Of course I'm not saying you can cure cancer with your diet (although our own
pharmakos
can tell you how he went keto and saw an improvement in his condition that his doctors couldn't explain but refused to believe could be because of his diet, that is if I recall his story correctly), but I am absolutely saying that it is fundamentally impossible to know what conditions actually require medical intervention without ensuring your diet is good. I am also absolutely saying that 95% of doctors, and probably more than that, are guilty of completely ignoring diet as a possible cause and cure for illness.
These guys are complaining of problems like high cholesterol, high blood pressure, unexplained skin conditions, joint pain, type 2 diabetes, and more. All of these conditions have been shown to be diet related in a number of cases and could be reduced or even eliminated by eating a better diet. Sure, in the case of blood pressure and cholesterol particularly, genetics probably has more to do with it than anything else but that isn't an excuse to use meds to treat everything without addressing diet first.
If I was having the type of problems
Borzak
was having, then the first thing I would do is go on a very strict elimination diet to see if that helped. What do you have to lose when all the meds and specialist visits for years have yielded no results?
Alright, so you're not a nutcase, but lack the basic physiology/biochemistry knowledge, cool. So petty and the chronic, okay. Well, to a GP it's not that simple. Diet doesn't cure the years of wear and tear the high bloodsugar does on the endothelium (inner lining) of vessels. It simply makes takes it back to normal wear and tear. Conditions like dm2 is not cured by diet, but the numbers are better, normalized. If you forget to change the oil on your truck for 10 years, and suddenly start changing it, say regurlarly your oil dip check, bloodworks, is good, by not necesarily a true reflection of the inner system, vessels, organs. Hence we check for more than just a1c and cholesterol, but also clinical assesment and regurlarly depending on past history - aka the period of non-normal operation - additional biomarkers, bloodworks etc.
DM2 can be held at bay, bar genetics, by regurlar interval training and balanced diet. Aka have the short term sugar depots ready to absorb the ingested sugar, and thus buffer the highs and lows. Inactivitiy leads to these depots being less efficient - aka insulin resistance bc depots are full, insulin receptors downregulated, thus more insulin is needed to stuff thes sugar into the cells, causing further downregulation and so forth. A skew in homeostasis. So. Exercise. Interval training is the most efficient, pulsup and down, get your quads (the short term depots) working daily. Sedantric lifestyle -> bad.
So, if you already have a deficient, non-normal homeostasis, you can try to cure this by limiting the intake of sugar, thus not overloading your full depots, and get the ketosis running. Ketosis in essense is an inefficient energy conversion of fat to the levels of sugar and ketones which the brain needs to live of, either one. This will, if kept also in kj/energy deficit also cause weightloss of fat, and give your body additional resiliance to sugar highs. Fat cells are the final depots of energy storage, long term, for both fat and sugar.
That's the essense of a doctors understanding, more or less accurate. So. Yes, keto diet can be good for the average overweight diabetic joe, sure. It's a fast track to get to normal homeostatis. But it is paradigm to have the exercise part into it as well, bare minumum being the above stated quads (largest muscle group, largest short term depot). In the long term it will have benefitial effects on the gluco storage and glucogeneration in the liver as well, avoiding fatty liver too.
Being fit also keeps pickwick symptoms at bay, lessens the pressure on vessels and organs, lowering blood sugar etc. It's all a big, interchangable, cooporating system, the body.
The main problem we see in consults is, that it's piss hard for patients to correct their lifestyle, get the body working optimally again, and thus not need meds. Also it can take a hellova time to get there, and the longer your body is exposed to f.inst. Glucose levels above 11mmol/l is bad. Sowe start ppl on meds according to evidence based algorhitms, f.inst. Metformine first, escalating to 2-3 different farmaka, and possibly insuline if it's not controllable - either bc insulin resistance and low intrinsic production, or much much much more common, because ppl are simply not capable of changing their lifestyle. They dont get that diabetus is a chronic condition. It's not cured. Bc it's not the numbers. It's the whole effect, wearing down vessels, damaging them from the inside, thus reducing their capacity and function (contractabily, compliance), vessels stiffen, organs, fingers, feets, eyes dont get the proper supply at the proper pressure. In essence when you get your a1c under control it's just to notBeon a highway to hell, but mroe on the slow road of natural aging we should be on.
Does that make sense? To me diet is an intrinsic part of getting better, managing diabetes. But it's nowhere a cure. When you have diabetes its' because it's progressed so far and been underway so long, the time part of time x dose has made the effect already.
Don't meant to take the hope away from anyone, But really, we see a lot whom are not capable of just getting of their butt an change this for the better by simple diet - most are comorbid, kidneys silently halfed, peripheal nerve damage and other irreveersible effects of dm2.
So: dont get diabetes. Take care of yourself Before this shit kicks in.And if it does, make sure you get the hell away from it asap - diet, exercise, drugs to bridge or permanent, and obviously don't smoke. Whichever makes you live longer. Consult a GP first.Before it it's organ failures and whatnot.
SOrry for spelling mistakes, half asleep, shift in 6h. I hope it gives a little insight into the basics and not too inaccurate bc cannot brain atm.