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(Heather Meyer) #1

Man with diabetes loses weight, cuts insulin needs after adopting plant-based diet

TORONTO – A 69-year-old American man with diabetes lost 68 lb. (31 kg) and dropped his insulin requirements by more than 50 per cent after adopting a whole-foods and plant-based diet.

The results of the “dietary therapy,” achieved without calorie counting, portion control or a fitness routine, are outlined in a December case report in the British Medical Journal.

In less than a year, the retired business executive and former smoker experienced a dramatic lessening of his various ailments. He has Type 2 diabetes, hypertension, Stage 3 chronic kidney disease, and elevated levels of phosphate and potassium in the blood. In 2017, he visited health professionals .“He was on 12 different medications and had experienced troublesome side effects, particularly weight gain,” the case report reads. “His ‘tipping point’ was his recent diagnosis of hyperphosphataemia … and a conversation with his nephrologist in which he was told that he might progress to the need for dialysis in as soon as (five) years.”

On the new diet plan, the man and his wife started eating oatmeal breakfasts, salad lunches, and whole-wheat pasta dinners, among other menu items (see below).

Within the first two months, he stopped taking four medications after his blood pressure and glucose improved. His insulin “steadily titrated downward.” The dosages for several medications were cut by as much as half within a few months, and he saw his creatinine levels (a kidney function measure) normalize for the first time in at least eight years.

“This case illustrates an alternative treatment approach that may be appropriate for select, highly motivated patients, using a strict (whole-foods and plant-based diet),” the report said. “This approach may offer effective treatment of (chronic kidney disease) in patients with the common metabolic comorbidities of obesity, hypertension and diabetes.”

The man and his spouse followed the provided food guide strictly, with the exception of a weekly restaurant dinner, and after 11 months there was “persistent benefit” reported, the report said.

Before the dietary therapy, the man’s typical meals included a breakfast of shredded wheat with coffee, a grilled cheese sandwich for lunch or macaroni with meat sauce, and a dinner of “Italian wedding soup” with meatballs, beans and rice. He was known to indulge in an evening snack of cookies or peanut butter cheese crackers. He and his wife dined out once a week, and continued to do so after the diet switch. His exercise routine included 45 minutes of walking on an indoor treadmill.

While there is limited research on the effects of this specific diet on chronic kidney disease, the case report authors note that there is some research supporting other dietary intervention, including the introduction of more fruits and vegetables, a “Mediterranean” diet, and a higher ratio of plant to animal protein.

Article can be found on ctv.ca/Health
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(Heather Meyer) #2

Apparently i need to eat more oatmeal and whole wheat bread on a daily basis to be healthy and reduce my insulin.


#3

So to sum it up, he starved himself and lost weight to become more healthy. I prefer a plan that lets me actually eat.


(Bunny) #4

Makes sense he simply cut out most of the highly processed foods.

Eating too many calories (too much food) is what causes the problem.

Cut down on the sugar and you will always get better no matter what diet your on.


#5

He probably ate way less (and better for him) carbs and calories… A good plant-based diet is healthier than many bad diets, I think we can be sure about it as the bar is extremely low… But a not so good and too low-calorie one may feel okay temporarily and necessary weight-loss has a positive effect even if made not in a near ideal way anyway.
So I am not surprised but it doesn’t mean much. The problem in his old diet was probably not the meat…


(bulkbiker) #6

“Shame” that when Neal Barnard tried it he got such crappy results


#7

Good on him.


(Heather Meyer) #8

Someone help me understand… what is the deal with this “plant based” diet about? I am hearing and seeing it advertised everywhere… Between plant based products to the “plant based” lifestyle. Even my friend has been following the “Ketotarian Diet”. She wont eat high fat like Keto but adopts plenty of vegetables and fruits in her diet including grapefruit.


(Windmill Tilter) #9

The vegans have some damn good PR folks. Can’t really hold that against them. Anything is better than SAD…


(Doug) #10

Mark - coincidentally, I’m in a discussion on YouTube involving that study. Guy was saying that “keto is no good, that Fung is wrong,” etc. Claimed that Neal Barnard got a “100% cure rate with whole-food vegan…”

I looked at the study - they wanted participants with a starting A1C of 6.5 - 10.5. The ‘Vegan’ diet group began at a relatively low average within that range - 8.05, and after 74 weeks the average was 7.65, hardly an earth-shattering success (and still firmly in the fully ‘diabetic’ range at over 6.5).

I said that’s what would be expected, due to all the carbs in the Vegan diet, and that a keto diet would almost always result in a vastly bigger A1C decline, etc. Will see what he says…


(bulkbiker) #11

My last HbA1c was 4.6% so… feel free to use that if required…
10.1% on diagnosis…4 years ago


(Bob M) #12

If you eat a diet very low in fats and very high in carbs, you can experience a lowering of insulin resistance. There are multiple sources for this.

The problem is that once you add in fat, particularly PUFAs, bad things happen. You have to keep your fat very low.

I ate like that for decades.

I rather like the way I eat now, though. I find it easier and I don’t have to eat that often. On low fat, I had to eat all the time. If I ate a hot cereal meal, I’d be starving basically right after I ate it. And this Pritikin-style diet seemed to cause many other issues, including flatulence, mood swings (pasta will still raise your blood sugar), depression, etc. None of which I have while on low carb/keto.