One thing thats false about this article - There IS a known cure for diabetes and its called a whole food plant based diet. When will the NYTimes embrace science?
12
I did the Vegan challenge. Its not for everyone. It took all the joy out of eating for me. it was very challenging and time consuming. Most of the I didn't find the food very tasty either . Also my blood sugar got worse.
That's not to say I don't enjoy an occasional vegan meal at one of our wonderful vegan restaurants. Its just not something I'm interested in doing on a daily basis.
Everything is not for everybody.
5
Did you read the article?
11
Death helps one focus the mind and body.
I watched my father die in pain from various Type 2 diabetes related ailments. When I developed diabetes, the fear of that path overwhelmed all my bad habits. With the help of a low dose of metformin, my A1c is 5.6.
I watched my father die in pain from various Type 2 diabetes related ailments. When I developed diabetes, the fear of that path overwhelmed all my bad habits. With the help of a low dose of metformin, my A1c is 5.6.
7
I was diagnosed with diabetes in August 2015 and have since lost almost 70 pounds, reducing my HbA1c from 8.2 to 5.9 (almost normal range). However, even if I was able to get my number down to 5.7 and keep it there, I would never say that my diabetes is reversed, just that it's very well controlled. I will always need to be vigilant.
13
I'm very happy for Mr. Adams. My problem with this article is that it fails to reflect the many challenges that the average person attempting lifestyle changes faces. As a physician assistant I have coached many people with diabetes and pre-diabetes. Most of may patients can't set up a gym in their office and install a new fridge full of vegetables along with a blender. They work on assembly lines, in office cubicles, and at cash registers. Their work time is governed by clocks and supervisors who are not always open to the idea of them going out for a 5 min walk every hour or doing their work on a stationary bike. Most people have job restrictions, heavy family obligations, stretched finances, and precious little time. This is the reality that most people with DM2 face. A story about an impossible overhaul does little to help these people. Of more use is ideas on how to weave exercise and better food choices into already hectic and stress filled lives. If you work in a safe neighborhood, leave home 10min early and park a 10 min walk from the office door. That forces 20min of walking a day and also gives a person time to mentally transition to and from work life. Talk about how to not get too hungry. Discuss food preferences and then teach them modifications within their own preferences. Validate them putting their health in a position of priority amongst their family obligations. Support them in their ongoing struggle to keep all this up in the face of daily challenges.
32
I love his story it inspired me so much I know that my diabetes can be reversed I need to see and read this story today I would like to know as much infro as possible I need to see and read his diets and are there recipes his ingredients that he brought for this journey, is this infro in his book I need help so bad right now I don't even having testing strips I've called no one will help me I haven't tested since Friday I feel like Iam going to faint or even worse no one even my clinic will send me strips I hope and pray someone will read this story and help me I don't know what to do except go to the ER alone Pat B
5
There is nothing impossible about eating whole food plant based. Poor people can do this too. Its up to people like YOU to help show them the way. Rice and beans are not expensive or difficult to find. Please take the time to educate yourself. Read Dr. Barnard's work on Diabetes.
4
A diet of rice and beans is not going to help your diabetes.
2
Unfortunately, keeping weight off for 8months is meaningless. Most any way to create a calorie deficit will achieve this. The trouble is that the body will adapt, down regulate body temperature and metabolic processes to conserve energy and the weight will slowly come back. I have personally witnessed many people losing quite a bit of weight only to regain it (and overshoot the original weight) in anywhere from six months to 4 years - me included.
I now believe that it actually is stress and sleep debt that makes us gain weight and the key to getting back to a healthy size is rest, relaxation, sleep and intuitive eating, then adding exercise when you start feeling more energetic, and only as much as is fun and sustainable for the next ten years or so.
Anything radical - like in this article - will only end up causing worse trouble in the long run.
I now believe that it actually is stress and sleep debt that makes us gain weight and the key to getting back to a healthy size is rest, relaxation, sleep and intuitive eating, then adding exercise when you start feeling more energetic, and only as much as is fun and sustainable for the next ten years or so.
Anything radical - like in this article - will only end up causing worse trouble in the long run.
6
WRONG! Many, many people have reversed type 2 diabetes and heart disease on a whole food, plant-based diet! And stayed healthy for life!
17
@Brian:
Lots of people also improve health and blood sugar regulation on whole foods omnivorous diets, and lots of people fail to thrive on vegan diets. Any diet that limits sugar and refined carbs will help.
I agree that diet is useful to manage T2D, but the question of whether or not T2D can truly be "reversed" is a good one.
Lots of people also improve health and blood sugar regulation on whole foods omnivorous diets, and lots of people fail to thrive on vegan diets. Any diet that limits sugar and refined carbs will help.
I agree that diet is useful to manage T2D, but the question of whether or not T2D can truly be "reversed" is a good one.
3
I'd say the people of Brooklyn are well served by this wise gentleman. Congratulations!
6
Required reading, The Blood Sugar Solution, by Mark Hyman, M.D. published in 2012, available in paperback really explains how Diabetes 2 is a problem of Insulin resistance and how to correct it through diet, exercise and the underrated "lifestyle" changes which can make a host of pharmaceuticals unnecessary.
6
Mark Hyman is a fraud. Read Dr. Barnard's program for reversing diabetes.
1
You don't have to become a Vegan to reverse diabetes.
1
Congratulations to Mr Adams, otherwise a largely inaccurate story. I did the same 18 months ago. The process is well documented and scientifically validated. Dr Roy Taylor, New Castle, England, is credited with proving T2D is NOT a life sentence, esp if caught early. Pancreatic beta cells do not die rather, become clogged with fat, even with thin people. See https://campus.recap.ncl.ac.uk/Panopto/Pages/Embed.aspx?id=c3bef819-e5f4...
Dr Jason Fung proves that exercise is not especially beneficial to weight loss and saturated fats (animal meat) are actually good for you. In short the issue with T2D is insulin resistance brought on by persistently high insulin levels. Dr Fung has, in addition to two books on the subject, a blog covering obesity (caused by T2D) as well as related subjects.
Dr Joseph Kraft proved a glucose tolerance test can predict T2D upwards of a decade in advance of its onset.
Dr Michael Mosley wrote a book on an 8 week Mediterranean style diet that mirrors the Taylor protocol diet.
Reversing Type 2 diabetes is well documented. and need not be urban legend.
Dr Jason Fung proves that exercise is not especially beneficial to weight loss and saturated fats (animal meat) are actually good for you. In short the issue with T2D is insulin resistance brought on by persistently high insulin levels. Dr Fung has, in addition to two books on the subject, a blog covering obesity (caused by T2D) as well as related subjects.
Dr Joseph Kraft proved a glucose tolerance test can predict T2D upwards of a decade in advance of its onset.
Dr Michael Mosley wrote a book on an 8 week Mediterranean style diet that mirrors the Taylor protocol diet.
Reversing Type 2 diabetes is well documented. and need not be urban legend.
6
I failed to point out the underlying issue with T2D is carbohydrates, particularly simple carbs such as sugar and refined such as flour based products, and underground starches such as potatoes.
1) Reduce carb intake.
2) seriously reduce/eliminate simple carbs (sugar and refined flour)
1) Reduce carb intake.
2) seriously reduce/eliminate simple carbs (sugar and refined flour)
5
animal fat is actually quite harmful to your health in the long run. though it may bring down a1c in the short term, what it does to your arteries is another story.
2
@Brian:
Vegan nonsense. Humans have eaten fatty animal foods since before we were even human. Saturated fats have never been demonstrated to cause harm, and most people _improve_ cardiovascular risk factors when they eat more naturally fatty foods.
Vegan nonsense. Humans have eaten fatty animal foods since before we were even human. Saturated fats have never been demonstrated to cause harm, and most people _improve_ cardiovascular risk factors when they eat more naturally fatty foods.
1
wheat and sugar. get them out of your diet. eat a salad every day including some avocado. you'll lose weight [I did effortlessly at age 61 I now wear a size 4 pant].
4
Congrats to his weight loss but his tenacity. African-Americans are highly affected by diabetes and Mr. Adams taking this on seriously will most certainly save lives in his community. Especially with older black men who are grappling with this disease and diet habits. This is a great example of leading by example.
5
Applause to this man! He, by example and a bully pulpit, may better serve his constiuents and also foil somewhat the big money behind bad eating. Here's to providing potent, alternative messages.
14
Good job Mr. Adams! But cue all the nutters who feel compelled to come into every nutrition or health article to preach about their specific diet. Usually low carb or paleo/primal. Guys, you are so annoying, you're turning off the people you intend to save. Take it down a notch. Some people like a vegan diet and do well on it. Some people prefer to search out grass fed bison. Live and let live dude.
27
Changing habits is remarkable. As a nutritionist, I want to point out that protein (from animals or plants) and fats do not contain carbohydrates. Whereas many vegan processed foods - like vegan banana bread, vegan cookies, vegan pancakes (you can find vegan anything) would actually not be helpful. My point is you don't have to go to this extreme to reverse diabetes and in fact eating wholesome foods mostly plants with some proteins and fats and a small amount of wholesome carbohydrates like beans and quinoa and brown rice, would help reverse diabetes and maintain muscle mass which is healthy tissue for weight and metabolism. The exercise is remarkable and necessary as is stress management. You can go vegan and meet nutrition needs but it's very very difficult and it's unnecessary in adopting a healthy lifestyle especially reversing diabetes where proteins and fats help you feel full without spiking blood sugars.
19
Going vegan is not as as difficult as you make it seem. If people truly believe that this lifestyle change will dramatically improve their health , reverse chronic disease such as heart disease, diabetes, high blood pressure and Obesity, then the effort would be worth the inconvenience of making a healthy lifestyle change. However, health professionals are not endorsing this lifestyle as one of the safest and most effective options. Instead of pointing out how difficult this may be you should be endorsing this healthy option with tips to make the transition into a plant based diet a lasting choice.
9
AMEN
Awesome! You are an inspiration to everyone struggling with health issues.
7
This article is very encouraging as I embark on the same weight-loss journey. My doctor said I was dangerously close to a diagnosis of Type 2 diabetes and it scared me into finally doing something. Avoiding sugar is extremely hard, not only because I love the stuff but because it seems to be in everything. Reading food labels is SO important!
7
Yes. And I've noticed I have to be equally vigilant with recipes. Many recipe authors add sugar to recipes where it's not needed. I read an article that insisted you must put sugar in your salad dressing!!
5
It seems weird, even to me, since I also love candy, cookies, etc, but if you give them up TOTALLY, the urge for them completely disappears!
Yes, the first week is really hard. So best to pick a low-stress time, with no parties, etc, like now, after the holidays, too cold to do as much socializing. It takes commitment, just an absolute "NO" for the first few days to a week, but, it's weird, but pretty soon that's so normal that I no longer even think about it.
My snack of choice is unsalted peanuts. A quarter to third cup is really all I need. The fat in them satisfies and eliminates craving for more.
That's he other thing with sugar... it's like a drug! It really is! Once I have a little, I feel hungry all the time, and especially for sweets.
And yes, it's easier to avoid sugar if you cook from scratch. But it doesn't need to be fancy, and I think of vegetables as my big secret. Cram as many as I can into my day. Add them to everything, have salad, throw lots into soups, add some to every meal.
Yes, the first week is really hard. So best to pick a low-stress time, with no parties, etc, like now, after the holidays, too cold to do as much socializing. It takes commitment, just an absolute "NO" for the first few days to a week, but, it's weird, but pretty soon that's so normal that I no longer even think about it.
My snack of choice is unsalted peanuts. A quarter to third cup is really all I need. The fat in them satisfies and eliminates craving for more.
That's he other thing with sugar... it's like a drug! It really is! Once I have a little, I feel hungry all the time, and especially for sweets.
And yes, it's easier to avoid sugar if you cook from scratch. But it doesn't need to be fancy, and I think of vegetables as my big secret. Cram as many as I can into my day. Add them to everything, have salad, throw lots into soups, add some to every meal.
7
Congratulations Mr. Adams. I am rooting for him to now help his constituents to replicate his marvelous success.
We see very exciting examples of Type II Diabetics who have had the condition for decades, and using insulin pumps, achieving reversal it in a few months. This gives us hope that Type II Diabetes can be reversed for MOST patients: 30 million with the condition and 90 million heading there.
To scale these successes, we need to disseminate effective patient education, a support structure, feedback loops our provider systems, better access and affordability to healthy foods that are tasty and satisfying.
Perhaps the next great opportunity for the sharing economy is for nurturers who can do the prep, cook and deliver real food in an affordable way.
We see very exciting examples of Type II Diabetics who have had the condition for decades, and using insulin pumps, achieving reversal it in a few months. This gives us hope that Type II Diabetes can be reversed for MOST patients: 30 million with the condition and 90 million heading there.
To scale these successes, we need to disseminate effective patient education, a support structure, feedback loops our provider systems, better access and affordability to healthy foods that are tasty and satisfying.
Perhaps the next great opportunity for the sharing economy is for nurturers who can do the prep, cook and deliver real food in an affordable way.
5
Mr. Adams, you are indeed an inspiration! I am now resolved to return to a very low carbohydrate way of eating, and get back into an exercise routine. At 65, and with a family history of diabetes, I need do this.
10
not low carb, veggies and fruits have carbs! just unprocessed, plant-based foods are what he eats!
2
He's a great example of someone who gets informed and takes responsibility for making changes. And encouraging others, without preaching that his is the only path to health.
O f course, he has some incredible advantages in being able to establish a workspace with exercise and food prep supports right there.
It would help if there were government regs that insured that all workers actually had the chance to take or use breaks and lunch periods, necessary not only to do a bit of exercises and eat well during the day, but to allow some personal control over their bodies in general.
O f course, he has some incredible advantages in being able to establish a workspace with exercise and food prep supports right there.
It would help if there were government regs that insured that all workers actually had the chance to take or use breaks and lunch periods, necessary not only to do a bit of exercises and eat well during the day, but to allow some personal control over their bodies in general.
11
Four years ago I made a decision to eat 100% plant-based, nutritiously-dense foods due to the research. I don't have the luxury of being able to have the kind of equipment that Eric L. Adams has at work, but I don't think it's necessary. It just takes planning. For breakfast I have a smoothie consisting of frozen organic blueberries, strawberries, cherries and a scoop of Garden of Life - Organic Plant Protein Grain Free Smooth Vanilla powder. I put everything in my Blend Tec the night before and refrigerate, adding home-made cashew milk and 2 T. ground flax seeds in the morning. Delicious and satisfying. For lunch during the work week, I make a large salad with a variety of organic lettuces, fresh veggies and a vegan pseudo-parmesan cheese I make from ground brazil nuts, onion and garlic granules and nutritional yeast. I use a delicious oil-free balsamic Trade Joe's brand dressing. and top the salad off with half an avocado. I have been doing this for 4 years. Along with aerobic exercise 4 times weekly, I am able to maintain a healthy weight and my lipid panel and blood pressure shame even my MD. We all know, even MDs are not necessarily healthy.
23
Very good article. You do what you can, with what you have. I was able to drop 44 pounds over the past year and lower my A1C from 7.5 to 5.6 (one click from normal) by cutting sugar, fast food and condiments/salad dressings. I walk instead of drive whenever possible, and hit the gym 4 days a week. It's doable. It's possible. I had the worst eating habits on the planet and I did it, though I still eat meat. I tried vegan and vegetarianism, and couldn't power my workouts without animal protein. Thankfully my numbers have improved substantially enough that I can keep eating meat and seafood.
7
@Hallie:
Meat and seafood are nutrient dense, and most people have better "numbers" with good quality, nourishing meats and seafoods in the diet.
Meat and seafood are nutrient dense, and most people have better "numbers" with good quality, nourishing meats and seafoods in the diet.
