and obesity.
It should be noted that eating less calories would not cure either obesity or type 2 diabetes, as previously stated. In order for our bodies to burn fewer calories, they must decrease their metabolic rates - the amount of energy required to keep our hearts beating and our brains working. An abrupt decrease in daily caloric intake, despite the fact that this was the answer first recommended by physicians and nutritionists, simply does not work. In the end, our hormones are responsible for our perception of hunger and calorie intake. Our insulin levels, to be more precise, are the culprit. That implies that the key to losing weight is to lower our insulin levels as much as possible. Reducing total food intake will not assist in achieving this goal. What we actually need to do is stay away from certain kinds of cuisine.
Insulin resistance is produced by fat deposits in the liver, and it may manifest itself in a short amount of time.
The majority of individuals are aware that excessive alcohol intake is detrimental to one's liver. However, when it comes to liver impairment, alcohol is not the only factor to consider. Let's start with glycogen, which is a chemical that our bodies need to store carbs in order to function properly. When consumed in excess, it causes fatty deposits in the liver, which eventually results in insulin resistance. When it comes to type 2 diabetes, insulin resistance is the first step on the path. Extreme carbohydrate and protein intake is the cause of this condition. Instead of being stored throughout the body like other dietary lipids, glucose from protein and carbohydrates is delivered directly to the liver for use as energy. Once it reaches the liver, it is turned into glycogen, which may be utilized to maintain blood sugar levels when the body's glucose levels fall.
The body, on the other hand, begins converting additional glycogens into fat, which is subsequently exported to other areas of the body after the reserve has been exhausted. The difficulties begin when our liver is unable to keep up with our protein and carbohydrate intake. When this occurs, the fat is no longer exported, but instead is retained in the liver for storage. Furthermore, when the liver gets fatter, it becomes less capable of absorbing additional glucose. It is released when our blood sugar levels increase, which is a good thing. In turn, this stimulates the liver to absorb more glucose into its cells. Once the liver begins to struggle with the task of processing the glucose, even more insulin is produced to correct the situation. As a result, a vicious cycle is created. The greater the amount of insulin present in our bodies, the less the liver responds to this hormone. That is what physicians are referring to when they speak about insulin resistance.
The development of a fatty, insulin-resistant liver is not difficult to achieve. In 2008, neurologist Suzanne De La Monte conducted a research that discovered that individuals may acquire insulin resistance in as little as three weeks by consuming 1000 calories or more of sugary snacks each day. Over the course of three unhealthy weeks, the participant's body weight grew by two percent, but the quantity of fat stored in their liver grew by a staggering 27 percent! It is possible to reverse the effects of fatty liver by reverting to a regular diet that contains less carbohydrates and less fructose.
The increasing intake of fructose is a contributing factor to the prevalence of fatty liver disease.
In 2009, the endocrinologist Robert Lustig posted a video on YouTube that rapidly went popular, earning him the title "Dr. YouTube." Many people had long believed that sugar was harmful to the body, and in it, he verified their suspicions. Specifically, one kind of sugar is especially detrimental to human health. Sugar may be found in the form of fructose, and it is a significant factor to the development of type 2 diabetes. As with glucose, fructose is detrimental to one's health and provides little nutritional benefit, particularly in its processed forms. However, it comes with an additional sting in the tail: the liver is unable to break it down. Due to the fact that about 80 percent of glucose is processed outside the liver, the organ is only responsible for dealing with about a fifth of all ingested glucose. On the other hand, fructose is absorbed directly into the liver, where it may cause fatty liver disease and, in the long run, diabetes.
This is due to the fact that the liver is unable to digest high amounts of fructose on top of the enormous amounts of glucose it already receives from proteins and carbohydrates. We have terrible news, though: fructose is currently playing a bigger part in our diets than it has ever played before! And therein is the problem: fructose is not intrinsically harmful to humans; rather, it is the excessive consumption of fructose that is harmful to our health. In the nineteenth century, the average person consumed about 15-20 grams of fructose per day, mainly in the form of fresh fruits that contained just trace quantities of the sweetener. People's eating habits, on the other hand, began to shift following World War II. The rise in sugar cane and sugar beet output was a major contributor to this increase. By the 1970s, the average daily fructose intake per person had risen to 37 grams per person.
The introduction of fructose-rich corn syrup, on the other hand, proved to be the most damaging development. It was a low-cost source of sugar, and it wasn't long before it was being used in a variety of industrially processed goods. By the end of the century, it could be found in everything from sauces to frozen dinners, bread and desserts. By 2000, fructose intake per capita in the United States had increased to 78 grams per day. There is little question that this is a contributing factor to the issue. Using data from the author's own study, it has been discovered that nations where corn syrup is popular have 20 percent higher instances of diabetes than countries where fructose consumption is lower.
