Long-Term Remission of Type 2 Diabetes Is Durable | Roy Taylor, MD & M. Scott Moore, DO
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- เผยแพร่เมื่อ 28 ก.ย. 2024
- "Long-Term Remission of Type 2 Diabetes Is Durable - CounterBalance Study 2010 and Diabetes Remission in Ogden, Utah: LEADR Trial"
Speakers: Roy Taylor, MD & M. Scott Moore, DO, DipBLM, MLS (ASCP)CM
May 16-19, 2023
Ogden Surgical-Medical Society's 78th Annual CME Conference "Lifestyle Medicine"
Conference President: M. Scott Moore, DO, FACLM, DipIBLM
See more from this year at: ogdensurgical....
I reversed my 10 years of diabetes by reducing my calories by about half, mostly from carbs. This is not as extreme as the method that he advocates, but it works and it is easier because I was never very hungry. By having my last meal before 6pm and then delaying breakfast for a couple of hours until I was moderately hungry I was easily able to go 16 hours without eating. This makes it easy to reduce calories. I lost about 2 lbs per week at first, eventually losing about 34 lbs. I am having no difficulty keeping my weight stable, and know that I can easily do it for the rest of my life. My weight now is about the same as when I was 20 - I am now 72.
I am actually underweight - 177lbs, 6ft tall, but I have bad type 2. I'm doing 16:8 too, for 3 weeks now but not much change for me in my blood glucose. I still think I have liver fat so I might try this low calorie (700 cals a day to see what it does).
As he points out in his book most people have to lose about 25-30lbs. What he's saying works as long as you get down to your body weight threshold. I've seen it firsthand it really works. @@Table-Top
Based on his book you haven't got too your personal fat threshold yet.@@Table-Top
@@Table-Top if you are a 6 ft tall male, your ideal weight starts at 160 to 196. You seem to be in the middle of the scale. 177lbs isn't under weight. Is your body muscular? What's your waist size?
Have you tried to get to the lower end, 160lbs?
@@videoartsproductions1
Most people have to lose 25-30lbs, NOT loose! Lose only has one o.
Excelent class from Dr. Roy Taylor. As a cardiologist here in Brazil i could see that the personal fat threshold theory is true. Each one of us must know and try to keep pur own healthy weight and fat distribution. And we must constantly adapting our diet and keeping our muscle mass in a way that our metabolism keeps well. The low carb diet helps (I would say normal carb becouse what we see nowadays is excessive carb ingestion and relatively low protein and health fats in our diet). Thanks for the class here in youtube. A hug to Dr. Roy.
I had Hba1c of 71 twice during Covid lockdown. I was 110 kg or 17-10.
I lost weight late in 2022 and have averaged 90 kg or 14 stone for most of the last 2 years.
My Hba1c has averaged out at 43 this year.
Losing the fat can really work, and resistance training helps a lot too because it helps your muscles respond to insulin. I am 64 now and fitter and stronger by FAR than I was 20 years ago.
Only 13 percent remained in remission after 5 years. Finding the right diet to maintain remission is the key. Im on a low carb diet and have gained remission by losing 40 pounds. Im easily able to keep the weight off because maintaining this diet isn't difficult.
Yup. I’m amazed that people with PhD’s are still recommending low calorie when it has such horrific long term adherence. Plus, the way that he shrugged off the question about metabolic rate shows how shallow understanding he has. If you’re going to call something a myth, you have to back it up with citing research.
To first go low calorie diet and then when you are satisfied or no longer have the strength and stamina to endure low calorie slowly change over to low carb diet. I totally agree with you that the right diet for you is the key to long term adherence and long term remission
@@jeremyhorn9961shallow 😂
The person who proved type 2 diabetes is reversible that has invented an MRI scanning protocol to elucidate the cause of insulin resistance and you call him shallow just because he understands metabolism more than you or any of the quacks you've followed
@@trotskyite1roasted 😢
@@trotskyite1I achieved everything he did and a lot more besides by eating grass fed beef, butter and eggs until I was full. You can keep your liquid diet and vegetables.
Thank you for this presentation, it has expanded my view on my own journey with weight loss and T2 Diabetes. I did a slightly different path, low carb diet with similar intermittent fasting. Diagnosed 2021 with T2, fortunately my doctor gave me a choice of weight loss or Metformin, and I chose Keto as my path. Lost more than 80 pounds over the next year, more rapidly at first, and am now at a "normal" weight. Did not have any need for portioning, as when I started eating whole foods and avoided grains and added sugars, my appetite immediately normalized. A1C of 4.7, and has been stable to date. In maintenance, I have been able to reintroduce a much less restricted diet, without weight regain and maintaining my T2 remission. I now don't worry as much about what I eat, but HOW I eat.