7
As a Type 1 diabetic, I want to thank you, Jane Brody, for using the correct term "Type 2 Diabetes" throughout this article. So many articles, even in the Times, use the generic term "diabetes" (as this one did in the print edition headline) for stories about Type 2 and here's what happens: those of us with Type 1, the far more rare, auto-immune version of the disease, are bombarded with links to the story from well-meaning people who think we can change our diet and increase exercise like Eric Adams did and beat our disease. But it doesn't work that way. I'm overjoyed to read about this man's success. Like him, I eat well, I cook well, I exercise well; my A1c is about 6.7 but I still have to shoot insulin all day, every day to survive. Few people outside the Type 1 world understand the difference between the two diseases and many journalists conflate all diabetics under one name. The fact that you did not is testament to your journalistic integrity and understanding of health issues. Like Adams, you lead by example.
28
I think if I were able to have workout equipment and the ability to store and cook my own plant based foods at my job then I would be able to loose a lot more weight and be healthier successfully. It is great that he has been able to change his health for the better in this way without needing to go to extremes or use phentermine or liporidex or something, but I don't really find it inspiring since these perks and advantages would never be a reality for most people.
4
Anyone can adopt a vegan diet. You don't need any special equipment or gadgets. Watch the documentary Forks Over Knives and perhaps you'll be inspired. But if you'd rather have excuses than make changes don't watch it.
7
Yes some people have it easier than others with good food and exercise equipment at their disposal but there are many ways to get healthy even without these "perks and advantages". I wake up at 5am to go running and I often bring healthy food to work so I do not have to worry about the lack of healthy food options around my office. Not sure why these things are not easily replicated. Sounds like an excuse to me!
8
You can replicate the benefits easily, given the motivation. A mix of seeds, nuts and dried fruit with some cereal like oatmeal or rye flakes with yoghurt or just milk would be as nutritious and quickly mixed. Zero cooking. That as a replacement for most meals, regular exercise and you'll get into shape surprisingly fast. And fairly low expense. The motivation and discipline to keep at it is the biggest hurdle.
3
Kudos to Borough President Adams.
That said, Ms. Brody, using BP Adams as typical -- when he is not -- did not properly contextualize the realities surrounding the conjoined societal phenomena of added sugars and calories, sedentary lifestyle and individual degree of genetic predisposition to type 2 diabetes and ability to effect substantive "personal lifestyle" changes. Nor is there enough contextual information on what studies showing to what extent type 2 diabetes can really be "beat back." The best studies show that, at most, perhaps half or so of folks at the beginning stages of pre-diabetes or diabetes can pull themselves all the way out through diet and exercise modification. The other half can, and do, improve their health, but do not go back from being diabetic to non-diabetic, from diabetic to pre-diabetic, or from pre-diabetic to non-diabetic. Moreover, the very real gains that were obtained were only measured short-term, i.e., no one knows yet whether these lifestyle changes postpone or slow the "descent" into pre-diabetes and frank diabetes for more than, say, a year or two.
The profile of Mr. Adams and how he turned things around for himself is great, but should NOT be taken as the only guidance for how we as a society treat the major killer health problem and public health epidemic that is type 2 diabetes.
That said, Ms. Brody, using BP Adams as typical -- when he is not -- did not properly contextualize the realities surrounding the conjoined societal phenomena of added sugars and calories, sedentary lifestyle and individual degree of genetic predisposition to type 2 diabetes and ability to effect substantive "personal lifestyle" changes. Nor is there enough contextual information on what studies showing to what extent type 2 diabetes can really be "beat back." The best studies show that, at most, perhaps half or so of folks at the beginning stages of pre-diabetes or diabetes can pull themselves all the way out through diet and exercise modification. The other half can, and do, improve their health, but do not go back from being diabetic to non-diabetic, from diabetic to pre-diabetic, or from pre-diabetic to non-diabetic. Moreover, the very real gains that were obtained were only measured short-term, i.e., no one knows yet whether these lifestyle changes postpone or slow the "descent" into pre-diabetes and frank diabetes for more than, say, a year or two.
The profile of Mr. Adams and how he turned things around for himself is great, but should NOT be taken as the only guidance for how we as a society treat the major killer health problem and public health epidemic that is type 2 diabetes.
7
I suspect that the fast food and processed food giants love it when people who care about nutrition argue amongst themselves. I think we could be quite effective as a group if we stop wasting time debating what is the best macronutrient breakdown and whether animal product are good or bad.
As a cardiologist, I have patients who have achieved long lasting health on a variety of diets. They range from vegan to paleo. Michael Pollen makes a point in "In Defense of Food" that humans throughout history have survived and thrived on a huge range of diets, but that the "Western diet" is not one of them.
Here is my proposal: for everyone out there who cares about nutrition and about people feeling better and having optimal health, let's focus on some obvious nutritional goals.
1. eat a lot of whole fruits and vegetables
2. avoid refined sugar and grains, and avoid added sugar and added sweeteners
3. only water and milk to drink (if people don't like milk, no problem - just drink water!) Adding fruits and vegetables to water is great
4. If you like animal products, eat high quality ones. If you don't, you'll be ok. Protein can be obtained in many ways - vegetables, beans, whole grains, high quality meats, dairy, etc.
I think we can make much more of a difference without the in-fighting!
As a cardiologist, I have patients who have achieved long lasting health on a variety of diets. They range from vegan to paleo. Michael Pollen makes a point in "In Defense of Food" that humans throughout history have survived and thrived on a huge range of diets, but that the "Western diet" is not one of them.
Here is my proposal: for everyone out there who cares about nutrition and about people feeling better and having optimal health, let's focus on some obvious nutritional goals.
1. eat a lot of whole fruits and vegetables
2. avoid refined sugar and grains, and avoid added sugar and added sweeteners
3. only water and milk to drink (if people don't like milk, no problem - just drink water!) Adding fruits and vegetables to water is great
4. If you like animal products, eat high quality ones. If you don't, you'll be ok. Protein can be obtained in many ways - vegetables, beans, whole grains, high quality meats, dairy, etc.
I think we can make much more of a difference without the in-fighting!
52
I agree with you 100 percent on the question of nutrition.
However, there are larger public health questions all focusing on how we might best address the major killer health problem and in fact epidemic that type 2 diabetes represents.
"Spurning the American tendency to treat every ailment with medication, he instead explored the body’s ability to heal itself," which could be called the watchword of this article, while it will forward a major aspect of the rational public health agenda for diabetes prevention and amelioration, also clearly -- and I would argue, dangerously -- misrepresents the societal, personal (genetic and physiological), and epidemilogical reallities comprising rampant, costly, and deadly type 2 diabetes in our nation today. That is, many folks cannot go (or go as far or as quickly) down the road Mr. Adams has traveled, and, just as importantly, even if they all could, many would not be able to achieve the gains Mr. Adams -- God bless him -- has managed to accomplish.
However, there are larger public health questions all focusing on how we might best address the major killer health problem and in fact epidemic that type 2 diabetes represents.
"Spurning the American tendency to treat every ailment with medication, he instead explored the body’s ability to heal itself," which could be called the watchword of this article, while it will forward a major aspect of the rational public health agenda for diabetes prevention and amelioration, also clearly -- and I would argue, dangerously -- misrepresents the societal, personal (genetic and physiological), and epidemilogical reallities comprising rampant, costly, and deadly type 2 diabetes in our nation today. That is, many folks cannot go (or go as far or as quickly) down the road Mr. Adams has traveled, and, just as importantly, even if they all could, many would not be able to achieve the gains Mr. Adams -- God bless him -- has managed to accomplish.
1
We are a very fanatical society, that's true enough -- always looking for "miracle cures" and turning something as basic as EATING into a fanatical religious experience.
Yes, humans have thrived on many types of diets -- the Inuit thrive on WHALE BLUBBER, for cripe's sake and who would think that was "health food"?
But before you completely diss "the Western Diet" (and what the heck is that, really?)...let's not forget that it has given us the longest and healthiest lifespans in all of human history. We are among the first generations to have lived our entire lives free of the threat of hunger...malnutrition...famine...starvation. It is that freedom, ironically, that has made SOME OF US so arrogant and condescending -- instead of celebrating that incredible human victory over hunger/starvation....they prefer to argue about "vegan diets" or hectoring other people about what to eat!
The real reason we have high rates of diabetes (both kinds) is we have evolved -- through a vast and dependable food supply, thanks to agriculture and mass distribution, as well as medical science -- to allow people with diseases like diabetes (both kinds) and other illness, to live long and relatively normal lives. In other historical times, they would have died very young. This is actually a good thing. Only Puritanical "food nags" can manage to see failure where there is victory!
Yes, humans have thrived on many types of diets -- the Inuit thrive on WHALE BLUBBER, for cripe's sake and who would think that was "health food"?
But before you completely diss "the Western Diet" (and what the heck is that, really?)...let's not forget that it has given us the longest and healthiest lifespans in all of human history. We are among the first generations to have lived our entire lives free of the threat of hunger...malnutrition...famine...starvation. It is that freedom, ironically, that has made SOME OF US so arrogant and condescending -- instead of celebrating that incredible human victory over hunger/starvation....they prefer to argue about "vegan diets" or hectoring other people about what to eat!
The real reason we have high rates of diabetes (both kinds) is we have evolved -- through a vast and dependable food supply, thanks to agriculture and mass distribution, as well as medical science -- to allow people with diseases like diabetes (both kinds) and other illness, to live long and relatively normal lives. In other historical times, they would have died very young. This is actually a good thing. Only Puritanical "food nags" can manage to see failure where there is victory!
2
@Concerned Citizen:
Rates of type 2 diabetes have increased dramatically in just two generations, much too fast for a genetic or evolutionary explanation. Type 2 diabetes is increasingly happening at younger and younger ages, it's no longer just a disease of the elderly. The "western diet" plus _lots_ of medical care gives us longer lifespans, but not necessarily healthier. Rates of many chronic diseases are increasing.
"The real reason" we have increasing rates of both types of diabetes is a good question. Something or things in the environment have changed. Maybe it's the food? Maybe the gut microbes? Maybe something else? Perhaps endocrine-disrupting chemicals?
Rates of type 2 diabetes have increased dramatically in just two generations, much too fast for a genetic or evolutionary explanation. Type 2 diabetes is increasingly happening at younger and younger ages, it's no longer just a disease of the elderly. The "western diet" plus _lots_ of medical care gives us longer lifespans, but not necessarily healthier. Rates of many chronic diseases are increasing.
"The real reason" we have increasing rates of both types of diabetes is a good question. Something or things in the environment have changed. Maybe it's the food? Maybe the gut microbes? Maybe something else? Perhaps endocrine-disrupting chemicals?
Every single NYT article that discusses weight loss, weight problems, etc. results in many many comments adding thinly cloaked advice on how people can/should lose weight, debate about the best diet, etc. I prefer to take from this article an example of a person who made changes that worked for him that improved his health, rather than critique the vegan lifestyle and whether or not it is realistic to implement what he did for all people. The evidence is pretty clear that there are several diets which are effective in improving health (although not likely reducing weight long term), and that exercise is one of the best medicines there is.
Which diet is the most superior for health? The one you will stick with. Which exercise regimen is best? The one you will do over the long haul.
Which diet is the most superior for health? The one you will stick with. Which exercise regimen is best? The one you will do over the long haul.
35
I don't think Mr. Adam's story inspiring, I found it rather annoying and frustrating. While it is true it worked for him, it does not work for everybody. In fact, Mr. Adams is a difficult model to follow.
I have struggled with weight gain, diabetes, etc... for the last few years, and even though I have made huge changes in my diet, exercise and daily routine, I barely keep my numbers at an acceptable level. According to this article, the only possible path is the vegan path, which I cannot live with. I would be miserable and grumpy.
I have struggled with weight gain, diabetes, etc... for the last few years, and even though I have made huge changes in my diet, exercise and daily routine, I barely keep my numbers at an acceptable level. According to this article, the only possible path is the vegan path, which I cannot live with. I would be miserable and grumpy.
8
You are quite correct, and you speak the truth of a great many -- probably at least half and likely more -- of those with type 2 diabetes.
Further, the concept that a vegan diet is the end- and be-all is plain-out false, Don't heed the purists. While there is much to recommend about a "more vegan" diet, a pure vegan diet -- with no animal foods of any kind, no flesh food, no dairy food, no seafood, no eggs -- is, for many, not just inconvenient, not just difficult, but downright risky from a nutritional perspective.
In fairness, a careful reading of the article does not so much push pure veganism as suggest that emphasizing fruits and vegetables, decreasing added fats and sugars, and building in physical activity are the goals.
Further, the concept that a vegan diet is the end- and be-all is plain-out false, Don't heed the purists. While there is much to recommend about a "more vegan" diet, a pure vegan diet -- with no animal foods of any kind, no flesh food, no dairy food, no seafood, no eggs -- is, for many, not just inconvenient, not just difficult, but downright risky from a nutritional perspective.
In fairness, a careful reading of the article does not so much push pure veganism as suggest that emphasizing fruits and vegetables, decreasing added fats and sugars, and building in physical activity are the goals.
4
How do you know unless you try it (for more than just a few days or weeks)? Pretty much every person I know that currently follows a plant based diet didn't think they would enjoy it either, and now they never want to go back.
11
If you think you'd be miserable, you're still looking at it from an outdated, stereotypical perspective... As a vegan in 2017, you can have meat, cheese, etc. All made from plants instead of animals. There are of course healthier routes than others (processed, semi-processed, unprocessed), but if you keep an open mind, you can do it :) Why not try it at least before making a generalization?
3
Cut out the carbs and restaurants and you will do yourself, wallet, and body a big favor.
11
From Forks Over Knives: https://www.forksoverknives.com/got-well-lifetime-dieting-type-2-diabete...
5
This from the highly respected Dr. Neal Barnard from the Physicians Committee for Responsible Medicine addresses this topic very well. It would have been a useful reference for the article.
https://www.amazon.com/End-Diabetes-Live-Prevent-Reverse/dp/0062219987/r...
https://www.amazon.com/End-Diabetes-Live-Prevent-Reverse/dp/0062219987/r...
5
Am I missing something? Why is not eating gluten considered "healthy", if one DOES NOT have a gluten allergy? Has gluten been shown to contribute to weight gain?
5
No, of course not. Gluten is a perfectly normal part of food, and only a very few people are truly allergic to it.
However....we are such a fanatical culture and so OBSESSED with being very, very thin (especially women!), that people have come to believe that GLUTEN makes you FAT...and if you eliminate gluten, you can eat as much bread, pasta, pastry and cookies as you like (so long as they are gluten free!).
Obviously this is ridiculous, but it does show the lengths to which people go in terms of self-deception and fanaticism.....
However....we are such a fanatical culture and so OBSESSED with being very, very thin (especially women!), that people have come to believe that GLUTEN makes you FAT...and if you eliminate gluten, you can eat as much bread, pasta, pastry and cookies as you like (so long as they are gluten free!).
Obviously this is ridiculous, but it does show the lengths to which people go in terms of self-deception and fanaticism.....
4
When I almost had a heart attack at 43 (it was not expected!) and was diagnosed with coronary artery disease and received a stent, I too became a vegan and a regular exerciser (though perhaps not quite as much exercise throughout the day as Mr. Adams). I lost 40 lbs without trying to lose weight -- rather, just by becoming a vegan and eliminating oils. I was put on the highest dose of a statin when I was diagnosed and my cholesterol numbers, tested 8 weeks later, improved a bit. Tested again eight weeks after becoming a vegan, my bad numbers utterly fell through the floor while HDL rose a tad. I am a believer in this lifestyle and, for the sake of my wife and young kids, hopefully I am proven correct.
I strongly recommend reading the book "The Spectrum," by Dr. Dean Ornish, cardiologist at UCSF. It's a great guide for not just heart patients, but diabetics, cancer patients, and anyone that just wants to start getting healthy.
