Por que estamos tratando a diabetes tipo 2 da maneira errada? O que fazer? #tradução004

Is diabetes an "incurable" disease? Type 2 diabetes: it must necessarily worsen, all the time, as usually happens or simply (happens) because we are treating it totally wrong or even treating it? That's what I'm going to talk to my guest today I am addressing from the portal dietdoctor

com and I'm here with Dr Jason Fung nephrologist from Canada, welcome! F Oh thank you! So I just watched a presentation from you and found it really fantastic He talked about how we treat diabetics today, in the medical system And you're a nephrologist, you're facing with diabetics when they are already sick for some time, when they are already really sick, right? IS So I treat people on dialysis That's a lot of what I do And it's heart breaking

because what happens is that when they develop the disease they are already very sick But diabetes itself is actually reversible and this is one of the things that I realized before long and this is what needs to be understood: that this is not necessarily a progressive disease However, we often tell people that it is a chronic progressive disease and it's not me who's just saying that If you go to Diabetes Associations It does not matter if the American Diabetes Association, or Diabetes Australia All of them state that this is a chronic disease and they tell people essentially that: "you have diabetes you will have for the rest of your life, so get used to it " The problem is that this simply is not true! And, in fact, it is very easy to prove it, because if anyone comes to me and says, "I was told that I had diabetes, I took care of my diet, I lost 7 kg I cut the carbs, I cut the sugar now they've taken my medication and I'm fine! " This is obviously true! No one would say, "Oh, you're lying " Then, in this patient who lost weight, who changed the diet, who increased the amount of exercise, for a moment, diabetes, in fact, has improved! And what happens is: if this patient has improved, What happens to this idea that this is a chronic progressive disease? Obviously, this is not true! Because at any time that happens, every time it happens, means, in fact, that the disease is reversible You have to know how to reverse it! If you do not know how to reverse it, then you will only get worse And the fact is that the remedies, in fact, do not nothing for the disease Nor is this controversial, because the fact is that type 2 diabetes is an elevated insulin resistance disease and this is not controversial Everyone knows this, right? So if you have very high insulin resistance it will cause a rise in blood glucose, right? This is the symptom of the disease

The disease is, in fact, high insulin resistance So the treatments we give targets blood sugar and that does not make any sense Why is it almost like the following analogy: you have an infection if you have a leg infection, Well, you need to treat that infection

What was causing were bacteria and then you take antibiotics But this infection can cause you a fever And this fever is not the disease! If you start treating the fever as if it were the disease, then the wound on that leg will get worse Because you are treating the symptoms of the disease and ignoring the disease And that's what we've done with type 2 diabetes

We are treating blood sugar, but this is not a blood sugar disease It is a disease of high resistance to insulin So what happens is that because we are not treating the disease, it tends to progress So if you look at what happens in a of 10 or 15 years, what happens is that you start with a remedy, there you take 2 pills, 3, and then take insulin, plus insulin and more insulin And after 10 years, you started with a medication and now takes 100 units of insulin per day

Well, you're taking more pills to do the same work and maintain the same (level) blood sugar That means your diabetes is worse, even if blood sugar improves, your diabetes is worse than it ever was! Why did you, in fact, never do anything to treat insulin resistance Then that patient, who went there, lost weight, did exercises, cut the carbohydrates and cut the sugar, He actually reversed insulin resistance and consequently their (level) of sugar has dropped What is too far to do blood sugar to lower "in the force", through of medication, ignoring the true disease This is the fundamental mistake we made for the last 20, 30, 40 years, right? We have been treating type 2 diabetes, which is insulin in excess

As if it were type 1 diabetes, characterized by low insulin So you have to understand that type 1 diabetes means little insulin Then it makes sense You should give insulin to them Type 2 diabetes is: excess insulin You need to reduce their insulin

But instead, we are giving more insulin to a disease state that is excess insulin F- Of course this will not work! A- This is crazy! F- This is crazy! And you have yet another analogy in your talk in which you say: it is as if to treat an alcoholic Exact

If you have a disease such as alcoholism, is characterized by excess alcohol The last thing you have to do is give more alcohol and this seems pretty obvious, right But if you look in the short term, when withdrawing the alcohol they may have tremors and alcoholic delirium If you give them alcohol, they will feel better, in the short term, right? But that does not mean that you will improve alcoholism, right? This is the real problem! Alcoholism! You can not treat the short-term symptom at the expense of the long term What we do is deal with the short-term problem We say, "Oh, your blood sugar is high, let me bring it down" Right? But, what is happening with the disease? How important is what happens to blood sugar? What is happening with the disease? It keeps getting worse