You have to change your life style to keep healthy. Not a diet. Low carb and intermittent fasting will do it for most.
sounds like you have done a fabulous job, well done!
@@jerrywest7068 You don't think keto would help cause it would help lose the fat?Which the fat is in the liver, which is in the pancreas?Which probably adds on to insulin resistance?I'm kind of wondering what way to go here.Because so many say keto so many say protein and fiber and others say low carbs.I just at a loss what to do I already have insolent resistance in my pancreases overworked
Doesn't keto muscle waste? Weightloss takes muscle? I found a protocol which os protein amino acids absorption and minerals to stall muscle wasting
@@jerrywest7068isn't kiw carb a diet?
Why does this news not creat instantley a hype worldwide? You can reverse (not everybody but an important %) diabetes or pre-diabetes by simply losing a lot of weight and eliminate sugar? This should be on the news everywhere. How many people suffer from diabetes worldwild, like 500'000'000 and rising😢
Not part of the food/pharma plan!!
Because it's not a pill that cures it. It's a life style change to get to the proper weight and fat threshold. I gave the book to my brother years ago he decided to ask his Dr. if he's heard of it and and Dr. replied that he has but most people wouldn't do it so that is why they don't follow patients with a diet to reduce their body weight. So people most just mange it with metformin or weight loss drugs. His Dr. also said Dr. Taylor is a genius. My brother also asked his Dr. why he wasn't told it was non alcoholic fatty liver disease that is the underlying cause, his Dr. replied and told him that the explanation is to hard for most people to understand so its much easier to just tell people they're insulin resistant instead of giving them a lengthy explanation of why.
No money in it for those who would sensationalize it.
Nobody wants to lose weight it's too hard for most plus they also have food addictions. I gave his book to a few relatives and they don't understand it because they have been told for so long you can't do anything about. So they're either skeptical or it's just to hard to do.
I do pretty good till I try anything that's delicious then I go on a binge😂 but still I'm healthier than ever.
After being diagnosed with diabetes I found out about low carb on the internet and decided to try it. After only 3 months it was in remission. In the last 2 years I have lost 25% of my starting weight without even trying and without being hungry. If I go through stressful periods I will allow myself to eat lower carb foods but do not return to high carb/sugar/processed foods. As an example I have had a very stressful 5.5 weeks and today it got too much for me. Yes, I comfort ate, but it was after having salmon, avocado and red capsicum for my evening meal which was followed by a kiwi fruit (which I haven't had for several years), 3 massive strawberries and cream and some homemade sugar free chocolate.
does this mean you always have to maintain this diet to keep it in remission?
@@odinaulugbekjonova7055 I _might_ be able to eat more carbs and still manage to keep the diabetes in remission. However, I find that when I eat too many carbs I get hungry sooner; eating the way I am now is satiating. Also eating too many carbs makes me crave more carbs; it can be hard to stop eating them. We each have to find what works for us. For me, I now don't want to eat too many carbs because I feel more healthy. Carbs may be the cause of inflammation in the body, and I have arthritis and when I am eating low carb my arthritis doesn't hurt as much. People who are eating carnivore sometimes find that if they eat carbs their health issues (ie things other than diabetes) return.
Yes this man done this many years ago just no hype
What is low carb .. do you do big salads??
@@joanneclark8256 No, meat, fish, eggs with a small amount of low carb salad or veggies.
Masterly presentation,lucidly explaining reversibility of diabetes by diet control.
I did reverse my 26 years diabetes by reading his book.
What did u do to get rid of it how u doing now
I stopped eating all ultra processed food including fast food ice cream and you know what. Get rid of all simple carbs like and added sugar stuff. No soda no juice. My fruit is only berries. I’m doing low carb with some exceptions of dairy. I am doing well and keeping good daily exercise and sleeping. I use CGM and more importantly I don’t eat if I am not hungry.
Me too
@@m-hadji good effort roy taylor and jason fung and the other tip guys and women are on to it how to get rid of with out drugs
Please give the title to his book 😊
I’ve tried this for about 2 weeks and the results have been miraculous. I’ve lost 17 lbs, my blood sugar is 113 avg whereas it used to be 150 average, and my estimated A1c went from 6.7 to 5.4.
