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"And although type-2 diabetes is often reversible through a low-carbohydrate diet, the ADA and the pharmaceutical industry don’t seem very interested in acknowledging that."
I had to get a new nutritionist over this one... When I told her about cutting carbs she literally told me "Who told you that, the Internet?"
No, bitch, my BLOOD SUGAR METER tells me that.
She legit wanted me eating enough carbs at every meal to completely screw up my sugars. On top of that, she wanted me taking fish oil which, a) is expensive and b) has been proven to do fucking nothing.
https://utswmed.org/medblog/fish-oil-pills-heart/
https://health.clevelandclinic.org/fish-oil
https://www.npr.org/2023/09/01/1197344236/fish-oil-labels-are-misleading-new-study-shows
Those articles just say that most fish oil supplements don't have a high enough dose to lower triglycerides, but some did (9% of those tested). So the takeaway is that you need to do some research on what dosage you need in order to lower triglycerides and find a brand that has the proper amount. So no, fish oil isn't pointless/useless.
Omega 3 in fish oil has many other benefits too, it's proven to improve cognitive ability and help against some mental illnesses like Alzheimer’s disease and dementia, and it helps against rheumatism.
Taking Omega3 is just about the most sure thing to be beneficial you can do among supplements, together with vitamin D.
Obviously if you get enough without supplements, it will do nothing, but very few people do.
I was pre-diabetic for 2 blood tests, despite a nutritionist's help and starting some mild drugs. Went keto with plenty of green veg in it, and within 3 months I had my fasting glucose at the low end of normal and lost 40 lbs in about 6 months, to get to mid-normal BMI.
I might have actually made my doctor change his mind about carbs, because there was a distinctly different conversation after the blood tests came back clean the third time. LDL and triglycerides were all in normal ranges and he was convinced they were going to go apeshit, and coronary artery calcium (that's a leading indicator of heart attack risk) dropped in half.
It all sounded like bullshit when I had a friend go keto and fix his issues, and I resisted for about 5 years and kept getting fatter and mild chest pain. I finally caved when the blood tests were showing me heading for insulin, and I'm glad I did.
I'm not sure why we're sitting here with health pyramids, nutritionists, doctors and organizations like the ADA still promoting grains and starches, but they're fucking terrible for you and it's obvious as hell. Diabetes is an epidemic and it's because carbs have become the vast majority of people's diets.
Oh, and acid reflux is a thing of the past. I'd wake up in the middle of night with the taste of vomit and coughing it out of my lungs. Done.
Avoiding carbs is fucking impossible when you can't digest red meat and absolutely hate seafood :/
Also Cleveland clinic:
https://my.clevelandclinic.org/health/articles/17290-omega-3-fatty-acids