2) One way to cure T2D is through
bariatric surgery; their cure rate is over 80%--they can’t eat following surgery. The IV source of nourishment avoids the
increase in insulin caused by incretin hormones. Incretins are secreted
into the blood in response to bulk in the stomach and duodenum, especially to
proteins. (It is why pasta has a lower insulin
index than fish or meat).
Thus a ketogenic diet (KD) is not a low insulin diet, and because of
this it can be improved upon. The low insulin during (fasting) promotes
healing through fat metabolism in those organs whose functions have been
inhibited by excess fat--liver pancreas, and others. Over half of the bariatric
patients are drug
free within 1 month, before significant weight loss. A study has shown that they have metabolized
the excess fat in their pancreas.
Bariatric surgery proves that there is a
dietary fix for T2D. Thus it would seem
that fasting could cure T2D, what is the evidence?
3) While fasting, insulin is very
low and blood glucose. There are no
proteins and bulk of food causing incretins to stimulate insulin, or resistant
carbs being digested by intestinal bacteria—a source of glucose. Fasting has been shown to cure T2D.
A large percentage of the patients following
the program at Dr. Jason Fung’s clinic have
been cured, and all of them have improved sufficiently to be
off of insulin. His dietary treatment consists of a low-carbohydrate
diet and alternate day fasting, with of course variation to suit the patient’s
situation and thus promote compliance.
4) It is easier to skip a meal
than drastically restrict calories. Getting
started for most begins with the short-term fast, from 7 pm
until 12 AM (skipping breakfast) and a reduction in carbohydrates, especially
sugar, all sources: low carbs (thus low
insulin) to extend the period of fat metabolism. Once started, then continue
to extend the fast
and carb reduction—some of Fung’s patients with significant weight do a 2-day
is easy because it begins while sleeping.
While sleeping the small reserves of glucose
are metabolized, and the body switches to fat metabolism (see
graph). The testimonials
confirm that ADF with KD cures T2D, and there are journal
articles. The ideal intervention depends
upon the severity of the diabetes and obesity.
But how much of a hurdle is ADF with KD?
experience confirms that fasting is easy; easy because while
fasting (metabolizing fats) one feels much better physically and mentally than
on an energy-restricted diet. Moreover,
by missing a meal the daily calories are less.
This has been confirmed in studies.
For example, those on ADF on the food day they average an additional 10%
in calories when compared to the average prior to starting ADF. Moreover, by
going low carb and thus
increasing fat, there is a reduction in hunger.
(See appendix for an explanation of grazing & the insulin
cycle). By myself I often don’t feel
like eating dinner, and would if I need weight to lose. Numerous testimonials and small clinical trials confirm my experience. Fasting
is easy because mammals have evolved increased energy and
alertness during periods when there is no food (forced fasting). Moreover metabolizing
fats is better than from glucose (carbs) for the health--and the best are the saturated fats and the
worse are the polyunsaturated and
trans fats. Glucose attaches to proteins
and hinders their functions, and fructose does the same at 7 times the rate of
glucose. An excess
of the sugar fructose (one half of sucrose the table
sugar) is a slow poison comparable to ethanol: both
the liver when in long-term excess to
cause fatty liver disease and age related chronic conditions: “They [reactive sugars] can be a factor in aging and in the development
worsening of many degenerative diseases,
such as diabetes, atherosclerosis, chronic kidney disease,
and Alzheimer's disease.” (If you wonder why
we have been given the
wrong dietary information and dieting information, it is not bad science, but
rather of following the bucks.).
Because fructose is metabolized only in
the liver, it accumulates there, and is stored while the liver converts glucose
to glycogen. When in excess both glucose
and fructose can be converted by the liver to fat and stored as
triglycerides. Thus, there is a one-two
punch leading to liver dysfunction, the reactive sugars and insulin resistance
causing excess fat in the liver. A large
number of journal articles support this causal pathway, and other articles
support the simple solution of fasting with low carbs. Fasting promote healing
metabolism of the excess fat in the liver and pancreas; the method used in Fung’s clinic, and others. Read my
experience for insights.
I have come to doubt the need for the extreme low-carb, ketogenic
diet. Simply lowering carbs, especially
those with a high insulin index, should be sufficient for most when coupled
with fasting. Some such as Dr. Michael Mosely and Prof. Roy Taylor have had success with this approach and 800 calories on fasting
day. The current popularity of the ketogenic
diet I think is more of industry pushing a flawed model, one with a low success
rate and thus reducing the number of patients trying fasting. I would use both low carbs and fasting, and
add at least a yearly an extended fast of at least four days to lower the risk
6) I and others have found
dropping the carbs far more difficult than fasting. One reason is the body’s
adaptation to very low glucose whose complexity is beyond the scope of this
paper. It takes 5 days according to an
often quoted 1982 study. During that
period some will feel mentally foggy, lack of physical energy, and thus their
emotional consequences. One way to get
around this is to try a prolonged fast of over 2 days. Fasting keeps your
insulin very low, which doesn’t occur with KD, because of the secretion of incretin hormones which stimulate the pancreas to release insulin. Insulin regulates other hormone such as leptin make the transition to KD difficult.