I am prediabetic on my 7th year of a very successful weight loss program.Iquit my job lived in a small rural town went on a liquid diet first, then strictly zero carbs still to this very day. I went from 120kg to now 76 kg. There is no success story in Diabetes. I just check out of the hospital last week, had to have a stent in one coronary, the other 3 stented 8 years ago, 2 were clean one will be operated on next month. After 8 years of daily intermittent fasting, zero sugar and strict protocol of NEAR ZERO carbs(only meat eggs cruciferous vegetable and cheese), my arteries are failing me. BMI perfect, blood work HDL/LDL/ triglycerides perfect, blood pressure perfect. Remission my ass. my fasting glucose never came down bellow 1.30g, and my A1C is still around 6.5%.
That's a bummer. But are you sure it was the insulin resistance/diabetes that caused this? Some ppl get better redults from low fat. Also, cycling carbs and/or calories is a better strategy.
add magnesium, fish oil perhaps selenium and some B vitamin complex, you have to reduce inflammation (blood test 'hsCRP') also how old are you? this matters im afraid. look into support for 'reverse cholesterol transport' plaque can be reduced but LDL must be rock bottom and HDL a good level -also check out a new concentrated fish oil drug called Vascepa, incredible. also must to reduce stress . easy do yoga daily
Have you tried longer fasts, one meal a day, or every other day, or 72 hour fasts? I'm OMAD carnivore but if I eat sweets, my fasting glucose is 130. I can get it below 90 with a three day fast.
I can go down to 95 fasting glucose with omad or a very light dinner. THE PROBLEM IS i CANNOT GO THINNER I am 72kg for 5'.8@@jselectronics8215
The problem is ZERO carbs.. you are eating more fat, especially saturated fat to get your calories. Your LDL cannot be perfect with this diet.
I reversed my type II diabetes with the carnivore diet in two months. Sorted out my high blood pressure and my arthritis. No restrictive eating and ate until satiated. Carbohydrates are the problem and no vegetables required whatsoever. I’d rather sit down to a rib eye and eggs to some liquid meal and bland vegetables. I’m now 5 years in and I’ve lost 45kg in total and have a six pack at 63 years old. I’ll stick to a proper human diet that our ancestors ate 🥩💪.
Lol cool story bro.
Cholesterol is a scam ?
I'm also 63 and healthy, my LDL and triiglycerides are low 70s on a WFPB diet. Mind you I only needed to lose 30kg.
Also a 63yo Australian carnivore. Lost 24kg, cured arthritis, ibs gone ,gastric reflux gone, joint pain gone, prostate issues gone, depression gone, anxiety gone, sleep apnoea gone, mental health issues gone. Never been healthier. Sugar levels are smooth and even. Never healthier and completely off all my heart meds.
P.s. ive been carnivore only 4 mths.
It’s easy to lose weight when you learn how to prepare and eat healthy delicious vegetables
Timestamps would help your nice videos.
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amazing, thank you
I have been managing my type 2 diabetes for 25 years with ketogenic diets. That is, by being a fat adapted fat burner producing ketones. Important to understand the liver makes all the glucose you need. Any you eat is really extra.
The cause? Virtually 100% diet induced. Crappy diet of processed foods full of sugar and junk starches.
Ketones are also needed to help fuel our big brains, like a dolphin.
Cool story bro
Can't follow with uric acid above normal...
You obviously didn't understand the lecture or read Dr. Taylor's book and guide if you did you would understand that diet is not the issue. It's about being at the proper weight and fat threshold. It's not about food or diet low carb high fat or high carb low fat. It's about getting to the correct body weight and once you get their diabetes goes away and so does the fatty liver. You should read the book.
Why do normal weight people get diabetes type 2 also?@@videoartsproductions1
30:05 NHS England Type 2 diabetes remission programme
Aim: 15kg weight loss
I got my type 2 down to normal with Keto. BUt Keto is so hard to stick to, I did it for 1 year. When I came off Keto, my type 2 returned, perhaps because my fat level was still above where it should be (not obese just 15 lbs overweight). I think I might try this 700 calories a day.
Try carnivore. Same results but you don't get hungry.
Maybe try intermittent fasting. Of course you will get diabetes again if you snack carbs all day long
You need to cut out the fats
Where does one get there minerals and vitamins??
Like a carrot ir salad you can get dosbetes????@MS-sd1uz
He changed the way they look at diabetes point up to individual
Does anyone know if this method affects cholesterol or triglyceride levels also? He recommends stopping metformin, but what about Lipitor?
Not a zero carb diet. What sources of fats and oils are you using?
Low-carb together with time-restricted eating is the best.
What can one do if low income ? Which diet
My wife's BMI is 22 but fat is 35% . Her age is 57 and my a1c is 6.4 . She has active daily routine with 19 k steps
Kindly suggest how to reduce fat
Stop walking, and eliminate seed-oils.