And remember Hippocrates: "Let food be thy medicine and medicine be thy food."
I strongly recommend reading the book "The Spectrum," by Dr. Dean Ornish, cardiologist at UCSF. It's a great guide for not just heart patients, but diabetics, cancer patients, and anyone that just wants to start getting healthy.
And remember Hippocrates: "Let food be thy medicine and medicine be thy food."
16
"Let food be thy medicine and thy medicine be food." -- Hippocrates
6
Mr. Adams is apparently one of the lucky 2-5% of the population who can cut calories and exercise more and make a substancial weight change. Time will tell if he manages to maintain the new lower weight.
Gina Kolata, here at the NY Times, has done a series of stories on the issue lately -- it is unusual to have this kind of success last in the long run.
Mr. Adams is to be congratulated for his efforts -- but his proselytizing will lead many to disappointment. Few will find such striking success.
This is the real problem with the Weight Loss Movement (and industry) -- they take the success stories from the exceptions-to-the-rules like Mr. Adams, and tell people that they will have the same results he did -- which unfortunately is simply not true.
The problem of 'excess' human body weight is complicated and complex, physiologically, and these types of stories should include the truth -- the whole truth.
The good news is that many with sugar-related problems, blood test results interpreted as "diabetic" or "pre-diabetic" can correct these conditions with a change in eating and exercise habits.
Gina Kolata, here at the NY Times, has done a series of stories on the issue lately -- it is unusual to have this kind of success last in the long run.
Mr. Adams is to be congratulated for his efforts -- but his proselytizing will lead many to disappointment. Few will find such striking success.
This is the real problem with the Weight Loss Movement (and industry) -- they take the success stories from the exceptions-to-the-rules like Mr. Adams, and tell people that they will have the same results he did -- which unfortunately is simply not true.
The problem of 'excess' human body weight is complicated and complex, physiologically, and these types of stories should include the truth -- the whole truth.
The good news is that many with sugar-related problems, blood test results interpreted as "diabetic" or "pre-diabetic" can correct these conditions with a change in eating and exercise habits.
11
But how do you explain that people who live in western Europe, especially the northern ones, are much slimmer (and healthier) than the average American? They are exposed to the same foods we are but are yet able to maintain a healthier lifestyle.
I moved to London, UK for some years and was shocked when I moved back to the US by how fat everyone is, especially in places like Florida. Some of the things I noticed about Europeans was that rarely snack between meals and the culture encourages having long sit down meals with friends and family as opposed to our hurry up and go culture.
We can blame physiology and the food companies only so far. A lot of it is individual decisions and the way we design our lifestyles (little walking, little time off, etc).
I moved to London, UK for some years and was shocked when I moved back to the US by how fat everyone is, especially in places like Florida. Some of the things I noticed about Europeans was that rarely snack between meals and the culture encourages having long sit down meals with friends and family as opposed to our hurry up and go culture.
We can blame physiology and the food companies only so far. A lot of it is individual decisions and the way we design our lifestyles (little walking, little time off, etc).
17
There is nothing "lucky" about eating less and moving more when it comes to weight loss. It is human nature. Is it easy? No because it means you have to be very mindful about what you eat: lots of plant-based foods, no processed garbage and very limited amounts of salt, fat and sugar; and you have to incorporate a daily sweat-inducing exercise regime, running as the cheapest alternative. I lost 50 pounds last year and have had many overweight people approach me asking me about how I did it. When I start telling them, all I hear are excuses about how they can't do one thing or another and "how lucky" I am I have "good metabolism" ignoring the fact I eat only 1500 mostly plant based calories a day and sweat an hour a day, every day. So far, I have not met one overweight person with a regime similar to mine who "Can't lose the weight" while met plenty talking to me while sodas or large candy drink from Starbucks.
3
Sorry Kip, the number is closer to 15% who succeed, and no, it's not at all complicated - even Gina Kolata, who tends to be way way over in the biological determinism corner, grudgingly admits that the physiologically compromised group is maybe 2-5%.
Sorry, folks, the proposal of the cardiologist commenter is spot on:
Here is my proposal: for everyone out there who cares about nutrition and about people feeling better and having optimal health, let's focus on some obvious nutritional goals.
1. eat a lot of whole fruits and vegetables
2. avoid refined sugar and grains, and avoid added sugar and added sweeteners
3. only water and milk to drink (if people don't like milk, no problem - just drink water!) Adding fruits and vegetables to water is great
4. If you like animal products, eat high quality ones. If you don't, you'll be ok. Protein can be obtained in many ways - vegetables, beans, whole grains, high quality meats, dairy, etc.
I think we can make much more of a difference without the in-fighting!
***
Of course, the commenter who said, "the right food plan is the one you stick with, just like the best exercise is the one you actually do," is right also.
Michael Pollan said it best: Eat real food, mostly plants, not too much - and I would add - move more, sleep more, spend within your means, and use your time wisely. Practice some form of contemplative awareness - in formal sitting, and throughout the day (and when you're advanced, the night as well).
Sorry, folks, the proposal of the cardiologist commenter is spot on:
Here is my proposal: for everyone out there who cares about nutrition and about people feeling better and having optimal health, let's focus on some obvious nutritional goals.
1. eat a lot of whole fruits and vegetables
2. avoid refined sugar and grains, and avoid added sugar and added sweeteners
3. only water and milk to drink (if people don't like milk, no problem - just drink water!) Adding fruits and vegetables to water is great
4. If you like animal products, eat high quality ones. If you don't, you'll be ok. Protein can be obtained in many ways - vegetables, beans, whole grains, high quality meats, dairy, etc.
I think we can make much more of a difference without the in-fighting!
***
Of course, the commenter who said, "the right food plan is the one you stick with, just like the best exercise is the one you actually do," is right also.
Michael Pollan said it best: Eat real food, mostly plants, not too much - and I would add - move more, sleep more, spend within your means, and use your time wisely. Practice some form of contemplative awareness - in formal sitting, and throughout the day (and when you're advanced, the night as well).
3
Great work by Mr. Adams. It just goes to show that everyone's ideal diet is different. I had a similar experience, but I got results through a very low-carb diet. (A1c from 9 to 5.3 for the last 6 years.) Some people get dogmatic about the "right" diet for someone with T2 diabetes - I think the best thing to do is experiment and check your blood sugar a few times a day to see how it works for you.
1
My oldest son is now 17 and knows how to cook most of his favorite meals from scratch. He loves selecting ingredients, sticks to mostly plants, nuts, fruits and good oils. We mostly have home cooked meals and when eating out split plates and get salads sans dressing and vegetables dishes. With a pressure cooker you can buy cheaper meats, make several meals and freeze for days you don't want to cook.
Also we buy pre made pizza dough for super quick dinners of pizza, salad and fruit. Desserts happen once or twice a week.
With planning you can get to a pretty decent place food wise. Make more than one meal when cooking. Green salads with carrots and beets take 2 minutes.
Also we buy pre made pizza dough for super quick dinners of pizza, salad and fruit. Desserts happen once or twice a week.
With planning you can get to a pretty decent place food wise. Make more than one meal when cooking. Green salads with carrots and beets take 2 minutes.
2
I dunno. In 2000, I was diagnosed with Type 2 Diabetes. I lost 65 ponds over the next six months, and have kept the weight off for 16 years now (at one time weighing 90 pounds less than I did then). I eat a much better diet, go for long walks—but I still have Diabetes.
8
Me too.
2
Try going 100% plant based, and without processed foods. It has worked for many people I know when all else failed.
5
What's your diet? No matter how many less calories you eat vs how many calories you burn, if you are still on a unhealthy diet. Try a vegetarian diet with lots of fruits and veggies and definitely no processed sugar, carbs and fats.
This is an excellent example of responding to negative news and turning it into a positive outcome. Very well done!
4
Good effort Mr. Adams. I to was diagnosed with high sugar. Totally caught me off guard. I'm in excellent health. My doctor gave me the following instructions: Meet with a dietician to review my eating habits, or take insulin shots - see you in (3) months. Meeting with the dietician was an awakening experience. I applied the plan outlined by my dietician and visited the diabetes.org web site for ideas. In three months I hit my goal. I only used a set of dumb bells, walking, running and yard work. I already was active and thought I was eating healthy. I still eat meat but less of it, reduced carbs and increased salads. It takes discipline. You don't need expensive equipment or resources. I changed my eating habits but shopped smarter and wiser. I exercise with dumb bells, do yard work and walk.
More important, I don't make excuses, because the alternative is devastating.
More important, I don't make excuses, because the alternative is devastating.
6
TOTALLY agree and share your experience nearly to the letter. Once diagnosed at age 54 I altered my lifestyle immediately. Having observed my father's challenges with the disease was plenty of motivation. Consults with a nutritionist were invaluable--especially the sessions on learning how to read and understand food labels. Daily exercise--brisk walking and some weight training at home guided by online videos was very effective at zero cost. I dropped nearly 32 lbs. within 8 mos. and still maintain size 2-4 clothing, high energy and no diabetes meds. Now at age 68 I can't imagine life any other way.
First and foremost, congrats to BBP Adams for rather remarkably getting his Hemoglobin A1C level down to 5.7 from 17 (although I, as with many other Commenters, are skeptical about such a large decrease within three months, as well as his level reaching 17 --- Ms. Brody, a typo, perhaps?).
[Several postings claimed that 5.7 is not quite low enough to be considered normal. What their writers perhaps failed to realize is that different labs have somewhat different boundaries. (Furthermore, since such data is continuous-like (coming from measuring, not counting), such readings are precise (rounded to nearest 0.1 here), not exact (which of course counts could be).) BTW, the Mayo Clinic considers "< 5.7" normal.]
Let's hope Ms. Brody or The Times will let us know when the first issue of Mr. Adams's newsletter comes out, perhaps with a link to such for anyone who is interested in skimming/reading/perusing it...
[Several postings claimed that 5.7 is not quite low enough to be considered normal. What their writers perhaps failed to realize is that different labs have somewhat different boundaries. (Furthermore, since such data is continuous-like (coming from measuring, not counting), such readings are precise (rounded to nearest 0.1 here), not exact (which of course counts could be).) BTW, the Mayo Clinic considers "< 5.7" normal.]
Let's hope Ms. Brody or The Times will let us know when the first issue of Mr. Adams's newsletter comes out, perhaps with a link to such for anyone who is interested in skimming/reading/perusing it...
6
Regarding workout equipment, trying to lift various parts of your own body is more than enough.
Push ups, pull ups, tricep dips, lunges down a hallway--that's plenty of challenge.
The key is diet, though. You lose ounces at the gym, pounds in the kitchen.
Exercise because it suppresses hunger and makes you feel great, but cut those carbs ruthlessly to lose weight.
Push ups, pull ups, tricep dips, lunges down a hallway--that's plenty of challenge.
The key is diet, though. You lose ounces at the gym, pounds in the kitchen.
Exercise because it suppresses hunger and makes you feel great, but cut those carbs ruthlessly to lose weight.
6
Exercise does NOT suppress hunger. Exercise increases hunger, which is very logical because it burns calories which your body then wishes to replace!
Neither exercise NOR diet (nor a combination of both) work LONG TERM to prevent obesity across the whole population -- i.e., in most average people. Only al very few fanatical people can tolerate being hungry, every hour or every day, year after year after year -- in pursuit of the perfect, very thin body.
Neither exercise NOR diet (nor a combination of both) work LONG TERM to prevent obesity across the whole population -- i.e., in most average people. Only al very few fanatical people can tolerate being hungry, every hour or every day, year after year after year -- in pursuit of the perfect, very thin body.
3
Good for him but why are people who lose weight role models? What about people who eat a normal healthy diet all their lives and don't bloat up with health problems? They're the real role models.
5
To the author of this article: The A1C is a log 10 scale. This remarkable fellow's blood sugar was not 3 times normal, it was 10 billion times normal. Get your math right.
2
What you write here is clearly in error.
A 6.0 percent A1C is equivalent to 126 mg/dL.
A 6.5 percent A1C to 140 mg/dL.
A 7.0 percent A1C to 154 mg/dL.
Thus, it looks like a basic arithmetic sequence to me, with a one percentage-point increase corresponding to an increase of 28 mg/dL, and so an A1C of 17 percent should be equivalent to 126 + 28*10 = 126 + 280 = 406 mg/dL, a blood-glucose level that few could live on for long.
Thus, either way, Ms. Brody's "about three times normal" seems about right.
A 6.0 percent A1C is equivalent to 126 mg/dL.
A 6.5 percent A1C to 140 mg/dL.
A 7.0 percent A1C to 154 mg/dL.
Thus, it looks like a basic arithmetic sequence to me, with a one percentage-point increase corresponding to an increase of 28 mg/dL, and so an A1C of 17 percent should be equivalent to 126 + 28*10 = 126 + 280 = 406 mg/dL, a blood-glucose level that few could live on for long.
Thus, either way, Ms. Brody's "about three times normal" seems about right.
4
Mr. Adams is a man. He may (or may not) have ever tried to lose weight before.
You know, Jane, people who are fat are not any more likely to be stupid than those who are thin, despite what you and other condescending skinny folk may believe. Really, if it were as easy as drinking water, taking a walk and eating more fruit, there'd be very few fat people.
Making "reasonable alterations" in diet and exercise habits will make people healthier for sure, and probably help some of them weigh less. But it's unlikely to make many fat people thin. And we've got to take the focus off the scale and stop the moralizing.
BTW, while the rate of Type 2 diabetes is higher among fat people than thin, most fat people don't have the disease.
You know, Jane, people who are fat are not any more likely to be stupid than those who are thin, despite what you and other condescending skinny folk may believe. Really, if it were as easy as drinking water, taking a walk and eating more fruit, there'd be very few fat people.
Making "reasonable alterations" in diet and exercise habits will make people healthier for sure, and probably help some of them weigh less. But it's unlikely to make many fat people thin. And we've got to take the focus off the scale and stop the moralizing.
BTW, while the rate of Type 2 diabetes is higher among fat people than thin, most fat people don't have the disease.
13
And you in fact are the problem in this country. That kind of defeatist attitude flies in the face of the actual science and is a reflection of ignorance.
2
Nobody is saying fat people are stupid but you have to admit that many of their choices about food and lifestyle are stupid. When you are overweight or obese, you just can't drink soda or eat fast/junk food or drink large candy drinks from Starbucks or not exercise everyday but many of them chose to do so.
3
Also, it is not about making fat people thin. It is about making unhealthy people healthy including avoiding early death, even if you have to go beyond "reasonable" measures and into " heck, I am going to die if I do not do this" measures.
1
Unfortunately, Jane made reference to very low-calorie diets and liquid diets. Both destined to fail in the long run as they cannot be followed indefinitely. There are many studies pointing to the success of whole food, plant-based (WFPB)-or vegan diets. The success Mr. Adams achieved was not a fluke, and contrary to popular belief not that difficult to do. A better service for those with diabetes would be to show more evidence that WFPB diets are indeed effective for improving diabetes, even putting it into remission, as the case for Mr. Adams. Yes, to be in remission for good you would have to change your diet and exercise habits indefinitely. I think that choice is much better than having a terrible disease.
6
@Eric:
Many people achieve the same results with whole foods omnivorous diets. It's the sugars and highly processed foods which do the damage, not the meat and eggs.
Many people achieve the same results with whole foods omnivorous diets. It's the sugars and highly processed foods which do the damage, not the meat and eggs.
3
That is incorrect. Saturated fat in meat and dairy attacks the very pancreatic cells that produce insulin. That is why vegetarians have lower rates of diabetes than meat eaters, and vegans have the lowest of all. Of course, eliminating processed foods is important too, which is why the best results have occurred through a whole-foods, 100% plant-based diet.