Fasting will produce ketosis: the
metabolism of fats that results in the production of ketone bodies which are
used to produce the energy molecule ATP.
Fasting hastens the complex process of conversion to just fat
metabolism. KD’s goal is to enter
ketosis, thus fasting is a second avenue.
KD should be viewed as an adjunction to fasting, one which lengthen the
period of fat metabolism. The path to a
cure depends on the situation. I know
some who upon diagnosis of diabetes have used just a low carb diet to be drug
free, and other who after trying metformin, have gone to the KD. But strong
evidence of a cure through KD I
haven’t found. What is the best path to
becoming drug free depends upon the degree of infirmity. 
7) While fasting as a start, and
then on alternate day fasting and KD, you will need to adjust your medication
to avoid hypoglycemia (low serum glucose) by reducing drugs. Pharma of course
attributes the side effects
of the drugs to type-2 diabetes (T2D) and they ignore the quality studies which
show that insulin and thus drugs which raise insulin increase mortality. This
includes sulfonylureas, insulin injections, and very like the other classes including thiazolidinediones, dipeptidyl peptidase-4 inhibitors, SGLT2 inhibitors, and glucagon-like peptide-1 analogs. For example in a rare case of
a drug being evaluated for endpoint
outcomes: “Rosiglitazone, a thiazolidinedione, has not been found to
long-term outcomes even though it improves blood sugar levels. Additionally
it is associated with increased
rates of heart disease and death.” Wiki. Most critical studies are done when off patent, and
thus is tool to promote sales of patented medications. Those who tightly control with
drugs their glucose with Rosiglitazone have over twice the death rate of those
who don’t. The way to healthfully manage
diabetes is to reduce drugs with a low carb diet. Watch the lectures of Dr. Richard Bernstein—click on link. High insulin (insulin resistance) is the cause for the comorbidities associated
with T2D thus the FDA
accepts the surrogate endpoint lower serum glucose for giving a patent, and
doesn’t include those long-term consequences.
(Yes, the FDA acts an extension of pharma while pretending
to regulate in the public’s interest.) Pharma
of course sells lower serum glucose as
a proof, but they are in the business of treating the comorbidities long-term,
and physicians are just car mechanics consulting pharma’s treatment guidelines, textbooks written by pharma’s KOLs (Key
Opinion Leaders), and attending
for free continuing education class funded by pharma.
8) Over and over again, I talk to
people, and watch them attempt to change their behavior, but fail. I suggest
a two-step approach, one of
studies, the other social. Of studies:
Watch and take notes on the documentaries
and lectures, read the 2 books by Dr. Jason
Fung, and engaging people in conversations on diet and diabetes. WITH STUDIES
COMES MOTIVATION. I recommend writing a
log of what you have done, experiences, and technical question. You are
involving the rational portion of your brain.
This will increase motivation.
The second part involves changing behavior by appealing to our social
nature (we are a social animal).
Because we are a social animal, you should persuade a friend or relative
to try fasting and low carbs with you.
Even better would be to involve a friend with serious obesity or
diabetes to try the fasting-low carb cure.
(I have 5 programs depending on condition at http://healthfully.org/rh/id8.html) The social environment is
important. A number of services offer
counseling and/or group meetings.
Medfast and Weight Watchers are the best known. Dr. Jason’s clinic
has an out-patient program.
He will work with your doctor.
Check it out and see if it is a fit.
Think of the good you will do if your doctor through your efforts discovers
that T2D can be cured through diet, possible he will go public like Dr. Jason
Fung and Dr. Sarah Hallberg.
MORE BY Dr. FUNG IN DIABETES SECTION;
and his blog
is excellent with link to his diabetes clinic
This clinic will work with your doctor
for $500 Canadian
 “Series with long-term
follow-up show that gastric
bypass and biliopancreatic diversion achieve durable normal levels of plasma
glucose, plasma insulin, and glycosylated hemoglobin in 80% to 100% of severely
obese diabetic patients, usually
within days after surgery. Available data show a significant
change in the pattern of secretion of gastrointestinal hormones. Case reports
have also documented remission of type 2 diabetes in non-morbidly obese
individuals undergoing biliopancreatic diversion for other indications.” Ann Surg. 2002 Nov;
554–559, and-other journal articles
pasted there and at id6. Pharma claims the cure is
because of weight loss, this is more deliberate misinformation spread by
physicians and textbooks, and supported by pharma’s tobacco science.
