Shake your money maker

Type-2 diabetes can be reversed by using very low-calorie meal replacements.

Very low-cal treatment is not an easy thing to do. It requires planning and dedication and ideally a support network. But the big question is what to do when the weight, blood sugar of HbA1 goal is achieved? The stories in the news today, as they have been in the past about very low-cal approaches, is a bit detail-lite. It seems to be to resume normal eating but with dietary modifications advised by dieticians. 

Oh dear. If this means the standard low-fat low-cal dogma I fear many of those who lost weight and whose diabetes went into remission with relapse. Type-2 diabetes is a carbohydrate intolerance disorder. Unless there is an avoidance of the types of foods that push blood sugar (glucose) levels up, diabetes will almost always return. Those of us with diabetes or pre-diabetes would do best to avoid the Big-6 carb-foods altogether (pizza, pasta, bread, potato, rice and sugar).