1
I was a vegetarian for decades and became a type 2 diabetic. Switched to a low carb diet with animal fats and proteins. This brought my blood sugars back to normal, which it has now been for 5 years. So yes, sugars and processed foods do the damage, not meat and eggs.
4
Dried fruit is not good for those concerned about diabetes.
13
Last paragraph of this article:
However, for most people, the changes they make in their eating and exercise habits to control or reverse diabetes must be maintained indefinitely to keep the disease at bay.
Well....of course. And this is where we fail. Most people think (and diet purveyors have perpetuated the myth) that once the weight loss is done, it's back to just being "moderate". But there is no room for moderation in an immoderate, toxic food environment. We have to learn to live another way. Many people have done it, and guess what....it's a pretty fine way to go!
However, for most people, the changes they make in their eating and exercise habits to control or reverse diabetes must be maintained indefinitely to keep the disease at bay.
Well....of course. And this is where we fail. Most people think (and diet purveyors have perpetuated the myth) that once the weight loss is done, it's back to just being "moderate". But there is no room for moderation in an immoderate, toxic food environment. We have to learn to live another way. Many people have done it, and guess what....it's a pretty fine way to go!
10
The main takeaway from this is that one must have the time and resources to make one's own meals nearly all the time. Not that many workplaces are going to accommodate an in-office mini-gym and efficiency kitchen. And good luck finding something suitable to eat on the road, where there may be nothing for miles but fast food outlets at the highway rest stops.
21
Either we make excuses or figure out a way to get it done. Your choice.
3
Eating vegan, anywhere, is easier than you think. You can stop at Taco Bell, for example. Burger King has a vegan burger (not that it's terrific, but Taco Bell's options are all good).
He may have the best of all worlds, but that doesn't mean you can't make adjustments to get the same results.
He may have the best of all worlds, but that doesn't mean you can't make adjustments to get the same results.
2
The secret to avoiding eating on the road is simple. Bring your own food. Make a sandwich, bring snacks, fruit , water. Even if you need to stop to stretch, you can buy a water or something and eat your food at their table. Fast food places don't care.
3
Love this story! Like Mr. Adams, I am hooked on sugars and carbs. The story gave me a swift kick in the pants. I have one of those under the table treadmill machines, Time to break it open!
22
I have to say that for every person claiming a vegan or vegetarian diet as part (which is important to note: *part*) of his or her path to better health, there is someone like myself who maintains good health that includes meat. I have my preferences, and what I see as key is my use of meat as an ingredient; rare is the meal that centers in any sense around meat, but then again, rare is the meal that centers around any one thing, soups, stews, and one-pot type meals notwithstanding.
A vegan diet is a great thing for some, but in and of itself it will not "save the world". Harvesting animals is not the problem. Overproduction (much, animal and vegetable, is exported), overuse, and ignorance in production, preparation, etc., these are all problems and all important parts of the puzzle.
Anyone who believes that a vegetarian world would not have very similar problems of overproduction, soil degradation, runoff, chemical/biological pollution, etc., is simply not thinking things through.
As for one's diet though, whatever works works. But my diet of lots of fruits and vegetables includes pork and lamb too, and it does no one any harm (locally raised).
(And for the comment I'm sure to get about "no harm," I say look to that carrot and ask yourself if you speak its language, if you truly know that once living thing, now dead in your hand, feels nothing, knows nothing. Then check your surety, if not just arrogance, at the door. And then eat with respect for the life you take.)
A vegan diet is a great thing for some, but in and of itself it will not "save the world". Harvesting animals is not the problem. Overproduction (much, animal and vegetable, is exported), overuse, and ignorance in production, preparation, etc., these are all problems and all important parts of the puzzle.
Anyone who believes that a vegetarian world would not have very similar problems of overproduction, soil degradation, runoff, chemical/biological pollution, etc., is simply not thinking things through.
As for one's diet though, whatever works works. But my diet of lots of fruits and vegetables includes pork and lamb too, and it does no one any harm (locally raised).
(And for the comment I'm sure to get about "no harm," I say look to that carrot and ask yourself if you speak its language, if you truly know that once living thing, now dead in your hand, feels nothing, knows nothing. Then check your surety, if not just arrogance, at the door. And then eat with respect for the life you take.)
32
It's amusing and also telltale how defensive people get when vegetarianism/veaganism are even mentioned as options. No where here does Mr Adams or the writer advocate a vegan lifestyle as THE solution for everyone. But clearly your dander is up. Seemingly, just the notion of eschewing animal flesh is a threat. Relax. Maybe try going meatless for one day a week. It's not un-American.
5
The carrot does not have a nervous system.
3
As part of my work, I've reviewed several lifecycle analyses of agricultural processes. Producing meat consumes 2 to 5 times as much energy (depending upon the species) as producing grains. Of course raising fruits, vegetables, and grains on a large scale will have an environmental impact, but to imply, as you do here, that there is no significant difference between the two is simply false.
7
In response to those who point out that not everyone can afford "expensive" workout equipment as seen in Mr Adams' office: a good used exercise bike can be had on any craigslist for $50-75 bucks. The TRX suspension trainer shown can be replaced with a Gold's Gym $40 version (virtually the same device) available at WalMart. The suspension trainer is a tremendous body-weight workout device which can be attached to doors (at home or in a hotel), tree limbs, chain link fences, you name it. As pointed out, try to get the top portion of any computer screen to be at eye-level, especially when you are on your exercise bike or standing. Aside from the diet drinks and sweetened energy bars, Mr Adams is on to something HUGE.
25
I work retail where standing all day really takes its toll on my body. To combat this, I take my Nikes to work and do a mini workout on my breaks. I do lunges and squats in the handicap bathroom. I do wall push-ups and stretches when the shop's not busy. I even do bicep curls with our jumbo sized lotions. Not a great workout but good enough to keep my legs from cramping and my body limber. Then, on my days off, I do full-on hard workouts. Works like a charm!
43
How about people who have bad backs...worn out knees....arthritis in their hands, feet, knees, hips?
Not everyone can stand or walk all day.
I am neither fat nor diabetic, but I have Plantar Fasciitis -- to stand on my feet all day, even in flat comfortable shoes with arch supports (I have not worn HEELS in decades) would be agony.
Not everyone can stand or walk all day.
I am neither fat nor diabetic, but I have Plantar Fasciitis -- to stand on my feet all day, even in flat comfortable shoes with arch supports (I have not worn HEELS in decades) would be agony.
1
"...But even though there is no known cure for Type 2 diabetes, lifestyle factors can have a big impact..."
How is "losing weight...eating a diet low in refined carbohydrates and sugar, and being more active" not a "cure for Type 2 diabetes"?
How is "losing weight...eating a diet low in refined carbohydrates and sugar, and being more active" not a "cure for Type 2 diabetes"?
44
Because it doesn't work for everyone.
5
Believe it or not, there are thin folks out there with either pre-diabetes or full-blown T2 diabetes. No, it's not always a matter of losing weight and limiting carbs (although it might help some people avoid the disease). There is no "cure" for diabetes. None-not even if you diet, exercise, and avoid most refined carbs and sugar.
It's called genetics. Why some people cannot wrap their minds around this truth is beyond me.
It's called genetics. Why some people cannot wrap their minds around this truth is beyond me.
4
These positive behaviors control the problem but are not considered a "cure" because if one goes off the diet and gains back weight the diabetic condition will likely recur.The underlying disease process is still there and can manifest itself again.Thats why the best thing is to prevent the problem in the first place if possible.
3
When did fruits and vegetables become proteins??? (They mostly metabolize as sugars! and with fiber. Beans and rice seem to work as a protein.
7
Sugars are not Evil. A balanced, varietal diet is a wonderful thing.
8
Multiple and various amino acids can supply protein via vegetables, fruit, grain or other things not seen as complete proteins. Take a look :) http://vegetarian.about.com/od/beverage1/a/Raw-Food-and-Protein.htm
1
@Kelsey:
Vegetables, fruit, and grain are not adequate sources of protein for us humans.
Vegetables, fruit, and grain are not adequate sources of protein for us humans.
2
Congratulations to this fellow. I do wonder if everyone can have his success. I lost 40 pounds in 5 months and have kept it off, changed my diet considerably, (but am not vegan), exercise 3/week minimum, don't snack between meals - but I still need insulin 7 years later. Doctors tell me it's my genes.
9
Don't dispair, it took me a good 5 years to go from a 6.7 A1c to a 5.7 Aic. No anti-diabetes medications, merely a loss of 30 pounds, elimination of white flour, sugars, additional more veggies, fruits and the addition of grass fed meats or organic poultry, when available. Thanks to my doctor, Vitamin D, extra B Vitamins seemed to help. I use a walker due to a very bad back condition. Perhaps you need to tickle some of the foods you are eating or just need to continue. I think the reward is no end organ damage.
16
Animal products contain high levels of AGEs (advanced glycation end products), which are associated with the development of diabetes 2. Consider dropping them for 30 days (along with the other excellent changes you've already made) and see if you still need the insulin.
@fallingleaves:
AGEs come from charred or burnt food, regardless of whether it is animal- or plant-derived. Don't overcook your meat, and add some marinades with herbs (antioxidants). Problem solved. If Snip is eating less animal foods, then he is eating more of something else, likely more carbohydrate. Which would require more insulin.
AGEs come from charred or burnt food, regardless of whether it is animal- or plant-derived. Don't overcook your meat, and add some marinades with herbs (antioxidants). Problem solved. If Snip is eating less animal foods, then he is eating more of something else, likely more carbohydrate. Which would require more insulin.
2
Consider a vegan diet after surviving cancer. Your very being becomes inhospitable to a return. My husband lost 30 pounds, has more energy than ever before. I now et 80% of the time as a vegan and feel like a new man.
14
My dad was a very clean-living Seventh Day Adventist before he got Stage 4 colon cancer. No smoking, no drinking, no meat -- he was a vegan for years.
He still got colon cancer. After his diagnosis, he went on a even STRICTER vegan diet, with lots of stuff like wheat grass. He was sold "snake oil" by numerous crazy books and "food gurus" that promised "a cure for cancer" (not unlike the "cures for diabetes" mentioned here) and of course, none of them did the slightest good.
My dad died of Stage 4 colon cancer in 2004. And he was a VEGAN.
He still got colon cancer. After his diagnosis, he went on a even STRICTER vegan diet, with lots of stuff like wheat grass. He was sold "snake oil" by numerous crazy books and "food gurus" that promised "a cure for cancer" (not unlike the "cures for diabetes" mentioned here) and of course, none of them did the slightest good.
My dad died of Stage 4 colon cancer in 2004. And he was a VEGAN.
4
gees,
Im sorry about your father, my father died of colon cancer also. And he ate meat and white rice and sugar as well as over cooked vegetables and some fruit. I haven t read all your comments and some were hard to understand, but what's wrong with this man trying to share his story and help people cut out some obviously unhealthy processed foods?!? Is it your anger at a diet failing to cure your father making you miss the point? I don't see where he says everyone should be a vegan. But whats wrong with trying to change Oreos and potato chips to an apple and nuts as a snack? Or frozen pizza every night to a dinner that is home made and plant based? How can you even argue that wouldn't be a good thing? No one is saying never have sugar, never have salt, never have carbs or meat or whatever. His dietary changes were extreme-so what? He was a walking time bomb. I just want to teach my kids to make better choices.
1
Well done Mr. Adams! You look fantastic and it is so great to hear your health has improved. A great role model for us all.
Best wishes to you for 2017!
Best wishes to you for 2017!
48
Okay, I am writing this response from Vaidyagram, an Ayurvedic Healing Center, near Coimbatore, India. I am a pharmacist and an academician, who strongly believes that while drugs should be the last resort for treating disease, US consumers are sold the idea that drugs can cure everything and patient need not make any effort. Ayurveda [ancient healing system in India] on the other believes that all diseases are manifestation of "unnatural living habits" of the patient, that can be naturally treated with patient's own effort with little help from herbs! Mr Adams clearly proves that concept and should be an inspiration to all patients!
29
Truly inspiring, even for those of us who aren't in danger of diabetes or similar maladies, but simply want to feel better. Well done, sir!
17
Great work leading by example. Now we just need a health care system that works to not only encourage, but help people learn to prepare and eat whole foods. For low income patients, this must include vouchers for fresh fruit, vegetables, whole grains, and other elements of a healthy, revamped diet. Most health professionals are very fast to prescribe drugs in the case of type 2 diabetes. Even on these drugs, patients often experience expensive and life altering medical disasters. This is the only way we will leave this terrible epidemic behind, and big corporate agriculture will fight a whole foods solution tooth and nail.
22
15% of all Americans -- the poorest -- already get food stamps. The program is very generous. They often get MORE money for food than working class Americans with jobs can spend on food! If you have children under 5, you also get WIC which is even MORE generous and can only be spent on healthy fresh items like milk, fruit, veggies.
People do not need vouchers ON TOP OF THIS. Fruits & veggies are much less costly than meat! or junk food or snack foods.
Unfortunately...poverty is strongly correlated with lack of education and literacy. Most poor people are not well informed about nutrition or health. They eat "what they like" and what is easily accessible -- often fast food or junk. Indeed, they waste most of the SNAP (food stamp) dollars on non-nutritious food. This is a disaster for their children!
Sadly, SNAP does not compel recipients to take any basic nutrition or cooking courses before handing them several hundred dollars each month.
In addition, if you are very poor....it is likely you live in an area where there are more fast food junk places than farmer's markets or even a good supermarket with fresh produce. You likely do not own a car, and can't lug home big bags of fruit and vegetables....you may lack a working kitchen, or a dependable refrigerator. You may lack money to pay the electric bill, so the power goes out and all your food SPOILS -- meaning you try to buy things that DO NOT SPOIL, and those foods are junk foods.
It's really a very complex issue.
People do not need vouchers ON TOP OF THIS. Fruits & veggies are much less costly than meat! or junk food or snack foods.
Unfortunately...poverty is strongly correlated with lack of education and literacy. Most poor people are not well informed about nutrition or health. They eat "what they like" and what is easily accessible -- often fast food or junk. Indeed, they waste most of the SNAP (food stamp) dollars on non-nutritious food. This is a disaster for their children!
Sadly, SNAP does not compel recipients to take any basic nutrition or cooking courses before handing them several hundred dollars each month.
In addition, if you are very poor....it is likely you live in an area where there are more fast food junk places than farmer's markets or even a good supermarket with fresh produce. You likely do not own a car, and can't lug home big bags of fruit and vegetables....you may lack a working kitchen, or a dependable refrigerator. You may lack money to pay the electric bill, so the power goes out and all your food SPOILS -- meaning you try to buy things that DO NOT SPOIL, and those foods are junk foods.
It's really a very complex issue.
Kudos to Mr. Adams! This is a wonderful example of true leadership.
27
Are thousands of dollars worth of equipment really necessary? That would mak losing weight impossible for most people.
6
Absolutely not; the equipment he chose is optional. Exercise can be biking, walking, jogging, or running, hiking, yoga, Pilates matwork, calisthenics, dance, swimming where available--there are many things that require minimal or no equipment.
The harder you work the muscles used when exercising, the greater the benefit. Exercise makes every day better.
The harder you work the muscles used when exercising, the greater the benefit. Exercise makes every day better.
22
Really? Have to buy equipment to lose weight? No other ideas in mind? Push ups, sit ups, walking, running, tree climbing....what happened to basic exercise....excessive focus on "equipment"
10
Check out your local freecycle.org and nextdoor.com for folks looking to give away an exercise bike. Or pay under $100 for one on craigslist. That $200 TRX suspension trainer can be replaced with a $40 Gold'sGym brand model which is virtually identical. Your free personal trainer is waiting for you on youtube! Go for it. No more excuses.