For many on a KD diet, they experience a decline in metabolism and an increase
in hunger, typically around the 2nd month of dieting, and for this
reason the rate of long-term success is not much better than an energy
restricted diet. The hormone leptin is
the main cause, and leptin is in part regulated by insulin, for this reason a
low insulin diet is better.
Bad pharma misleading claims the cure is because of significant weight loss
knowing that most are cured before major weight loss, and knowing that for 95%
of people they will regain their weight.
Thus the temporary reduction in drugs while losing weight will not
continue. Only a few with early T2D will
go drug free, and they will eventually return because they are not low carb
The same dietary fix results in the metabolism of the excess fat in the liver,
which is the starting point for developing insulin resistance, and this leads
for most to weight gain and the increased risk for developing T2D.
This delayed contribution to serum glucose is missed by the glycemic index, and
most authorities on fasting.
exception would be those who have been diagnosed as T2D, but have progressed to
type 1 because their immune system has destroyed their beta cell and they can
no longer produce insulin; a condition known as which entails that their beta
cells no longer can produce insulin.
Estimates run as high as 10% of adults can’t produce insulin.
 Prof. Roy Taylor produced similar results for
those under 10 years of diabetes who followed his 800 calorie diet, at link. interview
With ALD, just like those who had bariatric surgery, the long-term
diabetics are cured.
detailed account of business trumping science is made in Gary Taubes (2016) The
Case Against Sugar.
This parallels what has happened to niacin a once popular alternative to
statins—for more click on link.
Cancer can be starved because of defective metabolism making cancer dependent
on glutamine & glucose—see Thomas Seyfried.
Unfortunately there is a lack of funding for curing T2D with diet and not
Pharma by Prof. Ben Goldacre, p. 91-92, on the under-estimated 43%
increased risk fatal heart attack to those on Rosiglitazone compared to like
drugs (not best treatment), and based on biased-by-designed studies.
^^^^^^^^^^^^^^^^^^^^^^^ APPENDIX ^^^^^^^^^^^^^^^
meals and snacking
Two problems with the small meal
high carb-sugar diet, especially when it causes an insulin spike (see link with
insulin peak graph following a
meal), and insulin graph
at middle section of article. This spike
clears the high serum glucose in about 75 minutes, and longer when eating a
meal high in fats, proteins, and complex carbs such as legumes. When the glucose
dips, there is an increase
in hunger, as the body hormonal system kick in to promote behavior resulting in
nibble to restore blood glucose to normal level and thereby continue to store
fat and metabolize carbs. This behavior
of frequent snack is term appropriately grazing.
Such behavior reduces the window of time in
which fat is metabolized. Grazing
reduces the amount of fat metabolized, thus reducing the rate of weight loss on
an energy-restricted diet, and with low blood glucose appetite increases. To
avoid this cycle replace carbs when hungry
with green vegetables low calorie
beverages. I nibble on bell peppers and celery, and
drink tea with lemon. A good guide is
the Insulin Index table at diet;
those foods above fish should be limited.
One is that with a high level of insulin precipitated by certain carbs
and sugars, there is a rapid lowering of glucose (versus a
***** How to Reverse Diabetes Naturally, 35 min, 29,000 views, Dr. Jason Fung, on treating the
symptom high sugar instead of the disease insulin resistance. Very important
way to break the reliance on drugs with diet and exercise, with testimonials, https://www.youtube.com/watch?v=mAwgdX5VxGc
Insulin Toxicity and How
cure Type 2 Diabetes,
61 min, 31.000 views Dr. Fung. On hyperinsulinemia & its role in diabetes,
similar to the previous, but for doctors treating diabetes. Based on clinical
trials that prove insulin,
not glucose is the problem. https://www.youtube.com/watch?v=4oZ4UqtbB_g very good
***** The Two Big Lies of Type 2 Diabetes
54 min,10,5000 views, Dr. Fung, latest lecture 11/14, similar to the
video and with two patients re-accounting their experience on one day fasting,
one day off cycle. https://www.youtube.com/watch?v=FcLoaVNQ3rc&feature=youtu.be https://www.youtube.com/watch?v=FcLoaVNQ3rc excellent
***** The Aetiology of
Obesity, the Fast Food Solution (Part 4 of 6): Dr.