Insulin injections are not the solution to type 2 diabetes since the body can not tolerate high levels of insulin.
There is little doubt that the capacity to manufacture insulin in labs and cure type 1 diabetes was a significant medical advance. Insulin injections, on the other hand, are not a panacea in the battle against type 2 diabetes. Type 2 diabetes and obesity are more than simply health and fitness concerns. If left untreated, they may progress to cardiovascular disease, which can result in heart failure. Taking insulin injections is not very helpful in this situation. While they may assist type 2 diabetes patients in regulating their blood sugar levels in the short term, long-term usage can be detrimental to their overall health and well-being. In rare instances, they may even result in the death of a person at an early age. In 1949, G.L. Duff and G.C. MacMillan demonstrated that this was the case. Their animal experiments showed that elevated insulin levels may result in atherosclerosis, which is a hardening of the arteries that has been related to heart attacks and strokes in humans.
Modern research has also shown that insulin injections are ineffective for the treatment of type 2 diabetes, as previously believed. They have shown on many occasions that decreasing blood sugar levels really increases the chance of developing heart disease. Consider the large ACCORD trial conducted by the National Institutes of Health in the United States in 1999, in which the scientists examined if insulin therapy might decrease cardiovascular mortality among patients with type 2 diabetic complications. One set of patients got regular insulin dosages as well as cardiac medicine. The other group did not. The second group was given greater dosages of insulin as well as cardiac medicine than the first. The goal was to lower the blood sugar levels of the second group as quickly as possible.
The research was a complete and utter failure. The patients who received greater amounts of insulin and medicine died 22 percent more rapidly than those who received regular levels, according to the study results. At the end of the day, the whole research had to be scrapped. In 2010, the Canadian scientist J.M. Gamble conducted yet another research on the subject. He discovered that individuals with type 2 diabetes who had insulin therapy were 279 percent more likely than other patients to have coronary artery disease than the general population.
Even while bariatric surgery may be a very successful treatment for type 2 diabetes, it is not the most optimal option in all cases.
Obesity is a major public health issue. One of the author's patients, Adrian, weighs 208 kg and was fired from his work due to his deteriorating health conditions. Numerous individuals who find themselves in a similar position contemplate pursuing a dramatic option such as elective weight reduction surgery. It is referred to as bariatric surgery, and it entails the removal of a significant part of the stomach. It is a very successful treatment for type 2 diabetes, and in the majority of instances, the condition simply vanishes after patients have the procedure. So, how does it function? The surgery, on the other hand, significantly decreases the amount of calories that may be consumed. This provides the liver with an opportunity to deplete its glycogen stores and burn up the fatty deposits that had caused it to become insulin resistant.
When P.R. Schauer and his colleagues conducted a trial at the Cleveland Clinic in 2012, they were able to demonstrate just how successful the procedure might be. Patients with type 2 diabetes who had bariatric surgery had much better health than their counterparts who got insulin therapy, according to the study. It was possible to completely discontinue the previous patients' diabetic medication after three months - they were completely healed! That is true for 95 percent of type 2 diabetic individuals who undergo the procedure. For more than 70 percent of all patients, bariatric surgery provides additional advantages such as long-term weight reduction and lowered blood pressure. So it must be the panacea we've been searching for, don't you think?
No, not at all. One of the problems is that the operation is very costly and exceedingly intrusive, and it has the potential to cause a variety of issues down the line. Internal bleeding, infection, and decreased nutritional absorption are just a few of the complications. However, there is a silver lining to this cloud. The good news is that the beneficial benefits of bariatric surgery may be accomplished via a far more straightforward procedure than previously thought. We'll take a look at them in more detail in the next section.
Type 2 diabetes may be prevented and reversed by eliminating fructose and processed carbs in your diet.
At the end of 2015, a Texas hospital had to deal with the first-ever type 2 diabetes patient who was three years old, making him the youngest diabetes patient on record. In my opinion, this is a fairly strong indication that the disease has gotten out of hand and that understanding how to prevent and cure type 2 diabetes is more essential today than it has ever been. So, what can you do to stop it or at least slow it down? There are two very powerful techniques that you may use right now. The first is to stay away from fructose. The most apparent place to begin is by removing sugar from your kitchen and dining table altogether. This holds true for sucrose, which is a sugar made up of one part glucose and one part fructose, as well as high-fructose corn syrup, among other things.