This is an amazing, inspiring story! Many people in my family have diabetes including my former great-grandmother, my mother, and now, my younger sister, who was recently diagnosed. When I asked if she could be cured through weight loss, she replied that once one has the disease that is it. This story seems to suggest otherwise. My step-father died in his 60s in part because of diabetes, and my mother, in her seventies is in a nursing home due to overweight, diabetes, and a number of related conditions. This disease is a scourge. The only reason that neither my grandmother nor I have it is that we were/are careful, and typically eat healthy or prepare our own food, exercise, etc. It requires awareness and planning to stay healthy. I don't feel that hospitals, assisted living, or nursing homes that have diabetic patients make any effort to feed them healthy, less sugary food; the only benefit is the portion control. And if you eat in restaurants, almost everything except for salad is bad for you. I worry for my family; it seems that out in the world on a busy working day there are few healthy choices. In a way, almost everyone should be on a mindful diet and prepare their own food. We process food to make it cheaper and convenient to ship and store. But we're destroying the health of our people. We should be preventing this disease at least in every public institution, such as schools and hospitals.
3
Your sister is absolutely correct; it is this article and some of the crazy extremists posting here who are completely wrong.
There is as of now, NO CURE FOR TYPE 2 DIABETES. If you lose weight and exercise, you MIGHT get it into remission for a while, but there is no guarantee that will work -- not for every person with Type 2 diabetes.
I am sorry it runs in your family. It is a highly heritable disease. It runs in my family too, but so far (knock on wood), I am 61 and I have no signs of it.
There is as of now, NO CURE FOR TYPE 2 DIABETES. If you lose weight and exercise, you MIGHT get it into remission for a while, but there is no guarantee that will work -- not for every person with Type 2 diabetes.
I am sorry it runs in your family. It is a highly heritable disease. It runs in my family too, but so far (knock on wood), I am 61 and I have no signs of it.
In both reaching and maintaining a lowered bodyweight I've found the following steps helpful. They can be thought of as the layers of a pyramid each forming the base for the next. Stop as long as you like, perhaps forever, at any one of them.
1. Slow down and bring increasing awareness to the eating process. This is the most important step. Don’t talk, read or worse watch TV but instead tune in to the total mechanism of eating. What you find may surprise you and make the subsequent steps much easier.
2. Eliminate almost all processed foods and added sugar.
3. Weigh all you eat at home and use nutrition software to bring nutrients to RDA levels. Perhaps eat out less often.
4. Restrict eating to a 10, 8, 6 or less hour window per day.
5. Restrict calories only very slightly, perhaps only 100-200 calories or even less from normal.
Strive for consistency rather than severity, process not outcome. Control is to reduce day to day variability not sheer amount.
http://adventuresinperception.com/framework-of-food/50-2/
1. Slow down and bring increasing awareness to the eating process. This is the most important step. Don’t talk, read or worse watch TV but instead tune in to the total mechanism of eating. What you find may surprise you and make the subsequent steps much easier.
2. Eliminate almost all processed foods and added sugar.
3. Weigh all you eat at home and use nutrition software to bring nutrients to RDA levels. Perhaps eat out less often.
4. Restrict eating to a 10, 8, 6 or less hour window per day.
5. Restrict calories only very slightly, perhaps only 100-200 calories or even less from normal.
Strive for consistency rather than severity, process not outcome. Control is to reduce day to day variability not sheer amount.
http://adventuresinperception.com/framework-of-food/50-2/
5
I just read this article and ran out to purchase a yonana (I'm in Canada). It's awesome, great suggestion.
4
Me too! They had it at Canadian Tire's site. So excited!
1
This is more than just an inspiring story. It could lead to a revolution in diet and health care. But first a revolution in our thinking needs to happen. There's a constant battle going on led by the mass food marketers that plays out in our minds. The more we resist and opt to do the natural thing, the more they persist. Mr Adams is in a unique position to help lead the revolution and this article is a wonderful step in that direction. This battle cuts across all races, religions, sexes, nationalities etc. And for those truly addicted to sugar, salt, fried foods etc there is help in the form of a 12-step program to arrest that addiction one day at a time. I can testify to that.
5
What a wonderful and inspiring story. Kudos to the NY Times for telling Mr. Adams' story. Moving to a plant-based diet provides numerous benefits beyond personal health, including for the environment. At first, it is hard and requires discipline, but once you adopt a healthy plant-based diet, you can't imagine going back to consuming meat or dairy.
12
@AJF:
If it works for you, that's great, but humans in general are an omnivorous species. A strict vegan diet requires access to the modern supermarket, special planning and supplementation, and even then many people will not thrive on this diet.
If it works for you, that's great, but humans in general are an omnivorous species. A strict vegan diet requires access to the modern supermarket, special planning and supplementation, and even then many people will not thrive on this diet.
5
I found success with the Newcastle diet mentioned in the article. I lost 29 lbs during term of the diet. My doctor report that my blood results are normal once again. I've since increased the calorie count, but essentially stick to a vegan diet. Good luck with your goals!
4
"Those searching for a pick-me-up can indulge in plain or sparkling water, diet soda, nuts, dried fruit, protein bars and whole-grain baked chips." That sounds fine except for the diet soda. According to researchers, there's evidence that the artificial sweeteners in diet drinks may induce glucose intolerance by altering gut bacteria: http://www.nature.com/nature/journal/vaop/ncurrent/pdf/nature13793.pdf
14
It is a theory and utterly unproven.
For diabetics, nothing has been a bigger godsend, or helped more people maintain good numbers, than the availability of diet drinks, and artificial sweeteners.
NO real threat from them has ever been scientifically proven. That said, they are just a substitute and will not, by themselves, effect any weight loss.
For diabetics, nothing has been a bigger godsend, or helped more people maintain good numbers, than the availability of diet drinks, and artificial sweeteners.
NO real threat from them has ever been scientifically proven. That said, they are just a substitute and will not, by themselves, effect any weight loss.
Thanks as always Ms. Brody for sourcing out this article, which is indeed inspiring. Congrats to Mr. Adams for the drive and dedication to make what, for most, is an extremely drastic lifestyle change. I too, had been diagnosed as a "pre-diabetic" (not Type 2, but heading there). While never objectively "heavy", I wasn't too fit. For me, the combination of a better diet (not to the extent of Mr. Adams, but in that general direction) and exercise (I found after a 20+ year hiatus I enjoyed running again) have worked to bring me well out of the pre-diabetic risk category. But I'm not at the same extreme of dietary changes. Yes, I limit sweets and processed carbohydrates (bread, etc...) and probably take in less other carbs (pizza, pasta, potatoes) than most, but I still am definitely a non-vegan (nearing Paleo...just kidding). Overall the result is that I get to enjoy what I eat, both at home and in social situations (parties, restaurants), without feeling like I'm "making a statement". But perhaps the biggest thing that helps me is the greater awareness of portions, to which I credit myfitnesspal.com, which I found to be a great tracking app, along with a small cooking scale.
Sadly, I think Mr. Adams is spot on when he observes that the changes he's made are more extreme than most will consider. Rather a knife or a pill than a sacrifice of autonomy.
Sadly, I think Mr. Adams is spot on when he observes that the changes he's made are more extreme than most will consider. Rather a knife or a pill than a sacrifice of autonomy.
3
An inspiring and wonderful story, which so many people should be able to learn from. I am a little skeptical that his A1c dropped from 17 to 5.7 in 3 months - I wonder if his doctor really allowed a patient with an A1c of 17 to walk out of the door without a prescription (I have had many patients say they will do it themselves without meds, but none have ever succeeded that well and that quickly!). But the principle is sound. Just one picky point - an A1c of 5.7 is still not normal - it is at the bottom end of the prediabetic range, very close to normal, but still not quite normal
7
An A1C of 17.0 would be utterly off the charts, and very unusual.
Any responsible physician would A. repeat the test -- even twice and B. if it still came back as 17.0 (!!!), that patient would be IN THE HOSPITAL on a medically supervised diet and insulin, until it could be brought under control.
I am shocked that Ms. Brody did not check this story out, by asking a REAL diabetic endocrinologist or diabetes expert if this could possibly be true.
My guess is that it is a typo, or Mr. Adams is exaggerating for effect. It is far more likely he had a A1C of 7.0 -- high but not crazy high -- and it spurred him to diet, and he brought it down to normal.
From 7.0 to 5.7 in 90 days -- very doable and commendable. From 17.0 to 5.7 in 90 days? I don't believe that one bit....not even if you starved yourself.
Any responsible physician would A. repeat the test -- even twice and B. if it still came back as 17.0 (!!!), that patient would be IN THE HOSPITAL on a medically supervised diet and insulin, until it could be brought under control.
I am shocked that Ms. Brody did not check this story out, by asking a REAL diabetic endocrinologist or diabetes expert if this could possibly be true.
My guess is that it is a typo, or Mr. Adams is exaggerating for effect. It is far more likely he had a A1C of 7.0 -- high but not crazy high -- and it spurred him to diet, and he brought it down to normal.
From 7.0 to 5.7 in 90 days -- very doable and commendable. From 17.0 to 5.7 in 90 days? I don't believe that one bit....not even if you starved yourself.
2
I suggest, Jane Brody, you need to read more. Start with www.dietdoctor.com or lowcarbdownunder.com.au and you can gain insight that type 2 diabetes (and obesity) can be reversed with diet--especially with low carbohydrate high fat choices. I believe this link will carry you to free access http://www.nutritionjrnl.com/article/S0899-9007(14)00332-3/abstract?cc=y= of the article: Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base
It appears that exercise though good for the heart is not so good in most people for weight loss or management of type 2 diabetes as opposed to seriously lowering the carbohydrate intake and replacing the carbohydrate calories with fat calories.
It appears that type 2 diabetes can be cured with continued attention to eating the right foods. This is not about going on a temporary diet, but changing one's food intake i.e. diet, on a permanent basis to rid oneself of a serious disease. There are many, many vested interest in keeping people diabetic, when it appears with modification of food choices and persistence in the will to gain and maintain health can in fact cure type 2 diabetes.
It appears that exercise though good for the heart is not so good in most people for weight loss or management of type 2 diabetes as opposed to seriously lowering the carbohydrate intake and replacing the carbohydrate calories with fat calories.
It appears that type 2 diabetes can be cured with continued attention to eating the right foods. This is not about going on a temporary diet, but changing one's food intake i.e. diet, on a permanent basis to rid oneself of a serious disease. There are many, many vested interest in keeping people diabetic, when it appears with modification of food choices and persistence in the will to gain and maintain health can in fact cure type 2 diabetes.
12
Jim, I agree. Eschewing animal protein seems probably the toughest way for most people to lower their blood sugar level. Jane Brody should have noted the success so many have had on ketogenic, high fat, low carb diets that are much easier for the average person to maintain.
But hats off to Mr. Adams. He seems a prime example of how diverse and complex humans are and that, nutritionally, one size doesn't fit all. To his credit, he says that himself. He's no doubt following his own instinctive taste buds, and that's why it's working for him. For others in the same boat, it would be torture. But, there are other low carb options that can be just as rewarding.
But hats off to Mr. Adams. He seems a prime example of how diverse and complex humans are and that, nutritionally, one size doesn't fit all. To his credit, he says that himself. He's no doubt following his own instinctive taste buds, and that's why it's working for him. For others in the same boat, it would be torture. But, there are other low carb options that can be just as rewarding.
2
I have insulin resistance and have been told that exercise is essential to treat it - even more than diet. Hard to know what to believe.
1
Three years ago, I got insurance through ACA and saw a doctor, who said "You're diabetic." I told her that was crazy, I had no symptoms. She gave me a glucose meter and every meal became a clinical experiment. (Everyone should have access to a glucose meter & strips. That includes your kids who you are teaching to make smart eating choices.) I kept a spreadsheet record. My experiment consisted of measuring my glucose before each meal, preparing a meal, careful to add only one new food element per meal, and measuring glucose again two hours after the start of the meal. For MY METABOLISM, a pattern emerged very quickly. GRAINS. If I ate anything made with grains, my blood sugar after two hours wasn't coming down adequately. CONCLUSION. Fresh meats/fish, fresh vegetables, fresh fruits, nuts. No grains, no white potatoes, no added sugar. All blood values normal without medication. Weight started falling off. I got so excited, I started exercising. When I need a treat, a little dark chocolate. On holidays, wine. I miss the bread part of pizza, but small price to pay.
57
"No grains, no white potatoes, no added sugar"
Easy to remember: No GPS
Easy to remember: No GPS
9
Not that easy...."Greens. Proteins. Small Portions"....could easily mix up.
1
Most diabetics can't afford that many test strips. Otherwise, it's a good experiment.
1
Congratulations to Mr. Adams - that is quite an accomplishment! It isn't easy to make those changes to a healthy diet/exercise regimen.
However, I have to disagree with the statement that his blood sugar is now normal. At 5.7, that is pre-diabetes. That is still a danger zone.
My A1C last month was 5.9. That is with a no-gluten, no-sugar, low carb, no junk food, etc. food plan. I got sick on a vegan plan; it's not for me. However, I do not go overboard on the protein and do not eat red meat.
Some people can avoid diabetes, but others (like me) have an unfortunate genetic predisposition to it. I'm doing the best I can to stave off diabetes, but it seems less and less likely that I will be able to avoid it in the future.
However, I have to disagree with the statement that his blood sugar is now normal. At 5.7, that is pre-diabetes. That is still a danger zone.
My A1C last month was 5.9. That is with a no-gluten, no-sugar, low carb, no junk food, etc. food plan. I got sick on a vegan plan; it's not for me. However, I do not go overboard on the protein and do not eat red meat.
Some people can avoid diabetes, but others (like me) have an unfortunate genetic predisposition to it. I'm doing the best I can to stave off diabetes, but it seems less and less likely that I will be able to avoid it in the future.
8
Why vilify eating animals? Eating humane-raised, unadulterated animal products has absolutely nothing to do with the etiology of Type 2 diabetes or insulin resistance...You don't want to be an annoying vegan? Too late.
Want to reverse diabetes? Stop letting the sugar industry swindle you with "organic" this and that...Never eat anything served out of a package or window. And if it tastes sweet, spit it out.
Want to reverse diabetes? Stop letting the sugar industry swindle you with "organic" this and that...Never eat anything served out of a package or window. And if it tastes sweet, spit it out.
14
Sugary food out of a package existed long before "organic" was a thing. And as far as I can tell he's not preaching about veganism but merely mentions it because that is the diet he adheres to. I never understand why people get so offended that others choose not to eat meat.
18
You know why people get upset? Because instead of saying "I follow a vegan diet because it has been helpful to me to lose weight", he says "I don't eat anything that has a face, a mother, or a father".
Do you see the value judgement implicit in that statement? THAT is why people get upset.
Do you see the value judgement implicit in that statement? THAT is why people get upset.
25
Who "vilified" eating animals?? Mr. Adams only speaks about his choices. Another defensive reaction by a meat eater. Jeez
2
I, and some others I know, have come back from prediabetic and diabetes diagnosis with changes to diet and exercise far short of going vegan.
Not criticizing veganism, it's more than fine.
But it shouldn't be necessary to deal with diabetes.
Cut out sugar and refined carbs, be mindful of the glycemic index of what you do eat, and get plenty of exercise.
Not criticizing veganism, it's more than fine.
But it shouldn't be necessary to deal with diabetes.
Cut out sugar and refined carbs, be mindful of the glycemic index of what you do eat, and get plenty of exercise.
10
It is easier to reverse diabetes on a plant-based diet (or to never develop it in the first place), because without animal products, you are taking in far fewer inflammatory AGEs (advanced glycation end products) that have been shown to promote diabetes 2. There may also be a connection between the persistent environmental pollutants that work their way up the food chain, residing in animal fat, and diabetes. In a 2002-2006 Loma Linda University study of over 60,000 Seventh-Day Adventists, vegans and vegetarians had about half the risk of diabetes 2 of meat eaters. This link to diet remained even after other lifestyle variables were factored in.