It is as in the case of alcohol Too much alcohol The disease is: too much alcohol The cure can not be give more alcohol A – Right

It is quite clear: give insulin to type 2 diabetic F – the disease is: a lot of insulin

It's like giving alcohol to an alcoholic F- Exactly! F- Exactly A – This is crazy! F – the disease is very F- It's crazy! The point is that we are not just not dealing it will actually get worse Just like giving alcohol If the disease is characterized by excess insulin and you give insulin, You're not getting better In fact, you're getting worse! A – Then the patient gains weight and their insulin resistance worsens F – Exactly! And the funny part is that all the patients know of this

Because that's what happens I talk to several patients and they say They go to their doctors and start taking insulin and then they get 7 kg, 9 kg and we all know this happens! This is no secret, since insulin causes the gain of weight

So what happens is that they take insulin and gain weight Then they go back to the doctor and say, "Doctor as well You say that I need to lose weight to improve Then you go and prescribe a medicine that makes me gain 9 kg! This is not good

" Then the doctor says something like this: "What can you do? Take insulin and practice Exercises" But the problem is that it was not lack of exercise which made him gain weight It was insulin that did it! So you need to treat it, you have to reduce it A – So, what do you do? What to do if you are a type 2 diabetic? Well, the point is that this is a dietary disorder, right? If you are a type 2 diabetic is a dietary disease It is a disease in which there is essentially too much sugar So if you understand it this way then the answer is to remove that sugar, and lower it So the first thing you should do is cut out all that sugar, cut out so much of refined carbohydrates which are like sugar, eg, breads, pasta, right? They are all 'sugar chains'

This is what carbohydrates are: 'sugar chains' As soon as you eat them, they are broken into sugar So if you have a lot of sugar If diabetes is essentially too much sugar You have to stop eating sugar! Otherwise it will get worse! So that's the first thing You can exercise more and try to burn it

And the other thing you can try to do is try do something more extreme, like fasting for a while F – You can A – More extreme than a lowcarb diet A – Ok, fast

Tell me more about it Fasting is actually the most efficient and effective way to lower insulin There is no drug that does it In fact, there are two, but they are not very effective in lowering insulin If you understand that the disease is too much sugar and insulin

Then you will say: "Well if it's too much sugar and too much insulin, let's get rid of sugar and lower insulin! How can we do this? "Right? With regard to sugar, you can adopt a very lowcarb or ketogenic diet and this will make your sugar decrease, but this does not necessarily reduce your insulin because proteins and fat still increase insulin Not in the same intensity than carbohydrates, but still increase insulin Then you will decrease sugar, but not insulin * This way, you can put people in various periods of fasting Because you're not eating anything It is not simply lowcarb It is low protein and low fat, right? It's nothing

Nothing at all Think about what will happen: The body will have nothing coming in So what will happen? He will start to burn that sugar! And that's perfect That's exactly what we wanted to do From burning so much sugar, burning sugar, After you've burned the sugar, it's gone down and you you do not need to take any medications No need to take insulin After that he starts to burn fat Perfect

That was exactly what we wanted to do And there are always two questions that arise when we speak in fasting: The first one, "Can I do it?" The point is: after understanding that literally billion people around the world fast on a regular basis for life Right? Muslims, Hindus, Buddhists, Catholics Almost all the major religions in the world "prescribe" fasting Not because it is super harmful, but because it is beneficial

And what they what happens during the fast is that your insulin levels go down Perfect

It was exactly what we wanted So what we are doing is: burning all that sugar and remove it from the system It's not just about getting you out of the blood We are, in fact, withdrawing it from the whole body Fasting does both: lowers insulin And lower the sugar

The other thing that always comes up "Is fasting harmful?" That always comes up! "Am I going to go into starvation mode?" What's interesting when you look at the fast is that studies on fasting show exactly the opposite You have no less energy You have more energy

There are some things that are turned on fast the growth hormone is secreted, to preserve the lean mass, then you start to burn only fat Adrenaline rises to give you more energy and you feed that energy with fat and you can measure the free fatty acids in blood and they increase! So, What happens is you're burning fat, preserving your muscles and filling yourself with energy Perfect! This is the perfect treatment! Please read the additional information in the video description

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