It may surprise you to know that most doctors have no clue how to take care of health. Their job is sick care, not health care. That's why you see so many fat doctors these days. If a doctor is fat, don't take health advice from them.

I would say completely eliminate carbs. The amount of dietary carbs and fiber the human body need is exactly zero.

Eat more fatty meat, not lean meat. Contrary to popular belief, saturated fat is not bad for you. Polyunsaturated fats, aka seed oils, on the other hand, are. They're pro-inflammatory, and consist largely of phytosterols, which is poor building material for your cells.

Is it, how?

What is moderate? What does a "moderate" meal look like?

If you "need" fiber, why do you shit it out?

I don't know if you've asked yourself this, but why would any doctor need to prescribe insulin? Are you having T1 diabetes? Are you pancreas not able to produce insulin?

Why do you need to take supplements? Are you not getting enough from your diet? Have you questioned the bioavailability of the supplements you're taking?

I don't know if YOUR CKD is reversable, but a body is in its parasympathetic state it wants to heal, no matter whatever that injury is, even cancer. Whether or not it is able to heal depends on how much damage it has taken, and whether it has the sufficient materials to fix the damage. If you're constantly putting your body in a sympathetic state, or insulting, it will not be optimized for healing.

That's called the "Dawn phenomenon".

Your body kicks up cortisol to raise your blood sugar (amongst other things) so you can wake up. Nothing to worry about.

Skipping breakfast is healthier than most people think. Contrary to popular belief, it is NOT the most important meal of the day. It's a scam by Kelloggs to get people to eat their cereal.

If you're having Type 1 diabetes, why are you prescribed metformin? Metformin is for type 2 diabetes. If you have type 1 diabetes and your blood glucose was through the roof, you should be given insulin shots, not metformin. I'm not a doctor but anyone with a basic understanding of the human body will know this. And you'd know this early in life because Type 1 is childhood diabetes.

UNLESS You're actually a type 1.5 diabetes, i.e. you have type 2 diabetes which then either through glycation destroyed your pancreas' beta cells (or they're simply exhausted) ability to produce insulin.

Naturally, the obvious solution here is to consume zero carbs. No doctor will recommend this because you won't need to go back for insulin, and right now you're a cash cow for them.

Sounds like the msian doctor just prescribed you meds without knowing whatever for. They're just following algorithms that they've been given either by the medical "guidelines" or by pharma. There are A LOT of kooky msian doctors, and I've seen only a handful for good ones. That's the thing about msians though, they'd take meds for YEARS and their condition don't improve and they won't ask questions... really facepalm.

It's a good thing you've met a more sensible doctor in Vietnam. At least she knows the key is to stop carb intake. Once you get to a good metabolic state, and you know what's a good diet, you won't even need to take the insulin shots anymore, and stop being a cash cow for the medical industrial complex.

Small input. Red meat is not harmful and is very nutritious, and animal organs are also nutrient rich and if consumed proportionally. Dietary cholesterol is not a health concern. The highest risk of any heart disease is metabolic syndrome, not cholesterol. In fact, you need cholesterol to heal your cells.

You can easily tell what type of diabetes by looking at blood glucose and body weight. T1D folks don't get fat, and probably has ketoacidosis. C-peptide is measure to see how much insulin you're producing, it's helpful to see if you're insulin resistant, or your pancrease's beta cells are exhausted.

I would phrase it as insulin signals the cells to open the doors for glucose to enter the cells. Even without insulin the cells can produce energy via fatty acid metabolism. Both glucose and fatty acids are metabolized through the citric acid cycle (a.k.a Krebs cycle). When you get chronic elevated insulin levels (from consuming a high carb diet), your cells become insulin resistant, and eventually you get diabetes.

So even without insulin, your body will be fine as long as you have enough fatty acids for energy.

Yeah.... that's not how the body works. The body "burns" whatever energy it needs. That's why people feel satiated if you eat a nutritious meal, that's your body telling "hey I have enough materials". It doesn't burn too much energy. Only problem is, the human body is not meant to use carbs as the primary fuel source, and people have been told for 60 years to eat a "balanced diet" of 40-50% carbs, and people feel hungry shortly after because how devoid of nutrient a high carb diet is.

You just need to learn how the body works. You'd be surprised how many doctors don't.

If his body "can't utilize glucose", the only reasonable explanation is because of the Randle cycle. Otherwise glucose metabolism is part of the citric acid cycle, which every cell is capable of. Losing weight does not at all mean the body is unable to utilize glucose.

I don't understand the logic, why isn't stopping carb intake the prescription if you're t2D? You won't have to take Metformin NOR the insulin.


Actually, that's absolutely applicable too. You pee vitamin because your body doesn't want it. You pee the water because you body doesn't want it (or rather, don't want the stuff in the water), same for protein and you should hope you're not peeing carbs, because that means you're diabetic.

Ok, since you want to insist fiber is necessary, tell me how it is digested by humans.