Fung’s college level lecture on biology
behind obesity and the biology behind
alternate-day fasting, which is a sure way to cure type-2 diabetes and
obesity. Explains its parallel to bariatric surgery. https://www.youtube.com/watch?v=pG89j432w-Y
§***** Therapeutic Fasting—Solving the 2-compartment
problem, 38 min,
59,900 views, Jason Fung staying in
fat burning mode and why energy restricted diets don’t work. Fasting
is the important addition to the Atkins/ketogenic diet. It is easy, especially
overweight. Being thin, I have for over
30 years been using the short-term 16-18 hours fast. Fasting--the long-term
cleansing of the stored 2 to 3 pounds of fat which causes the assorted
comorbidities, https://www.youtube.com/watch?v=tIuj-oMN-Fk Excellent
§***** Richard Story:
Beat Diabetes 9 min,
21,000 views, Dr. Jason Fung, interview with Richard and his wife, both have
had a major life change in 5 months https://www.youtube.com/watch?v=YyUwiF4Zoc8 and a
similar lecture and testimonial https://www.youtube.com/watch?v=2ifN_aVwEZk
Below are the best of
lectures on the medical issues you face:
From my video
We Get Fat 3 min, 1,455,000 views, clip from
movie Fat Head. The best explanation on
the process of accumulation of fat, https://www.youtube.com/watch?v=mNYlIcXynwE a good foundation
§ Catherine Croft PhD
on Hyperinsulinemia and Kraft 13 min, 2,500 views, lecture on fasting
glucose does not reveal insulin resistance; best method is glucose tolerance
test with measure of insulin at 2 hours, if above 30 mu/mL than 90% chance of
insulin resistance https://www.youtube.com/watch?v=pCtwgAAuyBE Good
Signaling 5 min, 160,000 views animation
presentation, college level https://www.youtube.com/watch?v=FkkK5lTmBYQ very good
2. The Problem With The ADA Diet 11 min,
6,000 views, Dr. Richard Bernstein,
informative for both Type 1 and type 2 diabetes, on how to go drug free. The
ADA guidelines and what nearly all
doctors hold is wrong. He explains why,
as does Dr. Fung above, https://www.youtube.com/watch?v=SCzk66CQKEg VG
Insight Beating Diabetes 52 min, 83,600 views, 2016 Dr. Mosely
& Prof. Roy Taylor interview,
using Taylor’s 800 calories diet for reversing diabetes, in which those who
have T2D for under 1 years have success, while those over 10 years are not so
likely on a small sample of 4 who all failed.
Strong on human interest, well organized and moving-entertainment,
quality interview, but not what US media covers. https://www.youtube.com/watch?v=hDEw561NFto#t=2.990076 Very Good
*****Diabetes the Hidden
plague, BBC Panorama 58
22,000 views, focuses on all the major health consequences (hospital) value
information, full of sad human interest, will
motivate the viewer, best watched alone to feel the pain, the problem but
little on the fix. 11 billion
pounds cost https://www.youtube.com/watch?v=NGJ6cTWyMfg very good
*****Reversing Type 2 diabetes starts
ignoring the guidelines 18 min, 1,290,000 views, by Sarah
Hallberg MD, TEDx PurdueU, passionate on treating diabetes and insulin
resistance with low-carb high-fat diet, and on the viscous cycle of taking
medications which require carbs to prevent the side effects with hypoglycemia,
high carbs is strongly associated with heart attacks https://www.youtube.com/watch?v=da1vvigy5tQ
***** The Secrets of Sugar 45 min,484,000 views, CBC (Canadian Broadcast Corp) program; starts
with a young family and show that at the heart of the weight problem with
impending health consequences lies high sugar diet. It also shows experiments
students, uses interviews to drive home the point that sugar is the health
issue, http://www.youtube.com/watch?v=xDaYa0AB8TQ most entertaining, SECOND
Sugar, The Bitter
Truth ”, 82 min. 5,100,000 views, Prof. UCFS
Lustig MD, university
level lecture on sugar,
fructose, obesity which needs background preparation and note taking. Made me
a believer after I researched the
issues he raised. http://www.youtube.com/watch?v=dBnniua6-oM also
at http://www.youtube.com/watch?v=ceFyF9px20Y, called
Fat Chance: 296,000 views.
The graphic in Dr. Lustig’s lecture are at file:///C:/Users/Jerry/Files/Downloads/Lustig+Sugar.pdf very
Link to his page. https://intensivedietarymanagement.com/join/
And yes, Dr. Fung office will work with your local diabetes
Diet sodas are a special problem because the sweetness stimulates hunger.
For this relying upon the glycemic index, we can see that carbs such as from
potatoes, and high sugar foods such as baked beans, have a