Low carb diet (carbs raise glucose).
resistance training, magnesium. proper sleep. stress relief. high protein. vitamin D and c and low carb diet
Try the rebounder
The question would be is what is she eating? What is she doing? Is she's stressing herself out too much? Walking, not much might be okay if it's in a relaxed state. Is she drinking water? How much protein does she have? I think all that has to play a part. What is her weight? What's your size? Stress even at home, unless sleep can cause all that more issues.
I don't agree with the don't exercise part. And start with a really slow exercize program. We need to make sure we keep our muscle mass. He says that exercise stimulates hunger which will impede the diet. Not if you just start walking 5 minutes maybe twice a day. Slow walk doesn't have to be fast. Do it after eating if you need yo. Add an extra minute to each walk per week. Or count steps. Walk three times. Add 100 extra next week
Read the book.
exercise has very little effect on fat burning vs diet so the idea is get the weight down then add in resistance training, exercise does not make you thin unless you do it at a unhealthy level like a pro athlete -HINT they dont live longer
@@DGE123good for heart and strength ..l walk and feel good
I do believe that someone in keto or in serious fat.Weight loss quickly.Muscles are going to deteriorate that you need to have some sort of proteins on boards.O, you don't lose them and proper minerals and vitamins at the end of the day, that's the most important.Don't lose those muscles when you lose the weight.That's probably why you says don't work out.That would be considered muscle wasting
"Guys, I'd rather just stuff my face with all the unhealthiest foods constantly, and just have my insurance pay the $17,000 yearly for Wegovy". 😆
But what causes muscle insulin resistance
too much glucose in the system brought on by eating too many carbs/sugary foods
@@dib3385 nope. That def is not it. You need to learn about sat fat and glut 4 transporters.
Then its up to you diabetes or not ita way of life dont complain it dont work keep at it it does
Does anyone know of an equivalent of the OPDIET packets here in the United States?
Did u find out what the packets were mate?
No, I didn’t @@KrentHunt-ys9md
@lesw3803 check out HLTH Code meal replacement. Dr. Ben Bikman developed it.
I know we are only talking about type 2 diabetics here but there must be some gene or other genetic connection to diabetes as well, as many sugar lovers and overweight people never get diabetes over their lifetime. So why is that so?
Rewatch the video. Obesity has nothing to do with it. Dr. Taylor states that each individual person has their own personal "fat threshold." Once that's crossed, fat accumulates in the liver and pancreas. You can have a thin person that has crossed their personal "fat threshold" and now has a fatty liver. That person would need to lose 10kg.
Dose your betta cells return. And once u reverse are u still a diabetes still tho any one answer this thanks .from new Zealand
Yes if you reverse diabetes your beta cells return to function that's how you reverse it. Whether you remain a diabetic is semantics. If you keep the weight off yes it's cure. Most put the weight back on find a diet you can use and increase your activity and exercise
If it's caught soon enough. You should read his books. Some people who have had T2D for along time 20 years or more still can benefit once they loose the weight but may still struggle and may require some drug intervention. The key is to get it under control soon enough and lose the weight.
@@videoartsproductions1 It looks like the key is insulin resistance in the muscle cells. He says after five hours, healthy muscles have absorbed one third of the carbs just eaten, compared to almost zero in muscles that have become insulin resistant. So my question is, how to restore insulin sensitivity to muscle cells?
For most people the focus should be on having a body weight that doesn't accumulate visceral fat. As he points out everyone has a fat tolerance or threshold and once you exceed that your body will accumulate the excess stores to the liver. The mechanism isn't as important to understand just how to prevent it. Just because someone is muscular or fit has nothing to do with how much fat they accumulate as visceral fat. In general too much food regardless will eventually be stored as fat whether it's protein or Carbohydrates especially refined Carbohydrates or even excess protein can lead to Non Alcoholic fatty liver disease. Rather than focusing on certain foods or macro nutrients his solution is just to maintain a appropriate weight. His proof of this hypothesis is the main selling point. The problem is people wait to long to something about after being diagnosed and your body wants to go back to that heavy weight that's part of the draw back it's called the fat thermostat. I still have that book from over 40 years ago and how that works. That's why it's a struggle for a lot of people to lose weight to begin with they've been fat for too long. Plus a lot of the processed foods have become addictive.@@jselectronics8215
@@videoartsproductions1 I'm 76, carnivore the last five years but still insulin resistant. Dr. Annette Bosworth fasts weekly 48 or 72 hours and says she is still insulin resistant. She takes glucose and ketone readings on air and they are normally in the low 70's and 1 or 2. Yes, I understand we can reverse the symptoms and get healthy but we will always fail a glucose tolerance test, unlike a person who is not insulin resistant. So in effect we never cure cure diabetes, but only control it with food choices and will power.
