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What predicts drug-free type 2 diabetes remission? Insights from an 8-year general practice service evaluation of a lower carbohydrate diet with weight loss
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  • Published on: 10 July 2023
    Inappropriate Food causes Type 2 Diabetes Mellitus, Appropriate Food cures Type 2. Diabetes Mellitus.
    • Pandiyan Natarajan, Professor Apollo 24/7, NOVA IVF FERTILITY, The Tamil Nadu Dr MGR Medical University

    Good Day. Vanakkam.

    I read with considerable interest the informative article on Remission of Type 2 Diabetes Mellitus.

    Type 2 Diabetes Mellitus is a pandemic. 90% of patients are either Overweight or Obese. Most of the other 10% patients have a history of significant weight gain, though they don’t yet fit into the current category of Overweight or Obese.

    All weight gain in adult life is Abnormal except during Pregnancy and Body/ Muscle building. Life style, particularly Inappropriate Food is the single most important cause of Weight gain and Type 2 Diabetes Mellitus.

    The only curative treatment of Type 2 Diabetes Mellitus is Weight loss, ideally primarily by Appropriate Food intake and reinforced by suitable exercise. Weight loss by any measure will lead to cure, remission or amelioration of the condition as long as the lost weight is not regained.

    Type 2 Diabetes Mellitus will recur if the patient Gains weight again.

    Exercise plays an important, but ancillary role. It is impossible to Walk away an Inappropriate Food.

    Drugs are not curative. They are not even palliative. They address a sign without even treating the Root cause. They give a false sense of security.

    We need a paradigm change in the management of Type 2 Diabetes Mellitus. The change should focus on Hypocaloric Nutritive Food and Exercise and drugs should be reserved for Refractory cases or for emergencies.

    Thank you very much.
    Na...

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    Conflict of Interest:
    None declared.
  • Published on: 10 July 2023
    Food (Inappropriate) causes Type 2 Diabetes Mellitus. Food ( Appropriate) cures Type 2 Diabetes Mellitus.
    • Pandiyan Natarajan, Professor Apollo 24/7, NOVA IVF FERTILITY, The Tamil Nadu Dr MGR Medical University

    Vanakkam. Good Day.

    I read with interest the article on Remission of Type 2 Diabetes Mellitus.

    Type 2 Diabetes Mellitus is a pandemic. 90% of patients with Type 2 Diabetes Mellitus are Overweight or Obese. Significant number of non overweight, non obese patients have a history of notable weight gain. All weight gain in adult is abnormal except during pregnancy or body/muscle building. Lifestyle, particularly Inappropriate Food is the single most important cause of Weight gain and Type 2 Diabetes Mellitus.

    The only curative treatment for Type 2 Diabetes Mellitus is Appropriate Food. People are afraid to use the word Cure with Diabetes Mellitus. Weight loss by any measure cures Type 2 Diabetes Mellitus. The condition may recur if the patient gains weight again.Exercise plays an important but ancillary role. You cannot walk away an Inappropriate Food. Drugs are neither curative, nor do they induce remission. They bring down the glucose levels without addressing the basic problem of Inappropriate Food, and give a false sense of security.

    We need a paradigm change in the management of Type 2 Diabetes Mellitus. The change should focus on Hypocaloric nutritive Food and exercise and drugs should be reserved for refractory cases or for emergencies. Whole Fresh. Food, Plane based unprocessed Food would eminently suit this purpose.

    Namaste.

    Professor Dr Pandiyan Natarajan,
    Chief Consultant in Andrology and Reproductive Sciences,...

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    Conflict of Interest:
    None declared.