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Re:South Asian people undergo type 2 diabetes remission with... by chrisgd on Sunday November 27, 2022 @02:10PM (#33765651)
I read a transcript of an endocrinologist suggesting intermittent fasting (don’t eat after 6 and wait as long as you can before your first meal - start with 10am and keep pushing back as long as you can). Then eat only veggies for your first meal, then veggies and a deck of cards serving of meat for dinner.

Honestly, it sounds very difficult, but the doctor seemed very confident that this works. I have started trying this (not T2, but need to lose weight)

Anecdotally, a lot of people have suggested keto and low-carb diets having been successful for them.

The source was Tegus (https://www.tegus.com/) which my company had a free trial.

Re:South Asian people undergo type 2 diabetes remission with... by ramraj07 on Sunday November 27, 2022 @02:43PM (#33766006)
The consensus from the most sensible people is, do the diet you can stick to, in the end just eat less. That’s most important.
Re:South Asian people undergo type 2 diabetes remission with... by chrisgd on Sunday November 27, 2022 @02:56PM (#33766143)
Not sure I agree
Re:South Asian people undergo type 2 diabetes remission with... by theduder99 on Sunday November 27, 2022 @03:47PM (#33766756)
yep, same deal with exercise. Doesn't matter how, I just wanted some type of movement that I could get into the habit of. Tried a bunch of different activities but was not able to form a habit until I got a rowing machine and even then I still have days where I don't want to use it :)
Re:South Asian people undergo type 2 diabetes remission with... by balls187 on Sunday November 27, 2022 @05:02PM (#33767448)
For those days, find something less, like light stretching, outdoor walk, skipping rope etc.
Re:South Asian people undergo type 2 diabetes remission with... by imwillofficial on Sunday November 27, 2022 @03:57PM (#33766856)
My Candy diet isn’t having the results I desire. It is, however, delicious.
Re:South Asian people undergo type 2 diabetes remission with... by uberduper on Sunday November 27, 2022 @07:37PM (#33768507)
This isn't an exception. Eat less.
Re:South Asian people undergo type 2 diabetes remission with... by dpdpdp on Sunday November 27, 2022 @08:30PM (#33768832)
This is definitely an exception, one would be deficient in just about every (micro)nutrient and therefore expire much faster than a normal human. While also being much more miserable.
Re:South Asian people undergo type 2 diabetes remission with... by uberduper on Sunday November 27, 2022 @09:37PM (#33769244)
Oh, I guess we're taking this candy diet suggestion far more seriously than I originally thought.

It wouldn't require a whole lot of thought to come up with an all candy diet that supplied the minimum necessary nutrition. How broad is our definition of "candy" for this? Are you willing to consider candied fruits, vegetables, and bacon? Chocolate covered things? How much dark chocolate would we have to add to something to consider it candy?

Re:South Asian people undergo type 2 diabetes remission with... by imwillofficial on Monday November 28, 2022 @12:37AM (#33770159)
Nobody should be taking my candy diet seriously
Re:South Asian people undergo type 2 diabetes remission with... by dpdpdp on Monday November 28, 2022 @09:46AM (#33774215)
Well put, now you have me wanting to try this candy diet.
Re:South Asian people undergo type 2 diabetes remission with... by throwaway821909 on Sunday November 27, 2022 @08:31PM (#33768838)
Mostly agree but if your diet is particularly bad, just eating less will mean existing nutrient deficiencies are magnified and (probably for this reason) you'll feel more hungry than you need to, increasing the chances you give up. IMO.
Re:South Asian people undergo type 2 diabetes remission with... by adrian_b on Sunday November 27, 2022 @03:05PM (#33766244)
When losing weight, it is important to continue to eat a normal amount of proteins, essential fatty acids, vitamins and minerals.

Only either the carbohydrates or the (non-essential) fats or both must be reduced. It does not matter which of them is reduced, as long as the total calorie amount is restricted enough. It may matter only due to personal preferences, which may make one variant or the other easier to support.

