Thread by @thefatdoctoruk

Alright, who is ready for some truths about #InsulinReistance and #T2DM?
1️⃣ You can't prevent insulin reistance. It's coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI.

2️⃣ The term "pre-diabetes" is a PR stunt. The correct term is impaired glucose tolerance (or impaired fasting glucose) which is sometimes referred to as intermittent hyperglycaemia. It does not predict T2DM. It is best ignored and tested for every 3-5yrs.

3️⃣ there is no evidence that losing weight prevents diabetes. That's because you can't reverse insulin resistance. You can possibly postpone it by 2yrs? Furthermore there is evidence that those who are fat at the time of diagnosis fair much better than those who are thin.

4️⃣ Weight loss does not reverse diabetes is the VAST majority of people. Those that do reverse it are usually thinner with recent onset T2DM and a low A1c. Only a tiny minority can sustain that over 2yrs. Weight loss does not improve A1c levels beyond 2 yrs either

5️⃣ Weight loss in T2DM does not improve macrovascular or microvascular health outcomes beyond 2 years. In fact, weight loss in diabtetics is associated with increased mortality and morbidity (although it is not clear why). Weight cycling is known to impacts A1c levels.

6️⃣ Weight GAIN does NOT increase the risk of cardiovascular OR all causes mortality in diabetics. In fact, one might even go so far as to say that it's better to be fat and diabetic than to be thin and diabetic.

Now a lot of you are going to demand I cite my sources. I have. All 18 peer reviewed journal articles (most from the last decade). They're all included in this webinar. transactions.sendowl.com/products/78906…

And yes I'm well aware that it's behind a paywall. You don't seriously expect me to work for free do you? If you're fat and can't afford to pay (it's the price of 2 Pizzas) then email me. If you're thin and can't afford to pay then 🤷🏻 Thanks.