When you eliminate fructose from your diet, you must be cautious of the items that contain it since it is frequently hidden in them. Sweet beverages such as cocktails, smoothies, and flavored waters are examples of this. The obvious exceptions to this rule are candy, cakes, and pastries. However, keep in mind that bread and pasta often include additional sugar. To be on the safe side, read the contents list and avoid purchasing anything that contains sugar from the store shelf. When it comes to sauces, condiments, and even meats, it is also recommended to proceed with caution. Sugar is a simple and effective method to make any meal taste better. Because merchants and manufacturers are aware of this, they include it into their goods. Eating out, particularly if it is something you do on a regular basis, may be a minefield of danger. You shouldn't be embarrassed to inquire of your server about the fructose level of different meals before making your order.
The second approach you may use to prevent and cure type 2 diabetes is to avoid eating processed carbs as much as possible. Refined carbohydrates are among the worst food groups to consume because they have a role in raising insulin levels to dangerously high levels. So avoid refined wheat-based goods such as bread, pasta, corn-based tortillas, popcorn, fries, chips, and white rice, as well as white flour. That doesn't mean you have to abandon your old favorites completely. Not all carbohydrates are bad for you — if you substitute unrefined carbohydrates such as brown rice and whole-wheat pasta for refined carbohydrates, you may still enjoy many of your favorite meals. These alternatives do not stimulate insulin production nearly as much as their refined equivalents, and they may be included in a balanced diet as a substitute for refined carbohydrates.
When you eliminate refined carbs from your diet, you create a void in your nutritional strategy. Fill it with nutritious fatty foods such as high-quality oils, seafood, avocados, and nuts to keep you feeling full longer.
Intermittent fasting is a much more effective treatment for type 2 diabetes than portion management on a regular basis.
Fasting has long been recognized as a treatment for diabetes. The first time it was recommended as a therapy for diabetes was in 1916 by Elliott Joslin, a pioneering American diabetes expert. Since then, however, a great deal has changed in the medical field as a whole. Today, the emphasis is increasingly being placed on the use of medications to manage diabetes. However, it is past time to re-discover more conventional treatments. So, what exactly is fasting and how does it work? One option is to follow a daily portion control regimen, although this is probably not the ideal solution. Curing diabetes and inducing weight reduction are not simple goals to accomplish on their own. Consider the findings of a 2015 British research, which examined the efficacy of standard nutritional advice, which focused on portion management, and found that this strategy failed for 99.5 percent of all participants. They just did not drop a significant amount of weight.
The reason it doesn't work is because reducing your daily calorie intake just has the effect of slowing your metabolic rate while simultaneously raising your feeling of hunger. That is very difficult to maintain, and most dieters eventually give up and return to their previous weight. Intermittent fasting is a far more effective strategy. For the most part, this involves refraining from all meals for a certain period of time, which may be anything from one day to one week. Following that, individuals may resume their regular eating habits. As a result, it is far simpler to execute than the daily grind of portion control since the amount of work needed to follow this kind of strategy is focused. And, most importantly, it is effective! A decrease in insulin production is caused by fasting, which means that the body remains insulin-sensitive rather than becoming insulin-resistant as a result of the hormone.
The efficacy of this technique was further shown in a 2011 research performed by N.M. Harvie in the United Kingdom. Harvie conducted a comparison between two groups of dieters. The first followed a Mediterranean diet with a calorie restriction, while the second ate normally for five days a week and fasted on the other two days. In the six-month period after the start of the study, both groups lost weight, but the second group had much lower insulin levels than the first. Consequently, it seems that intermittent fasting may be the most effective treatment for type 2 diabetes. Fasting is beneficial because it lowers insulin levels and insulin resistance, both of which are contributing factors to the disease.
The most important message in these notes is: Typ 1 and type 2 diabetes are very different diseases with very different outcomes. When compared to type 2 diabetes, which is defined by low insulin levels, type 1 diabetes is characterized by dangerously high insulin levels, which in turn results in insulin resistance and a variety of severe health problems. The good news is that type 2 diabetes may be reversed if detected early enough. With a combination of carb avoidance and a change in diet, you'll be well on your way to recovering from your illness. Advice that can be put into action Fasting is beneficial, but you must choose a regimen that is suitable for your individual needs. While intermittent fasting has been shown to be an effective method of reducing insulin levels, it does need some fine-tuning to get the desired results. If you're new to the concept, it's best to speak with a medical or nutritional professional first. The next step is to discover a diet and exercise plan that works for your metabolism. People have different preferences when it comes to fasting. Some prefer lengthier fasts less often, while others prefer more frequent but shorter fasts. Experimenting is the key to success. Experiment with fasting for three to four days every two months, or just missing supper and fasting for eighteen hours before breakfast every day. In addition, try to keep yourself properly hydrated during whatever regimen you choose, and to quit if you feel ill!
Written by BrookPad Team based on The Diabetes Code by Jason Fung