One must use some digital scales for measuring the weight every day at precisely the same moment, because the weight varies during a day by much more than the difference between 2 successive days. An appropriate rate of losing weight is between 100 grams and 200 grams per day, e.g. about 1 kg per week. If the measurements show another rate, then the amount of daily food must be increased or decreased until the rate is in range.

Regardless with which diet you start, if you adjust the amount of carbohydrates and fat according to the daily weight measurements, in a week or so you will converge to the right amount of daily food. However, this requires to measure by mass or by volume all the food eaten. Those who do not succeed to lose weight fail because they either do not measure what they eat or they cannot abstain from eating more than what they have planned to eat.

Losing the weight is the easier part. More important is to plan a diet for after reaching the target weight, a diet that will keep the weight constant, i.e. which must still be calorie-restricted, but at a normal level, and which must be appealing enough, so that one would never be tempted to eat again in the way that caused the overweight in the beginning.

Re:South Asian people undergo type 2 diabetes remission with... by fock on Sunday November 27, 2022 @05:23PM (#33767639)
> One must use some digital scales for measuring the weight every day at precisely the same moment, because the weight varies during a day by much more than the difference between 2 successive days.

or just do a moving average over some days. Works better.

Re:South Asian people undergo type 2 diabetes remission with... by doliveira on Sunday November 27, 2022 @06:43PM (#33768182)
Losing 1kg a week is not "about appropriate", it's pretty much the maximum.

And water weight, fecal residues, etc vary so much day by day. Were yours so constant insofar to be able to track it accurately to the grams?

Re:South Asian people undergo type 2 diabetes remission with... by adrian_b on Sunday November 27, 2022 @07:50PM (#33768606)
I have lost 1 kg per week during almost a year, with a considerable health improvement at the end and no negative effects, except obviously, the hunger.

At the time I have studied a lot the existing medical literature, and this was the recommended rate, so I have adjusted the diet so that the weight loss per day would oscillate around 140 g per day.

The weight must be measured every day in the same physiological conditions, i.e. in the same order relationship with respect to the various activities that modify the weight, like eating, drinking or eliminating their products.

A good moment would be in the morning, immediately after waking up and relieving yourself.

If one would eat in the evenings wildly varying amounts of food, then the weight in the morning could be affected by a noise due to variable amounts of food that is not completely digested yet. However that would not happen when one is eating a calorie-restricted diet for losing weight, when one would have to eat about the same minimal amount of food every day, which would be quickly digested.

While I was losing weight, I could see very well every day its evolution to the grams, and the effect of any change in the diet. Sometimes I succumbed to the temptation of eating like before starting to lose weight, and after such days I gained weight in a day almost as much as I was losing in a week, which increased the time until reaching the target weight.

Re:South Asian people undergo type 2 diabetes remission with... by doliveira on Monday November 28, 2022 @04:39AM (#33771522)
The average recommended amount is usually about 2 kg a month, actually. 4 kg is absolutely massive and I don't think it's sustainable for most people.

I eat the same stuff every day, weighing myself after going to the bathroom, etc, yet my weight easily varies at least 500 g from one day to the other. And if I eat just a little bit more carbs in a weekend, then well, it's like 2 kg of extra water weight on Monday.

Re:South Asian people undergo type 2 diabetes remission with... by adrian_b on Monday November 28, 2022 @07:02AM (#33772543)
The recommended rate of losing weight might have changed meanwhile.

I have lost weight (from around 120 kg to around 76 kg) about 15 years ago.

Nevertheless, I believe that if care is taken so that the calorie-restricted diet still includes a normal amount of all nutrients except carbohydrates and non-essential fat, 4 kg per month, like I did, should not cause any health problems.

Unfortunately, I have seen too many suggestions about how to lose weight that do not pay enough attention to provide all nutrients. Such diets can be sustained for a few weeks, but not for longer durations, like a year or more, which are needed when the required weight loss is great.

