I am frankly a bit confused by this article hailing a doctor in the UK:
A red-brick surgery in the seaside resort of Southport in the north-west of England is on the frontline of one of the biggest questions facing the NHS: what’s the best fix for our growing obesity crisis?
Dr David Unwin thinks he has the answer. He has championed a low-carb lifestyle that not only helps patients lose weight but also, in more than half of his patients who were on the diet, has even managed to reverse type 2 diabetes, once thought to be an irreversible and progressive disease.
Such results appear remarkable and will be scrutinised by NHS officials now rolling out a national low-calorie diet programme to treat obesity and type 2 diabetes, which can lead to serious health complications and early death.
Unwin also appears to have identified what one expert calls the “magic ingredients” that motivate his patients to adhere to lifestyle changes for several years.
I mean, bravo for him if he has, but… I’ve always been under the impression ever since I was diagnosed with diabetes myself back in 2004 that diet was a big part of diabetic maintenance (certainly one of my first meetings with anyone at the Randwick hospital’s diabetes clinic was with their nutritionist, an off-putting man I didn’t like but that’s not really relevant), that the poorness of my diet was a substantial part of why mine was so out of control (and, frankly, why it’s still not as well controlled as it should be). And I have a very limited range of things I actually like (one of the things that makes me wonder if I have some flavour of autism, but let’s not go there now), and, frankly, an attempt at dietary change when I was diagnosed with diabetes just depressed me terribly and didn’t actually make much difference anyway, so back to the things I enjoy I went… sigh.
And, frankly again, most of what I do like is carbohydrate-y, so whatever’s in Dr Unwin’s diet sheet probably isn’t going to interest me that much. It is, incidentally, curious that the article says nothing about that:
Dr Simon Tobin, the senior partner at the Norwood Surgery in Southport, who is a keen runner and follows a low-carb lifestyle, said: “Many of our patients have been low carb for six, eight or 10 years, so it is completely sustainable. If you had a drug that did half of what we have done with the low-carb approach, it would be worth an absolute fortune. No one is shouting about it because it is not a drug that’s making a profit for a big pharmaceutical company.”
So if no one stands to make money, why doesn’t the article specify the “magic ingredients” beyond just the vague mention of them being “low-carb”? Give people some ideas for themselves, maybe even I might see something of interest… The article seems to be withholding a lot of information; if, as I said, dietary considerations have always been important in controlling diabetes, I’m left puzzled by the end as to quite why Unwin in particular is getting this sort of attention. Also:
Dr David Oliver and Dr Kim Andrews set up the Freshwell Low Carb Project at the Freshwell Health Centre, near Braintree in Essex, and have reported significant weight loss in patients.
An observational study published in October 2021 reported 774 patients were given dietary advice, out of whom 339 attended a review and had their weight measured. They lost a total of 1,103kg, with a median weight loss of 2.5kg.
That… doesn’t actually seem like much. If the 10-20kg losses Unwin’s patients reported are accurate, that’s significant. 2.5kg doesn’t strike me in anywhere near the same way. Plus those figures mean 435 patients, i.e. nearly a hundred more than those who did the review, didn’t do it. I’d be very curious as to how those people went and how that may or may not affect their results…



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