I’m so sad that it’s been years and years since he found out about remission in diabetes and yet the nhs and even the world haven’t adopted his research. I suspect it’s because they want us (Type 2 diabetics) to stay sick and rely on expensive medications 😢
0ver 100 years ago, a ketogenic diet was the standard for treating diabetes (it was not called ketogenic but it was exactly the same when described in old books)....and it's still working today for reversing type 2 diabetes without starving yourself!
I'm sad that Dr Taylor is not acknowledging it as ît is as, or even more, effective that his liquid diet...and I'll also add more pleasant!
18:30 Absolutely brilliant. Thank you Dr. Taylor.
Let me try and explain the cycle: The liver cells end up being too fatty. The liver exports some of this fat into the blood which at first gets stored as subcutaneous fat. Then the excess fat finds its way to the pancreas (triglyceride) which affects the beta cells that produce insulin. This will decrease the insulin response to food, which causes more glucose in the blood, which finds its way to the liver which causes more de novo lipogenesis, the turning of sugar into fat. Whalah: It's the fat, not the sugar that causes diabetes.
Yet read all the comments below, which believe staying away from sugar is good and eating fat is good. One commenter even talking about having to get stints, but still loyal to his Low Carbohydrate diet.
Even after watching they still don't recognise its the fats, the diets they follow are low card hight fats thats why they stay diabetic
His study is quite interesting, but nobody can stay on an 800 kcal diet for long. It also doesn’t address the diet that got the patient into trouble to begin with. Unless they get a sustainable, enjoyable maintenance diet, the intervention will be nothing but a blip on a long, road of failure.
I think ketogenic diets have the best long, term track record now. Five years+ in the Virta Health Study. Diabetes remission sustained in about 64% and drug reduction in over 95%.
its only until you've dropped the recommended weight, then you can add other things in. I thought he made that quite clear? perhaps you should read his books, that might help make it clearer
@@dib3385 Thank you. No it wasn’t made clear in this video.
The diet was more for the study. Dr. Taylor has stated the diet doesn't matter, but achieving the weight loss is what matters.
@@MrSmith-zy2bp Thanks for adding context. I wonder about that statement, though, since a percentage of T2D patients are normal weight. Do these also have to lose weight, or is the mechanism something else and the weight is just a proxy?
@@coffeemachtspass
Yes, normal BMI can accumulate fat in the liver by passing their personal fat threshold and need to lose some, nowhere near as much, to remove the fat from their liver.
26:30 13% remissions hardly sounds encouraging.
And it's really only 6% or 7% if you include dropouts...
Because they were eating junk and put the weight back on
only because they stopped eating properly and went back to eating stuff that caused it in the first place!
I changed to a wfpb diet of around 900cal a day. Yes I dropped weight. Sugar fell. Fat is the bottom line.
Excelent Dr Roy Taylor ,
I’m concerned about the yoyo weight effects that tend to come with caloric restriction (as opposed to eating as much as you want of whole foods). How long have you kept the weight off?
@@jeremyhorn9961 it's still caloric restriction or how is the weight lost ?
@@yangtse55its clearly the nutrition
@@jeremyhorn9961l hear liver hate yo yo diet .. lm unsure what diet is based and really confused ..l need to loose at least 80 pounds
idk but i definatley produce way to much sugar out my liver. just makes fighting this even harder than it should be urgh. my fasting levels are always higher than my feed levels makes it hard to fight this bs. I am going on a low calorie mostly low carbish diet the next week and see what happens. about 1200 calories aday and under 50 grams of carbs a day.
I’m skinny and have type ll diabetes. But a fat belly.
That's fatty liver most likely
@@daynawest3707 which can lead to a fatty, non-functioning pancreas and some nasty stuff after that....by the sound of it
Extra fat appears to cause skin tags also. Following this method should prevent the creation of new ones, as it has for me
No high insulin dies
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32:20 😂
The very face he uses HbA1c to track this says he doesn't understand the problem.
What should he use ?
I confess that I would have liked to see glucose tolerance tests used, ( maybe they did initially ), biut these are still obese people eating all sorts of diets...
Read the book and look at the MRI scans. He used MRI scans initially to discover the fatty liver disease is the issue. He's considered a genius by most in his field, this is a revolutionary medical discovery. Unfortunately a lot of people still don't understand it because they are closed minded. This now the current mainstream understanding by most people in the medical community. Thanks to his many years research and testing.
@@videoartsproductions1you don't have to have fatty liverr to become diabetic!
Title of the book please. Thanks
he uses a number of things not just HBa1C,.... read his books