fbpx

Articles + Stories by Our Experts

Diabetes

Failure of the Blood Glucose paradigm T2D 16

The current treatment paradigm of type 2 diabetes is the blood glucose paradigm. Under this paradigm, most of the toxicity of T2D is done by the hyperglycemia. Therefore, it follows that lowering blood glucose will amerliorate the complications even though we are not directly treating the T2D itself (high insulin resistance). The ACCORD study was a...

Futility of Blood Sugar Lowering by Medications in T2D – T2D 15

The UKPDS (United Kingdom Prospective Diabetes Study) was a huge study undertaken in the UK to see if intensive blood glucose lowering in T2D would prevent end organ damage over long run. The DCCT study mentioned previously had already established the paradigm of tight blood sugar control in Type 1, but whether this held true...

How to Reverse Type 2 Diabetes, The Quick Start Guide

How to Reverse Type 2 Diabetes - The Quick Start Guide Twenty years ago, when you bought a brand sparkly new VCR machine, you would also get a thick instruction manual. Read this thoroughly before you start, the manufacturer would implore. There would be detailed setup procedures and troubleshooting guides. Most of us ignored the...

Sunny and Cherie

I first met Sunny in September 2015 in the Intensive Dietary Management program. Sunny, aged 51 had been diagnosed as a type 2 diabetic since the mid 1990s when he was only in his 30s. He was initially started on the medication Metformin for diabetes. Over the years, he required more and more medications to...

Gino – Patient Profile

This letter is from a reader, Gino on April 9, 2016 Dr. Jason Fung, I want to thank you for opening my mind and providing a window down a path less travelled. Although we’ve never met or conversed, your writings and videos have served as our means of communication. My story starts in 1993, where...

The Diabetes Economy – T2D 12

Insulin, first discovered in 1921, revolutionized the treatment of type 1 diabetes. Dr. Banting licensed insulin to pharmaceutical companies without a patent because he believed that this life saving drug for T1D should be made available to everybody who needed it. So, why is insulin so hard to afford today? Only three pharmaceutical companies manufacture...

The Diabetes Mantra – Glucotoxicity – T2D 11

For as many years as I've been in medicine, the mantra of diabetic care could be summarized by tight glycemic control. The head endocrinologist would bark "Get those blood sugars into the normal range at all costs, soldier!" "Sir! Yes, Sir!" was the appropriate response. This was based upon the recognition that diabetes is characterized...

How Diabetes became an Epidemic – T2D 10

The World Health Organizations earlier this week released new statistics on the global epidemic of diabetes. Diabetes mellitus has been recognized as a disease throughout human history for thousands of years. The ancient Egyptian medical text Ebers Papyrus, written around 1550 B.C. first described this condition of ‘passing too much urine’. Around the same time,...

Book Review – The 8-Week Blood Sugar Diet

The 8-Week Blood Sugar Diet is Dr. Michael Mosley's new book and one of the most important books of the year. Why? More than simply a collection of interesting ideas and meal plans, it contains one overriding message of hope. Type 2 Diabetes is a reversible disease! Let's back up a bit here. Dr. Mosley...

Losing a single gram of fat can reverse diabetes? – T2D 9

Can removal of a single gram of fat from the pancreas reverse T2D? That's exactly what Dr. Taylor from the UK recently postulated in his latest paper. How is this even possible? First, a little background. T2D is characterized by two main defects. First, there is excessively high insulin resistance, predominantly in the liver. You...

The Dawn Phenomenon – T2D 8

The occurrence of high blood sugars after a period of fasting is often puzzling to those not familiar with the Dawn Phenomenon. Why are blood sugars elevated if you haven't eaten overnight? This effect is also seen during fasting, even during prolonged fasting. There are two main effects - the Somogyi Effect and the Dawn...

Insulin Resistance is Good? – T2D 7

Dr Gary Fettke – looking devilishly handsome! (Tasmania, devil, get it?) Everybody says that insulin resistance is bad. Very bad. It’s the root cause of type 2 diabetes (T2D), and metabolic syndrome, isn’t it? So, if it is so bad, why do we all develop it in the first place? What’s the root cause? My friend...