David Mendosa suggests that all type 2 diabetics can manage their illness without drugs. I’m not quite that optimistic, but probably a majority can, if they have the knowledge, discipline, and willpower. I haven’t looked in depth at David’s diet recently so I don’t know if it’s paleo or not; it’s more likely LCHF (low-carb, high-fat). Here are some snippets from David’s blog:
You can use drugs to bring your A1C level down to normal. That’s a good thing. But this strategy does have its costs, and those costs aren’t just money out of your pocket or your checkbook. The worst of those costs are the potential side effects of the drugs.
But some of us think we have a safer strategy of managing our diabetes without drugs. Back in 2007 I joined this group with the encouragement of a good friend of mine who is a Certified Diabetes Educator. Before that, I had 14 years of experience taking a wide range of diabetes drugs, including two different sulfonylureas (Diabeta and Amaryl), Glucophage (metformin), and Byetta. For the past six years I haven’t taking any diabetes drugs, and yet I keep my diabetes in control with an A1C level usually about 5.4.
I had to make three big changes in my life when I went off the diabetes drugs, and they are hard at first. But now they are a routine part of my life, and I would never go back to my old ways. The changes that I had to make are those that almost everyone who has diabetes has to make. In order of importance, I had (1) to lose weight, (2) eat fewer carbohydrates, and (3) exercise more.
Read the whole enchilada. It’s brief.
Steve Parker, M.D.