1
@fallingleaves:
Lots of people improve health and blood sugar control on whole foods omnivorous diets. Studies of the Seventh-Day Adventists are observational studies, based on self-reported food surveys (many of those so-called vegetarians are eating fish and chicken on a regular basis.) These studies are carried out through a 7th Day Adventist university, using 7th Day Adventists as subjects, and somehow always find results which confirm the particular religious beliefs of 7th Day Adventists. Weird.
AGEs are produced by burning any food, plant or animal.
Lots of people improve health and blood sugar control on whole foods omnivorous diets. Studies of the Seventh-Day Adventists are observational studies, based on self-reported food surveys (many of those so-called vegetarians are eating fish and chicken on a regular basis.) These studies are carried out through a 7th Day Adventist university, using 7th Day Adventists as subjects, and somehow always find results which confirm the particular religious beliefs of 7th Day Adventists. Weird.
AGEs are produced by burning any food, plant or animal.
2
AGEs are produced by burning any foods, but are also found in meat, burnt or not burnt.
1
Great story! Mr Adam's should be the next surgeon general!
1
Good for Mr. Adams!
5
If Donald Trump would appoint Mr Adams as either Surgeon General or Head of Health and Human Services and he could tell his story and explain and implement his "program", now that would be a HUGE accomplishment and help make America truly GREAT AGAIN.
9
The link on this page that is supposed to point to a paper on the harms of sedentary behavior instead points to a paper on diet and diabetes. I believe this is an incorrect link.
What an excellent example of leadership; living and walking his talk. Wonderful, Mr. Adams. And lucky constituents.
37
I wonder if that sorbet machine could be a diet buster if too many sugary fruits are consumed as a result of using the machine.
11
No because sugar from fruit is different than the addictive stuff in processed foods. Also you are consuming fiber when eating fruit.
2
RosieNYC - No, actually it's not. Same stuff. Sugar is sugar is sugar to the body whether it's from fruit, corn syrup, agave, maple syrup, or whatever. There is no healthy sugar.
4
Fruit has calories and it has a form of sugar called "fructose". To your pancreas, insulin and gut, there is NO DIFFERENCE between the carbs in fruit or the carbs in sugar or candy or soda pop.
Fruit of course has other stuff -- fiber, vitamins -- but by the time you blenderize it into an ice cream concoction, much of that is lost.
Blenderizing it also makes it very easy to eat, just as drinking fruit JUICE lets you take in more calories and carbs than eating a PIECE OF fruit.
Someone here posted they make a "fruit smoothie" every morning, out of many ripe fruits, nuts, seeds, protein powder and vanilla flavoring, and then puree it in a costly blender that pulverizes it to a very smooth consistency. This is nothing but a fruit MILKSHAKE and would have over 1000 calories by itself!
@RosieNYC: nope -- glucose is glucose is glucose. Carbs are carbs are carbs. Diabetics MUST count their carbs, and balance that with exercise, meds or insulin to survive. Fruit is not morally superior to other foods. The sugar in fruits is not "different or better" than the sugars in other foods.
Fiber is great for digestion, but you can get fiber from psyllium -- basically, Metamusil or similar.
Fruit of course has other stuff -- fiber, vitamins -- but by the time you blenderize it into an ice cream concoction, much of that is lost.
Blenderizing it also makes it very easy to eat, just as drinking fruit JUICE lets you take in more calories and carbs than eating a PIECE OF fruit.
Someone here posted they make a "fruit smoothie" every morning, out of many ripe fruits, nuts, seeds, protein powder and vanilla flavoring, and then puree it in a costly blender that pulverizes it to a very smooth consistency. This is nothing but a fruit MILKSHAKE and would have over 1000 calories by itself!
@RosieNYC: nope -- glucose is glucose is glucose. Carbs are carbs are carbs. Diabetics MUST count their carbs, and balance that with exercise, meds or insulin to survive. Fruit is not morally superior to other foods. The sugar in fruits is not "different or better" than the sugars in other foods.
Fiber is great for digestion, but you can get fiber from psyllium -- basically, Metamusil or similar.
1
Good for Mr. Adams! Although the medical profession has yet to state it unequivocally, I'm absolutely convinced that the current diabetes clinic is due to diets primarily based on processed foods, regardless if that food comes in a Trader Joe's box, in a Campbell's soup can, or at a meal in a local diner. It is absolutely critical for health, especially in this atmosphere of sugar and sodium-laden foodstuffs in which we all are immersed, that everyone learns how to cook from scratch as much as is feasible. Produce doesn't have to be expensive or organic, only fresh. Meals don't need to be elaborate or expensive affairs, there are thousands of delicious recipes online that begin and end with using dried beans, simple whole grains, and fresh produce. The only thing missing may be some intelligent re-structuring of time management based on different priorities, an attitude to trying some new things (usually based on old approaches to different foods), and some development and practice of simple cooking skills. Anything less leaves everyone open to these new epidemics.
21
Err: "... current diabetes clinic" should be "... current diabetes epidemic".
1
My congratulations to Brooklyn Borough President Eric L. Adams. He went vegan for eight months, lost 30 pounds, and reversed diabetes. His predecessor, Marty Markowitz, was more of a fun guy, highlighted in The Brookyn Paper almost every month. He came to the office with some extra weight and made a big deal about he will lose, lose, lose and hopefully inspire all other hefty Brooklynites to do the same. When he left office, he looked about the same as when he started.
Mr. Adams, by contrast, did not make an issue of his weight and now has suddenly emerges, thanks to the NY Times, as a man who succeeded splendidly. What's more, by going vegan, he sends a message that eating anything that has a mother is hardly compatible with healthy ethics.
Mr. Adams, by contrast, did not make an issue of his weight and now has suddenly emerges, thanks to the NY Times, as a man who succeeded splendidly. What's more, by going vegan, he sends a message that eating anything that has a mother is hardly compatible with healthy ethics.
55
This is so great for this borough and hopefully many, many outside of this area.Clearly, the BP had drastic steps to take, his life was in the balance. I, like Dr. Dean Ornish, believe you do what you need to do and you continue to make steps in healthful ways. More fruits, vegetables, nuts, seeds, legumes and beans. More exercise, contemplative life, etc. And, we'll all be better in health and wellness as we become more informed about what and how corporations seek to invalidate healthy lifestyles. Read the article in today's NY TIMES on the sugar industry.
5
@Harvey Karten:
All organisms, including plants, have a "mother" in the sense that they are offspring of parents. In many animals, such as fish and shellfish, the only contribution of the female parent is to lay eggs, no "mothering" is performed in the conventional sense of the word.
Animal foods are nourishing and support health. Where do we put our own health, and the health of our families, in ethical considerations?
All organisms, including plants, have a "mother" in the sense that they are offspring of parents. In many animals, such as fish and shellfish, the only contribution of the female parent is to lay eggs, no "mothering" is performed in the conventional sense of the word.
Animal foods are nourishing and support health. Where do we put our own health, and the health of our families, in ethical considerations?
4
If animal foods support health, why are there old vegans? How did they make it? Why do vegans have lower rates of cancer and heart disease?
1
Learning to cook is probably one of the best things any young adult can do for their health and happiness and that of their loved ones. We should teach this in high school again. Home Ec for everyone!
117
Quite true. It is anecdotal, of course, but I grew up as a hugely picky eater, lots of soda and crap food (chips, cookies), and my Mum, as she even freely admitted, did not like to cook nor was the best at it (although in her defense, she was good at what she did; she just had a meat-heavy repertoire). In my early 20s, I took a job in a commercial kitchen making salads and prepping. That began a long stint as a cook/chef, but the point is, within that first year, I was eating all sorts of things that I had never before eaten (or tried), e.g., mushrooms, winter squash, beets (my mother almost fainted when I ate one in front of her), etc.).
So yep, I agree; the old "home ec" should be taught in public schools as a mandatory class.
So yep, I agree; the old "home ec" should be taught in public schools as a mandatory class.
3
Kudos to MrAdams for making the life changes need to reclaim his own health and well being. I had a similar situation, 40 lbs overweight with high levels of sugar and other indicators. I was so psychologically addicted to sugar, salt, flour that I needed more than self motivation. I found that help through Overeaters anonymous and have maintained the 40 lb weight release and recovered my sanity in terms of using food to deal with life. Different strokes for different folks. Keep up the great work sir.
12
Congratulations Mr. Adams. Yours is certainly the most sensible reaction to such a diagnosis. I could only hope that doctors begin to advocate for lifestyle changes over medication and that our insurance plans begin to see the value of prevention over amputations.
18
Docs don't make any $ off this treatment, in fact, they lose. So, no help there. Pharma? Ha! They'd shrivel up and die if everybody followe Mr.Adam's regiment. But, the people are too lazy and want a quick fix.
6
Another factor I hope he addresses is the food desert people in poorer sections of cities live in. Jordan Carlos on The Nightly Show with Larry Wilmore did an excellent story on this. Reality is that clean, healthy eating is expensive.
16
HEALTHY EATING IS NOT EXPENSIVE and requires few trips to a distant supermarket if you minimize (not necessarily eliminate) meat, use dried or canned beans and grains, lots of common, long-lasting vegetables and fruits. Think cabbage, celery, carrots, apples, etc. Beans are inexpensive, versatile and a nutritional powerhouse. Nuts (unsalted best) are not cheap but still cost less than nutritionally comparable meat. Fast food and junk food are very expensive compared to simple home meal preparation, some of it not even 'cooking.' At home you can control portions and reduce salt and sugar, enhance flavor wiith herbs and spices.'Food deserts' are not the real issue, folks.
6
If you factor in the health care cost and suffering from eating "dirty", healthy eating is a bargain.
Beans? Expensive? Oatmeal? Expensive? come on! when fruit is in season, but a lot and freeze it. Same with veggies.
I heard the same story from Fred Hoffman who does the Farmer Fred radio program on KFBK. His story is inspiring and keeps me working out and watching my weight. He monitors or notes all that he eats and his exercise. He is off all his Meds. It is possible.
14
I commend Mr. Adams. We need this kind of leadership. The health of our nation is on the line. Just look around.
46
Wow! I am inspired! What a great example for all of us.
Sugar and junk food affect more than weight and bodily health, as well as being purposefully addictive. The foods also have an adverse affect on mood and cognitive abilities. Can't wait to read about the progress Mr. Adams makes with Brooklynites and beyond.
Sugar and junk food affect more than weight and bodily health, as well as being purposefully addictive. The foods also have an adverse affect on mood and cognitive abilities. Can't wait to read about the progress Mr. Adams makes with Brooklynites and beyond.
15
Thank you Ny Times and Eric Adams for publicizing a Vegan diet. I can tell you grom my own experience that an 80% raw Vegan diet that inludes turmeric and B12 supplement will cure any disease including cancer
The BigAg-Medical-Pharma industrial complex is brainwashing you and killing you slowly
The BigAg-Medical-Pharma industrial complex is brainwashing you and killing you slowly
15
This is a wonderful story....good examples are the best instructors. My son, a Type 1 diabetic since the age of 15 months who is now 32 years old, is my inspiration that choices do matter in order to live a productive life rather than one hobbled by disease, disorders, habitual doctor visits and medical bills.
How we choose to live daily, what we eat, our exercise, our learning, our peaceable approach to our days..all work to improve not only our lives but those around us. It's all about choices and understanding that they are easy to make when the outcome is so positive and affirming. Thank you, Mr. Adams.
How we choose to live daily, what we eat, our exercise, our learning, our peaceable approach to our days..all work to improve not only our lives but those around us. It's all about choices and understanding that they are easy to make when the outcome is so positive and affirming. Thank you, Mr. Adams.
1
Congratulations Mr Adams! An inspirational story, sounds like Dr Esselstyn may have influenced you too. Thank you for sharing. Good Health to you in the New Year!
1
Great story. People interested in how a low fat vegan diet can reverse diabetes can consult Dr. Barnard's book, http://www.pcrm.org/media/experts/neal-barnard-diabetes-book, or any of the many resources on whole foods plant based diets. Even though the article repeated the standard mantra of "eating a diet low in refined carbohydrates and sugar" the missing key is the removal of animal products and heavy saturated fats. There is more and more evidence that fat saturation of cells is what causes insulin resistance in the first place. It's the removal of saturated animal fats that is the key, not just reduction of refined carbs. The whole foods plant based diet followed by Mr. Adams is actually a high carb diet, just not refined carbs, and as he shows, it works.
BTW, of course the diet must be continued to keep the disease at bay. It is bad diet in the first place that causes the disease. The diet is the cure.
BTW, of course the diet must be continued to keep the disease at bay. It is bad diet in the first place that causes the disease. The diet is the cure.
10
@EV:
Saturated fats have never been demonstrated to cause any harm, saturated fats and cholesterol were 1970s-80s-era pretend boogeymen. Most people _improve_ blood sugar regulation when they eat _more_ naturally fatty foods, this is demonstrated in numerous randomized controlled trials, with human subjects. Animal foods are nutrient dense and satiating to the appetite.
Barnard is a vegan advocate, and recommends a vegan, low fat, low protein, all starch diet for everyone. If that diet works for you, then knock yourself out. Such a diet would leave me fat, sick, and constantly hungry.
Saturated fats have never been demonstrated to cause any harm, saturated fats and cholesterol were 1970s-80s-era pretend boogeymen. Most people _improve_ blood sugar regulation when they eat _more_ naturally fatty foods, this is demonstrated in numerous randomized controlled trials, with human subjects. Animal foods are nutrient dense and satiating to the appetite.
Barnard is a vegan advocate, and recommends a vegan, low fat, low protein, all starch diet for everyone. If that diet works for you, then knock yourself out. Such a diet would leave me fat, sick, and constantly hungry.
5
Yes, they most certainly have. Saturated fats attack the very pancreatic cells that produce insulin. Google the study "Death protein 5 and p53-upregulated modulator of apoptosis mediate the endoplasmic reticulum..." in the journal Diabetes, 2012.
That was a mouse study, and never verified or replicated.
2
You don't need to buy a special 'Yonanas' machine -- just use your food processor or simple immersion blender (a regular blender is more trouble) to whip up healthy frozen fruit treats .
5
In July of 2016, it was discovered that I had type 2 diabetes. By the end of the month, I was given a prescription for Metformin. I stated the ADA diet and followed it completely for several weeks but was unable to get my blood sugar below 140. With no results to how for my hard work, I panicked and called my doctor. His response? Deal with it. I began to feel that something wasn’t right and do my own research. Then I found Lisa’s blog http://myhealthlives.com/i-finally-reversed-my-diabetes/ . I read it from cover to cover and I started the diet and by the next morning, my blood sugar was 100. Since then, I have a fasting reading between the mid 70s and 80s. My doctor was so surprised at the results that, the next week, he took me off the Metformin. I lost 30 pounds in the first month and lost more than 6 inches off my waist and I’m able to work out twice a day while still having lots of energy. The truth is we can get off the drugs and help myself by trying natural methods
18
This is one of the most inspiring health stories I've read in The Times. It's so much more useful than the usual debates about fats and animal products. Having eaten the vegan way for over two years, I can only shake my head in agreement with Mr. Adams' testimony. No, I don't believe everyone would be better off if they switched to a vegan diet. But I do believe that health benefits would accrue if more people moved closer to a vegan diet. How close? As close as they find tolerable.
10
@William:
You'll note that Mr. Adams removed sugar and refined carbs, removed most processed foods, ate more vegetables and plant fiber, and started exercising, all at the same time that he removed animal foods. So which factor or combination of factors did the trick? Lots of people achieve the same result by ditching sugar and refined carbs, while keeping the fatty, nourishing animal foods.