My weight can vary from day to day exactly as much as yours, but nowadays it rarely does.

The main difference between how I eat now and how I was eating before losing weight is that previously I was eating until feeling sated, but now I always decide how much to eat before starting to eat, so for most days the energy intake is similar, so the weight oscillations are small. When I happen to eat a more copious meal, I compensate the next day, mainly by cutting the carbohydrates during that day.

Re:South Asian people undergo type 2 diabetes remission with... by yazaddaruvala on Sunday November 27, 2022 @03:10PM (#33766313)
> Then eat only veggies for your first meal, then veggies and a deck of cards serving of meat for dinner.

> lot of people have suggested keto and low-carb diets

Just always remember: while rice, pasta and bread are vegetarian they are not vegetables.

Re:South Asian people undergo type 2 diabetes remission with... by bitwize on Sunday November 27, 2022 @03:23PM (#33766478)
C-f fasting

You never disappoint, Hackernews.

Re:South Asian people undergo type 2 diabetes remission with... by smcl on Sunday November 27, 2022 @06:05PM (#33767959)
Fad diets like intermittent fasting or keto will pop up anywhere anyone’s talking about weight loss or health issues sometimes associated with being fat. It’s not particular to HN and it’s sadly not going to go away :-/
Re:South Asian people undergo type 2 diabetes remission with... by uberduper on Sunday November 27, 2022 @07:40PM (#33768535)
At what point would you stop considering intermittent fasting or keto to be fad diets?
Re:South Asian people undergo type 2 diabetes remission with... by smcl on Monday November 28, 2022 @03:35AM (#33771136)
At no point. Same with Atkins, Paleo, Jordy P's "steak only" diet and the rest.
Re:South Asian people undergo type 2 diabetes remission with... by uberduper on Monday November 28, 2022 @09:42AM (#33774151)
You keep using that word. I do not think it means what you think it means.
Re:South Asian people undergo type 2 diabetes remission with... by smcl on Monday November 28, 2022 @01:03PM (#33777046)
Sorry to say but you're mistaken, these are all fad diets and it's not really disputed. If you think they become elevated to something greater because of a few hangers on who haven't switched to Dr McFuck's Green Purée diet (or whatever the next one is) then you're mistaken - there are still people on Atkins, for example, a classic fad diet.

The pattern is that a miracle diet is announced that promises guaranteed results, over the course of a few years a load of people get on board, each individual loses a lot in the first few weeks but most gain it back (true for all diets). In the meantime people make bank selling courses and books and pitching it as the central component of their Success Win Lifestyle, until the next one comes along and the cycle repeats.

If one of those fad diets are working for you, great - stick with it. But don't worry, there will always be another one around the corner.

Re:South Asian people undergo type 2 diabetes remission with... by civopsec on Monday November 28, 2022 @09:43AM (#33774184)
Indeed. Kudos to HN for being enlightened on this issue.
Re:South Asian people undergo type 2 diabetes remission with... by dmix on Monday November 28, 2022 @03:14AM (#33771016)
Low-calorie diets are a poor gateway to weight loss and health, where low-carb counts tends to do the real work. Calorie-counting typically leaves people hungry when they should just be eating better food.

Mediterranean, paleo, vegetarian, low-calorie etc diets almost always achieve the same low-carb goals, but low-calorie is the least practical...while sadly also being the most popular.

Just telling people to "eat less" is never an effective solution. There's a severe lack of good studies showing low-calories actually lowers weight long-term. The fact this study has 25 people is typical.

If you can eat a stable amount of food until satiety (still not-excessive amounts) while still achieving the same health/weight goals then obviously that would be the best solution.

I've asked before on HN to send me a study showing low-calorie diets are effective at reducing weight longterm and I still haven't seen one. Yet low-carb and type 2 diabetes go hand-in-hand with other treatments (most importantly pre-diabetics which is critical).