The devils advocate would say because these people are more educated on nutrition and biochemistry than the general public so they “should” know the “right” thing to do! Commence throwing rotten vegetables (was playing devil’s advocate, it should be true but I do not believe it). In reality how many obese nutritionists and Phds do you know? Probably not many because as Taubes notes in his new book The Case for Keto which I am currently reading, lean people are not thinner fat people and fat people are not simply lean people who ate to much. Lean people are the ones who can eat carbs and this insulin and other mechanisms work to burn them off and whatever it is that makes a fat man enter a bakery when he smells donuts does not work in the same way on them.
@PST there was a very good 2Keto Podcast or a couple of them where Richard got off Metformin and had his insulin measured over a series of months. Insulin is measured in a lab and I believe fluctuates. This is different than measuring glucose.If you have good insurance you may want to ask your doctor to measure it. He found that his insulin levels still remained higher than they should even though his glucose level was stable. He ended up back on Metformin. I remember this being around April 2018 or 2019
As for the OP.I know someone who at age 78 or so had to have bypass. He is a TOFI T2 and had been since his 50s. He thought he ate well, eating the egg whites instead of the yolk, walked miles a day, and took sulfurnureas as well as statins and BP meds. During his recovery he barely ate and was intorduced to low carb (he could not quite manage Keto). Within three months of surgery he was off all diabetes medication although he still took BP and other heart related medications. One morning he accidentally took a left over sulfanurea because someone had moved it over next to his other medications. His glucose went to 65! He was more careful after that. I really think you should let your doctor know that your numbers have changed. He may want to see you earlier to make adjustments. I would not make them on your own but I would contact him and see what he suggests. As for A1C, it may take a full 3 months to go down completely, since it is a measure of where blood cells have been for the last 3 months or so although individuals vary. Blood cells live for an average of 3 months. Note that incident with the bypass happened in early 2017, he still walks every day for an hour 5 years later and still eats mostly low carb. He is still on BP medicine and other heart meds but never went back on sulfaneureas