You'll note that Mr. Adams removed sugar and refined carbs, removed most processed foods, ate more vegetables and plant fiber, and started exercising, all at the same time that he removed animal foods. So which factor or combination of factors did the trick? Lots of people achieve the same result by ditching sugar and refined carbs, while keeping the fatty, nourishing animal foods.
6
Plenty of fatty, nourishing plant foods! :)
Impressive! Always great to have role models like him, and even more admirable that he is using his experience to help others in a way that encourages rather that shames, scolds, or comes off as smug.
3
Good luck with the diet soda. You really should look into the way diet soda was kept off the market by the FDA for 8 years and how it took the combined efforts of Reagon and Rumsfeld to fire the head of the FDA to get this stuff to the American people.
ps: 75% of the complaints received byt he FDA are about aspartame the sweetner used in diet soda.
ps: 75% of the complaints received byt he FDA are about aspartame the sweetner used in diet soda.
21
Where do you get this nonsense?
I was drinking Tab and Diet Rite soda in the 60s.
Read, for example, https://en.m.wikipedia.org/wiki/Tab_(soft_drink)
I was drinking Tab and Diet Rite soda in the 60s.
Read, for example, https://en.m.wikipedia.org/wiki/Tab_(soft_drink)
6
I agree with the comments about skipping the diet soda, energy bars and "healthy" chips. Especially if you are a compulsive eater. I myself are a flour and sugar addict. For the past 6 years the only sugar/sweetener I've ingested is via fresh fruit. Giving up sugar was the best thing I've ever done. Artificial sweeteners as contained in diet soda, sport drinks etc perpetuate the craving for sweets, as well as being a possible cause of cancer. If you like the sensation of carbonated drinks buy a SodaStream and fizz up your own water, squeeze a lemon or orange into the glass or drink it plain, and there you go. Otherwise, Mr Adams is a role model for us all.
1
I agree with you about diet sodas, but the article doesn't say he drinks them. They are supplied in the borough hall drink machine instead of sugary drinks. There's water too, fortunately.
What a great and inspiring change! Mr Adams looks great, and his coronary arteries probably do, too. If he writes a book, I'll read it!
1
So many articles about people losing lots of weight in the short term, but the real problem is avoiding regaining it.
14
Well, it's gotta be a lifestyle change. Can't go on a "diet"; diets are things you go off of. Have to throw out all the junk in the kitchen, get the pots and pans down to one pot and one little skillet. Buy a little barbque grill. Be ruthless in ridding the cupboards of "bad" stuff. Get it gone. For good. Change your lifestyle. ANd it will be reflected in your body.
3
Do not think of it as a temporary "diet" change but a permanent "lifestyle" change with periodic adjustments.
I am now retired, but as a general internist, I quit telling people to "lose weight." Instead, I taught/showed them how to be physically active - even within the confines of an exam room - and how to eat in a healthy fashion. I gave them a list of equipment, ingredients and cookbooks, all on one typed page. Sometimes incremental changes are all we are capable of, but sometimes the immediate gratification of big changes all at once, as evidenced by Mr. Adams' story, is so gratifying that people get hooked. I've seen it. This is much more important than quitting smoking in my opinion. And don't even get me started on how much more important these behavioral changes are than any stinking cholesterol medication. Mitochondrial poison, anyone? Thanks to Dean Ornish, Martha Rose Shulman and T. Colin Campbell for the real education regarding how to care for patients. I sure didn't get it in medical school or the drug reps who were the main source of education afterwards.
72
@Judy Dasovich:
The effects on health of smoking vs. not smoking are much larger than incremental diet and exercise changes.
The effects on health of smoking vs. not smoking are much larger than incremental diet and exercise changes.
4
Mr. Adams is to be congratulated for his commitment to his health. He should be proud of his determination and discipline.
One minor point. The list of pick-me-up doesn't seem ideal. Diet soda is full of chemicals. Protein bars often have added sugar and salt. Whole-grain baked chips are sometimes cooked in oil. How about just fruit, nuts or a hard boiled egg for a pick-me-up?
One minor point. The list of pick-me-up doesn't seem ideal. Diet soda is full of chemicals. Protein bars often have added sugar and salt. Whole-grain baked chips are sometimes cooked in oil. How about just fruit, nuts or a hard boiled egg for a pick-me-up?
4
An egg is obviously not vegan.
2
Other than the egg, I agree. Raw carrots and hummus would also be a good addition.
How ironic. We live in an era of vastly improved knowledge about how to live longer, healthier lives and the ability to act on that knowledge by unprecedented access to healthy foods and exercise. We also live in an age where in this country at least, we are surrounded by countless, highly processed convenience foods as well as strong disincentives to physical activity. Clearly, Mr. Adams has the information and the affluence to act on his desire to get healthy.
Kudos to the fortunate few who need only will power to turn around the consequences of an unhealthy lifestyle. Many others are trapped in a sea of misinformation, few resources and the stress of living on the edge.
Kudos to the fortunate few who need only will power to turn around the consequences of an unhealthy lifestyle. Many others are trapped in a sea of misinformation, few resources and the stress of living on the edge.
10
I am a 62 year old male. 18 months ago my hemogloban A1C blood test indicated i was pre diabetic. I lost 20 pounds over two months primarily by reducing carbs. My A1C returned to normal. Since then i have lost another 15 pounds and exercise moderately 3 X a week. I feel great. The fear of getting diabetes motivated me to adopt a healthier lifestyle. It works.
My father got type 2 diabetes at my age and died from related complications in his mid 70's.
My father got type 2 diabetes at my age and died from related complications in his mid 70's.
28
Now isn't this just the perfect post-New Year's resolution piece to read over lunch! Mr. Adams' changes in lifestyle are truly inspiring. However, the other ingredient which is present beyond the spices he added to his life is perseverance. He obviously (and appropriately) cares enough about himself and his well being to see this through and to persist with the plan. More power to him, and let's hope he can inspire his constituency!
14
With the publication of this story, his "constituency" goes way beyond Brooklyn.
1
As always, maintenance of these changes is key; and the key to maintenance is having a foundational motive to keep you going. A doctor's advice is a helpful catalyst but I have found that SELF RESPECT by proper self care is a very powerful driver.
16
Thanks for pointing out a key point missing from the article: will he be able to maintain his weight loss?
4
Mr Adams has achieved and maintained his weight loss for only 8 months.
Let's check back in 2 years and then 5 years, and see if he has maintained it all that while.
Eight months is a VERY short time in terms of weight loss. Most people regain. Read up on the winners of the TV show "Biggest Loser"!
Let's check back in 2 years and then 5 years, and see if he has maintained it all that while.
Eight months is a VERY short time in terms of weight loss. Most people regain. Read up on the winners of the TV show "Biggest Loser"!
1
Eric Adams went old school - he took a hard look in the mirror to see what he could do to help himself. He should be proud.
134
You know, I don't see that much anymore, what a person can do himself to help himself. All I see is a bunch of whiners anymore. Yes, we need more of this!
2
This is a great story. Thanks to Mr. Adams for sharing his experience and for his interest in helping others in his community to learn ways that nutrition and activity level can positively influence health. Also thanks for adding to my own motivation to maintain healthy diet and exercise in 2017.
4
I am in my late 50s, but in 2010, I easily lost over 60 pounds and was back to my high school weight within seven months of going vegan and ditching oil and processed foods. I had been vegetarian for over 30 years because I wanted nothing to do with hurting animals when I could be healthy without causing them any suffering, but I ended up gaining weight because of heavy dairy / cheese consumption.
Once my veterinarian enlightened me about how horrifically cows and their babies are treated (and about the barbaric standard industry practice of shredding live male chicks!), I became vegan with my next meal.
As I had wanted to have a healthy vegan diet, I started to do research on the issue. My physician recommended that I read the work of Dr. John McDougall, which I found incredibly helpful. Shortly thereafter, the documentary "Forks over Knives" came out. I read the books and visited the websites of all the doctors and professors interviewed in the film, found the basics to be simple and easy, and went on to be healthier than I've been since my teens. I eat all I want of varied, delicious, and filling food, including comfort foods made of unprocessed starches like oatmeal, potatoes, corn, beans, and whole wheat breads and pastas. People always think that I am much younger than my age. My doctor teases me that she hopes I'm saving a lot of money for retirement because I'll live forever. Vegan diets are better for us, for the animals, and for the climate and environment.
Once my veterinarian enlightened me about how horrifically cows and their babies are treated (and about the barbaric standard industry practice of shredding live male chicks!), I became vegan with my next meal.
As I had wanted to have a healthy vegan diet, I started to do research on the issue. My physician recommended that I read the work of Dr. John McDougall, which I found incredibly helpful. Shortly thereafter, the documentary "Forks over Knives" came out. I read the books and visited the websites of all the doctors and professors interviewed in the film, found the basics to be simple and easy, and went on to be healthier than I've been since my teens. I eat all I want of varied, delicious, and filling food, including comfort foods made of unprocessed starches like oatmeal, potatoes, corn, beans, and whole wheat breads and pastas. People always think that I am much younger than my age. My doctor teases me that she hopes I'm saving a lot of money for retirement because I'll live forever. Vegan diets are better for us, for the animals, and for the climate and environment.
76
@American Abroad:
If you found a diet that works for you, then great! Honestly. But a vegan diet is not likely to produce health for most people because we (in general) are adapted to eat an omnivorous diet. Good quality animal foods are nutrient dense and satiating to the appetite, and we have eaten meat, fish, eggs, and shellfish since before we were even human. Personally, the diet that you have described (low fat, low protein, whole grains, mostly starch) would make me fat, sick, lethargic, and constantly hungry.
If you found a diet that works for you, then great! Honestly. But a vegan diet is not likely to produce health for most people because we (in general) are adapted to eat an omnivorous diet. Good quality animal foods are nutrient dense and satiating to the appetite, and we have eaten meat, fish, eggs, and shellfish since before we were even human. Personally, the diet that you have described (low fat, low protein, whole grains, mostly starch) would make me fat, sick, lethargic, and constantly hungry.
9
Congratulations! And thank you for setting such a positive example of compassion.
2
Have you ever even tried being vegan for a few months? How do you know that a plant based diet would make you "fat, sick, lethargic, and constantly hungry"?
Losing weight is not such a big thing. Just stop eating and drinking all the time and home cook.
Keeping it off is another thing though!
I follow the 2:5 fasting diet. Lost 40 lbs in 1 year. In a few months time I will go to 1 day per week fasting, probably for the rest of my life, just to keep my healthy, new weight.
Keeping it off is another thing though!
I follow the 2:5 fasting diet. Lost 40 lbs in 1 year. In a few months time I will go to 1 day per week fasting, probably for the rest of my life, just to keep my healthy, new weight.
8
Mr. Adam's story is inspiring and his efforts commendable. However, I and many other type 2 diabetics have successfully lowered our A1C to a normal level without eliminating animal products, as is our choice. The diet is simple: low carb high fat or LCHF. Animal fat has not been proven to cause heart or circulatory disease. In fact, high fat dairy has been associated with better diabetes and weight outcomes. The LCHF diet is recommended by many medical professionals for controlling type 2 diabetes (and losing weight).
14
True, going vegan is not absolutely necessary to reversing diabetes. But it sure as heck can heal and keep you healthy in many other areas of your health. Besides being the right thing to do ethically, if you really take a deep, hard look at the animal raising and killing and processing business in this country. A couple of youtube videos should do the trick.
2
Anna, it's great that you've been able to lower your A1C. But you're talking about high-fat dairy as opposed to low-fat, not as opposed to no dairy or meat at all. The 2002-2006 Seventh-Day Adventist study of over 50,000 participants found that, all else being equal, the fewer animal products eaten, the lower the chance of developing diabetes 2. Other studies have shown a 100% plant-based diet to be more effective at reversing diabetes than the American Diabetic Association diet, and it lowers cholesterol and blood pressure and protects against cancer at the same time.
1
@fallingleaves: what studies? Also, the 7th-Day Adventist study was NOT conclusive about diet alone as the reason for the low incidence of T2 diabetes -- other factors may weight just as heavily (as in all the Blue Zone societies studied -- not all of them are vegetarians). And ANY diet that eliminates sugar and lowers carbs are much more effective at controlling and reversing T2 diabetes than the ADA diet, which does neither.
4
I went all-out like this guy when I was 39 and lost 60 lbs., going lower than my college-age weight and feeling tireless. But there's a limit to how much one can violate one's ethnically based eating patterns. After a year of feeling like superman, something snapped in me and I ate everything in sight for three days in a row, including eating fast food for the first time. Now, almost 80, I eat more healthfully than 99% of Americans (not saying much, I guess), but there is still some sugar in my coffee and still some maple syrup on my bananas and some meat every couple of weeks and eggs a few times a week. Daily caloric restriction doesn't work for me, but intermittent fasting does.
20
Wow. I don't need to lose weight, but I wish I could apply Mr Adams' determination and self-discipline to several other areas of my life. He's amazing.
1
KJ: Why not? MOve from "wishing" to doing. It's all in your mind.
2
Almost every USA restaurant serves an entree of 55 bites-- a meal is easily 70-- when it should be 30 max. Stretched stomaches from twice the quantity is what makes us hungry by upsetting our grhelin and leptin levels so we snack-- adults don't need to snack.
2
I take half my restaurant meal home for the next day (except the half broiler when it's falling off the bone, just too good not to finish.) We seldom eat out anyway. I've lost 53 pounds in just under 2 years, tracking food and exercise using the app Lose It. It's slow but steady and I am off everything but a few B vitamins and a blood pressure med which I expect will be the next to go.
2
How on earth can you measure "bites"? how can that be scientific? A petite woman surely does not take a bite as large as a 6'4" man -- or a growing teenager!
You also do not know that any one person eats everything on their plate. Many people leave food -- which is wasteful, another issue -- and many take home food in "doggy bags" -- especially the elderly.
BTW: that is not even remotely how leptin and grehlin work.
You also do not know that any one person eats everything on their plate. Many people leave food -- which is wasteful, another issue -- and many take home food in "doggy bags" -- especially the elderly.
BTW: that is not even remotely how leptin and grehlin work.
2
What an outstanding contribution this man is making - to himself and his borough!
1
Mr. Adams, you're an inspiration! One minor suggestion about ergonomics, so your standing desk doesn't cause you neck and back problems over time: elevate your screen so that its top is at or just below eye level, and keep your forearms parallel to the ground if you're doing much typing. You can connect to a bluetooth keyboard and/or a separate monitor to do this.
6
I'm glad for Mr. Adams and his improvements in health. But he seems to have confused meat, fish, and eggs with sugary beverages, refined carbs, and snacks cooked in refined seed oils. And salt is thrown into the mix, because...??
Most people improve blood sugar control by ditching the sugars and refined flours, while eating _more_ naturally protein-rich and fatty foods. Meat, fish, and eggs are nutrient dense, satiating to the appetite, and have been consumed throughout our evolution as humans.
Most people improve blood sugar control by ditching the sugars and refined flours, while eating _more_ naturally protein-rich and fatty foods. Meat, fish, and eggs are nutrient dense, satiating to the appetite, and have been consumed throughout our evolution as humans.
56
Nutrient-rich, but at what cost? An article just yesterday here gave guidelines for a gut healthy diet that emphasized the importance of sticking to a vegetable based diet in order to reduce the quantity of unhealthy intestinal bacteria that inflict major damage on many (if not all) parts of our bodies, not the least of which is our immune system, leading to chronic diseases of body and mind. And that's not counting on the damage it does to earth and sentient beings the world over.
Basically we can all benefit from reducing, if not eliminating, our dependence on animal derived foods.
Basically we can all benefit from reducing, if not eliminating, our dependence on animal derived foods.
3
I'm always glad to hear from Wendell, Mass!
2
@A.J.:
Re-read that article about gut microbes. The "control" group ate a standard junk food diet, while the experimental group changed a dozen different dietary factors, all at the same time, only one of which was amount of meat.
Personally, I lost weight and improved health when I ate more animal foods, including many non-sentient ones such as oysters, clams, and mussels.
Re-read that article about gut microbes. The "control" group ate a standard junk food diet, while the experimental group changed a dozen different dietary factors, all at the same time, only one of which was amount of meat.
Personally, I lost weight and improved health when I ate more animal foods, including many non-sentient ones such as oysters, clams, and mussels.
4
I applaud Eric Adams' personal achievement in augmenting a healthy lifestyle for himself, but also in spreading the word of the ways and means to do so.
If you want to learn more about and commit to what works to lose and keep extra weight off for the long run (5 years or more), without the spin of commercial interests, come to my talk (open to the public and free). I will present it at Columbia University, TC, on January 30th, 2017 at 6:30 PM at Millbank Chapel (an awesome place). For your free ticket go to http://bit.ly/LTWeightLoss now.
In America, is the fattest industrialized country in the world with 3 out of 4 people overweight or obese. Additionally there is a world wide pandemic of obesity related diseases affecting 2.1 billion people and rising.
You can change all that.
My myth-busting Report on Permanent Weight Loss is also downloadable free at www.permanentweightloss.org from Columbia Academic Commons and is on Google scholar.
The talk is proactive and I will be interested in following up on motivated volunteers who use the available evidence to achieve their weight loss goals.
See you lighter soon?
If you want to learn more about and commit to what works to lose and keep extra weight off for the long run (5 years or more), without the spin of commercial interests, come to my talk (open to the public and free). I will present it at Columbia University, TC, on January 30th, 2017 at 6:30 PM at Millbank Chapel (an awesome place). For your free ticket go to http://bit.ly/LTWeightLoss now.
In America, is the fattest industrialized country in the world with 3 out of 4 people overweight or obese. Additionally there is a world wide pandemic of obesity related diseases affecting 2.1 billion people and rising.
You can change all that.
My myth-busting Report on Permanent Weight Loss is also downloadable free at www.permanentweightloss.org from Columbia Academic Commons and is on Google scholar.
The talk is proactive and I will be interested in following up on motivated volunteers who use the available evidence to achieve their weight loss goals.
See you lighter soon?
People need to hear more stories like Mr. Adam's. Eating well is not hard. It's about education. In addition, we have control over our health and lives.
A contradiction, however, in the article concerns me. At first, the author notes Mr. Adams reversed his Type 2 diabetes through diet and exercise. Later the author states there is no cure for Type 2 diabetes but it can be lowered through diet and exercise. Correct information is important in order to give people commitment and resolve to their treatment plan. We can't be doubtful or unclear about our solutions to a problem. Like Mr. Adams, one can certainly cure their Type 2 diabetes through diet and exercise. This fact should be all the motion one needs to embrace his methods and story as a model to live by.
A contradiction, however, in the article concerns me. At first, the author notes Mr. Adams reversed his Type 2 diabetes through diet and exercise. Later the author states there is no cure for Type 2 diabetes but it can be lowered through diet and exercise. Correct information is important in order to give people commitment and resolve to their treatment plan. We can't be doubtful or unclear about our solutions to a problem. Like Mr. Adams, one can certainly cure their Type 2 diabetes through diet and exercise. This fact should be all the motion one needs to embrace his methods and story as a model to live by.
2
TRB, this concerns me because Ms. Brody hangs out her shingle -- sells books, get articles published -- based on her reputation as a science and health writer. But here, she violates the most obvious and top value of such reportage -- she makes a provably false claim.
YOU CANNOT CURE TYPE 2 DIABETES. It is not a curable disease. Once you have it, you have it forever. You can ameliorate symptoms, and some lucky folks can go into a long term remission -- with no need for medications or insulin. But a CURE? that is false.
Her second statement is more accurate; you can improve your health and reduce your A1C numbers if you lose enough weight. But most people cannot lose ANY weight, and most attempts to "diet away weight" end up making people fatter than ever. Food restrictions (like never eating sweets, or eating only vegan food) typically lead to fanatical behaviors, eating disorders and BINGING. Most dieters take a bad situation and make it much, much worse with continued hopeless bouts of dieting & binging, dieting & binging.
YOU CANNOT CURE TYPE 2 DIABETES by any method whatsoever. Type ONE diabetes -- the blameless, juvenile auto-immune type -- CAN be cured, but only by a pancreas transplant.
YOU CANNOT CURE TYPE 2 DIABETES. It is not a curable disease. Once you have it, you have it forever. You can ameliorate symptoms, and some lucky folks can go into a long term remission -- with no need for medications or insulin. But a CURE? that is false.
Her second statement is more accurate; you can improve your health and reduce your A1C numbers if you lose enough weight. But most people cannot lose ANY weight, and most attempts to "diet away weight" end up making people fatter than ever. Food restrictions (like never eating sweets, or eating only vegan food) typically lead to fanatical behaviors, eating disorders and BINGING. Most dieters take a bad situation and make it much, much worse with continued hopeless bouts of dieting & binging, dieting & binging.
YOU CANNOT CURE TYPE 2 DIABETES by any method whatsoever. Type ONE diabetes -- the blameless, juvenile auto-immune type -- CAN be cured, but only by a pancreas transplant.
1
Six plus years ago, I decided to adopt a vegan lifestyle. That was based on both the toxicity of animal based diets, the inhumane factory animal practices used to provide excessive amounts of food to (literally) consumers and the damage to our environment done by the same factory animal production (excessive air emissions, water pollution, excessive water consumption).
I am thoroughly accustomed to my way of eating now and still thirty plus pounds lighter (partly due to being retired and able to exercise frequently).
I am lucky to be living next to a vegan friendly city (Asheville, NC) and very lucky to have a wife who makes wonderful vegan meals with me in mind, although her diet is mixed.
Recognizing that "lifestyle management" is not as easy as seeking medication for the ills associated with a toxic diet (notably obesity, diabetes and high blood pressure), it IS a better way for those who stay with it long-term.
Of course, many folks are depending on food to provide gratification and support against the stresses in their lives and so for them, positive changes are difficult to sustain.
But for those who can take a fresh look and decide to take charge of (parts of) their lives, diet and exercise are critical areas to tackle.
Stephen Rinsler, MD
I am thoroughly accustomed to my way of eating now and still thirty plus pounds lighter (partly due to being retired and able to exercise frequently).
I am lucky to be living next to a vegan friendly city (Asheville, NC) and very lucky to have a wife who makes wonderful vegan meals with me in mind, although her diet is mixed.
Recognizing that "lifestyle management" is not as easy as seeking medication for the ills associated with a toxic diet (notably obesity, diabetes and high blood pressure), it IS a better way for those who stay with it long-term.
Of course, many folks are depending on food to provide gratification and support against the stresses in their lives and so for them, positive changes are difficult to sustain.
But for those who can take a fresh look and decide to take charge of (parts of) their lives, diet and exercise are critical areas to tackle.
Stephen Rinsler, MD
34
@Stephen Rinsler:
If a vegan diets works for you, that's great. Honestly. But how are animal foods "toxic"? Animal foods are nutrient dense, we're adapted to eat an omnivorous diet, and we've eaten animal foods since before we were even human.
If a vegan diets works for you, that's great. Honestly. But how are animal foods "toxic"? Animal foods are nutrient dense, we're adapted to eat an omnivorous diet, and we've eaten animal foods since before we were even human.
3
They are "toxic" in numerous ways, some of which we are just beginning to understand. For one, the carnitine in meat interacts with gut bacteria to form trimethylamine, which is metabolized by the liver to produce a toxic substance called TMAO. TMAO, among other things, can cause formation of cholesterol plaques in our arteries and increases the chance of prostate cancer. Most pertinent here, however, is the toxicity of saturated fat, found predominately in meat, to the insulin-producing pancreatic cells, causing a greater risk of diabetes in those who consume meat.
4
@fallingleaves:
Numerous other studies find carnitine to be beneficial, as cells use carnitine to transport fatty acids into mitochondria for fuel. In that TMAO study, they started with genetically heart disease prone mice, and directly injected huge doses of TMAO. But lots of foods naturally produce TMAO upon digestion, including mushrooms, peas, soybeans, cauliflower, all much _higher_ levels than the TMAO produced from eating beef.
http://www.westonaprice.org/modern-diseases/cardiovascular-disease/carni...
TMAO produced normally from foods has never been demonstrated to cause plaques in humans, and natural fatty foods containing saturated fats have never been demonstrated to be toxic. Most people _improve_ their blood sugar regulation when they eat more naturally fatty foods.
Numerous other studies find carnitine to be beneficial, as cells use carnitine to transport fatty acids into mitochondria for fuel. In that TMAO study, they started with genetically heart disease prone mice, and directly injected huge doses of TMAO. But lots of foods naturally produce TMAO upon digestion, including mushrooms, peas, soybeans, cauliflower, all much _higher_ levels than the TMAO produced from eating beef.
http://www.westonaprice.org/modern-diseases/cardiovascular-disease/carni...
TMAO produced normally from foods has never been demonstrated to cause plaques in humans, and natural fatty foods containing saturated fats have never been demonstrated to be toxic. Most people _improve_ their blood sugar regulation when they eat more naturally fatty foods.
3
This is an inspiring story. I wonder how long it will take to get the insights available on insulin and its roles in fat storage, the impact of sugar, and how and when fat is stored or used. Brody does a great job of passing along the many studies but we lack full explanations of how all of this works. One doesn't need to be a vegan to control insulin which in turn keeps systems in balance and avoid or reduces diabetes.
For all of us who are not predisposed to stay lean, the habits which control insulin will, of course, need to be maintained. And diabetes isn't the only malfunction that can be mitigated against or held at bay. This a big story that needs to be done with a challenge to many of the orthodox explanations.
For all of us who are not predisposed to stay lean, the habits which control insulin will, of course, need to be maintained. And diabetes isn't the only malfunction that can be mitigated against or held at bay. This a big story that needs to be done with a challenge to many of the orthodox explanations.
2
This is amazing mainly because it comes from a person with obsviously a VERY busy schedule, but "saw the light" and quickly did something about it w/o blaming others, not making the pharma industry rich, etc. I'm 58 and a native of East Harlem from a Puerto Rican family (they love thier pork!), and almost ALL my peers have major health issues. I became a vegeterian (this includes no "white food"/sugar, carbs, etc.) at age 17 (1975) while living in East Harlem and NEVER again went back. Today all my vital signs are perfect w/o medication and doing what Mr. Adams did. Thank you for the role modeling. NOTE: Preventive health issues cost the US hundreds of billions of dollars per year & makes Pharma sales rep rich.
22
At the risk sounding negative on what is doubtless a positive personal transformation for Mr. Adams, his A1c of 17 followed by 5.7 three months later suggests lab error on the initial test. The A1c value represents an estimated average glucose value for the preceding 2-3 months, with a value of 17 suggesting average glucose values greater than 400 (unusual not to have clear symptoms at this value, including marked diuresis). To have a normal A1c 3 months later is difficult to explain physiologically. I didn't want this article to discourage those who have much more gradual reductions in A1c despite aggressive lifestyle changes. The best choice for most people with diabetes is a combination of medicine and lifestyle change.
11
I was initially diagnosed with an A1C of 10.1. My doctor order a host of lab tests. While I came pretty close to becoming a vegan, and increased exercise; after three months my A1C was 4.3. That was two years ago. It has since evened out to 5.6.
Doctors used to have one class in nutrition in medical school, which was probably scientific and hard to apply. Michael Pollan's approach is simple:
Eat food. Mostly plants. Not much.
By food he means real, whole food, something your great-grandmother would recognize as food.
Eat food. Mostly plants. Not much.
By food he means real, whole food, something your great-grandmother would recognize as food.
Agree absolutely. I posted a comment making much the same points (but for some reason it has not been published)
1
What a great story, you will never hear this kind of information from your Doctor. Doctors are not trained in natural ways to get rid of diseases, they just tell you what's wrong, and then prescribe many of the pills that are out there. That is what most people want, a quick fix and be able to live their own lifestyle without changing. Indeed, an addiction.
12
Bravo. Sounds a bit like my journey: lost 30 lbs and 8 in. in my waist 6 + years ago thru lifestyle changes and kept it off.
2
I recently lost weight, without any exercise, when I didn't think it was possible. How did I do it?
1. I got someone else to cook for me. Someone who cared enough about my weight to help me and who knew enough about healthy food to cook the right things. He cooked meals for the week and left them in the frig and freezer and that's what I ate that week. I had a few snacks in between but almost everything I ate was healthy.
2. The food used vegetables, fruit, chicken, turkey, fish, and gluten-free grains and flours: oats, garbanzo, etc. No gluten at all but plenty of these other grains. Find a store that has a big selection of them and there are tons of recipes on the internet. The Prevent and Reverse Heart Disease Cookbook was the basic guide.
The cook has to know how to use spices and combine tastes to make it actually taste really delicious. If it didn't taste great, I probably wouldn't have kept doing it.
3. I did this for about 6 months and now I have lost my cravings for sugar and carbs. I eat less amount and what I eat is healthy and I am so much happier! Thanks to Robert the cook!
It makes me wonder whether paying someone to cook for an overweight person for 6 months is more cost effective than bariatric surgery....
1. I got someone else to cook for me. Someone who cared enough about my weight to help me and who knew enough about healthy food to cook the right things. He cooked meals for the week and left them in the frig and freezer and that's what I ate that week. I had a few snacks in between but almost everything I ate was healthy.
2. The food used vegetables, fruit, chicken, turkey, fish, and gluten-free grains and flours: oats, garbanzo, etc. No gluten at all but plenty of these other grains. Find a store that has a big selection of them and there are tons of recipes on the internet. The Prevent and Reverse Heart Disease Cookbook was the basic guide.
The cook has to know how to use spices and combine tastes to make it actually taste really delicious. If it didn't taste great, I probably wouldn't have kept doing it.
3. I did this for about 6 months and now I have lost my cravings for sugar and carbs. I eat less amount and what I eat is healthy and I am so much happier! Thanks to Robert the cook!
It makes me wonder whether paying someone to cook for an overweight person for 6 months is more cost effective than bariatric surgery....
175
This comment and the person highlighted in the article are addressing a serious health issue in this country (obesity and its consequences) with guidance that is inaccessible to all but a small minority of U.S. citizens.
Jane, how about a followup piece with information usable by those who are most at risk from obesity?
Jane, how about a followup piece with information usable by those who are most at risk from obesity?
3
Simple health/wellness interventions are cheaper, carry less risk and are probably more sustainable than surgery. But the simple things take work, and sustained effort. Some would argue that diet and exercise can't cut it, and they may be right above a certain weight. But where most of us go wrong is we think that by making a decision we'll just do it. It doesn't work that way. You have to create the conditions to help you make it happen. For example, walking and moving around (which I think everyone should do if able). All you need is a pair of shoes...but there are dozens more little things that represent obstacles to you doing this, and you need to figure them out. Your hiring a cook is an ingenious solution. There are many different such solutions, or tricks, people could use. It's very individual. But they all take work, things don;t just happen. Btw, I still think you need to move a lot/exercise, or you'll be a skinny unhealthy person.
2
How did you manage to get someone else to cook for you? And even if someone is paid to cook for an overweight person for 6 months, what happens after that 6 months?
I have been a vegetarian for over 45 years, and so I've cooked from home all of my adult life, given the lack of alternatives for most of these 45 years. I like my my own cooking, as does my husband. Cooking isn't onerous, it doesn't have to be "very creative," and it's considered moderate exercise to boot. Win, win, win.
I have been a vegetarian for over 45 years, and so I've cooked from home all of my adult life, given the lack of alternatives for most of these 45 years. I like my my own cooking, as does my husband. Cooking isn't onerous, it doesn't have to be "very creative," and it's considered moderate exercise to boot. Win, win, win.
7