The Diabetes Code

1. Type 2 diabetes is a reversible disease caused by excessive sugar intake

"Simply put, type 2 diabetes is a disease entirely caused by too much sugar."

Misconception about progression: Type 2 diabetes is often described as a chronic, progressive disease, but this view is mistaken. The disease is actually caused by excessive sugar consumption over time, leading to insulin resistance and elevated blood glucose levels.

Reversibility through diet: By understanding the root cause, it becomes clear that type 2 diabetes can be reversed through dietary changes. Reducing sugar and refined carbohydrate intake allows the body to regain insulin sensitivity and normalize blood glucose levels. This challenges the conventional wisdom that diabetes is an inevitable, lifelong condition.

Key factors in development:

• Overconsumption of sugar and refined carbohydrates
• Gradual build-up of insulin resistance
• Fatty liver and pancreas due to excess sugar intake
• Eventual inability of the pancreas to produce enough insulin to compensate

2. Insulin resistance is the root cause of type 2 diabetes, not just high blood sugar

"The problem is not the disease; the problem is the way we treat the disease."

Misguided focus: Traditional diabetes treatment focuses primarily on lowering blood glucose levels. However, this approach fails to address the underlying issue of insulin resistance, which is the true cause of type 2 diabetes.

Insulin resistance mechanism: Insulin resistance occurs when cells become overwhelmed with glucose and can no longer respond effectively to insulin signals. This leads to a vicious cycle where the body produces more insulin to compensate, further exacerbating the problem.

Key aspects of insulin resistance:

• Cells become "stuffed" with glucose, unable to accept more
• Pancreas produces more insulin to compensate
• High insulin levels lead to weight gain and further resistance
• Fatty liver develops as excess glucose is converted to fat
• Eventually, pancreas can't produce enough insulin to overcome resistance

3. Conventional treatments often worsen diabetes by increasing insulin levels

"If insulin levels were already high, why would you want to give more?"

Counterproductive approach: Standard diabetes treatments, including insulin injections and medications that stimulate insulin production, can actually worsen the disease by further increasing insulin levels in an already insulin-resistant body.

Vicious cycle: Higher insulin levels lead to more insulin resistance, weight gain, and progression of the disease. This explains why many patients find their diabetes worsening over time despite following conventional treatments.

Problems with common treatments:

• Insulin injections: Cause weight gain and increase insulin resistance
• Sulfonylureas: Stimulate insulin production, leading to similar issues
• Focusing solely on blood glucose: Ignores the underlying insulin problem
• Calorie restriction: Often ineffective due to metabolic adaptations

4. Fructose consumption is a major driver of insulin resistance and fatty liver

"The dose makes the poison."

Hidden danger: Fructose, often considered less harmful due to its low glycemic index, is actually more detrimental than glucose in driving insulin resistance and fatty liver development. This is because fructose is metabolized differently from glucose, primarily in the liver.

Mechanism of harm: Excessive fructose intake overwhelms the liver's capacity to process it, leading to increased fat production and storage in liver cells. This fatty liver is a key contributor to insulin resistance and type 2 diabetes.

Fructose facts:

• Found in table sugar (sucrose) and high-fructose corn syrup
• Metabolized almost exclusively by the liver
• Doesn't raise blood glucose directly, masking its harmful effects
• Consumption has increased dramatically in recent decades
• Present in many processed foods and sweetened beverages

5. Metabolic syndrome is closely linked to type 2 diabetes and insulin resistance

"Metabolic syndrome affects almost one-third of the adult population of North America"

Cluster of conditions: Metabolic syndrome is a group of risk factors that often occur together, including central obesity, high blood pressure, high triglycerides, low HDL cholesterol, and high fasting blood glucose. These factors significantly increase the risk of type 2 diabetes and cardiovascular disease.

Common underlying cause: Like type 2 diabetes, metabolic syndrome is primarily driven by insulin resistance and hyperinsulinemia (chronically elevated insulin levels). Addressing insulin resistance can improve or reverse all aspects of metabolic syndrome.

Key components of metabolic syndrome:

• Abdominal obesity (large waist circumference)
• High blood pressure
• High triglycerides
• Low HDL ("good") cholesterol
• Elevated fasting blood glucose

6. Low-carbohydrate diets are effective for managing and reversing type 2 diabetes

"Get rid of sugar—get rid of diabetes"

Mechanism of action: Low-carbohydrate diets effectively reduce insulin levels by minimizing the intake of foods that stimulate insulin production. This allows the body to regain insulin sensitivity and normalize blood glucose levels.

Benefits over conventional diets: Unlike low-fat, calorie-restricted diets, low-carbohydrate approaches address the root cause of type 2 diabetes by reducing insulin levels. This leads to more sustainable weight loss and improvements in blood glucose control.

Key principles of low-carb diets for diabetes:

• Eliminate added sugars and refined carbohydrates
• Reduce overall carbohydrate intake, especially from grains and starches
• Increase consumption of healthy fats and moderate protein
• Focus on whole, unprocessed foods
• Allow for individualization based on personal tolerance and preferences

7. Intermittent fasting is a powerful tool for treating type 2 diabetes naturally

"Fasting is merely the flip side of eating: if you are not eating, you are fasting."

Effectiveness: Intermittent fasting is a highly effective strategy for lowering insulin levels, improving insulin sensitivity, and promoting weight loss. It provides a natural way to "reset" the body's metabolism and burn excess stored glucose.

Advantages over continuous calorie restriction: Unlike traditional diets that focus on constant calorie reduction, intermittent fasting allows for periods of normal eating interspersed with fasting periods. This approach helps maintain basal metabolic rate and is often more sustainable long-term.

Intermittent fasting approaches:

• 16/8 method: 16 hours of fasting, 8-hour eating window daily
• 24-hour fasts: One or two 24-hour fasting periods per week
• 5:2 diet: Five days of normal eating, two days of very low-calorie intake
• Alternate-day fasting: Alternating between fasting days and normal eating days

8. Bariatric surgery's success reveals the dietary nature of type 2 diabetes

"Type 2 diabetes is entirely reversible, even in a 500-pound patient with a twenty-year duration of disease."

Rapid improvement: The dramatic and often immediate improvement in diabetes following bariatric surgery demonstrates that the disease is fundamentally dietary in nature. Many patients experience normalization of blood glucose levels within days or weeks of surgery, long before significant weight loss occurs.

Mechanism of action: Bariatric surgery works primarily by creating a sudden, severe caloric reduction, which forces the body to rapidly burn stored glucose and fat. This leads to a reduction in liver fat and improved insulin sensitivity.

Lessons from bariatric surgery:

• Type 2 diabetes is reversible, even in severe, long-standing cases
• Rapid calorie reduction can lead to quick improvements in glucose control
• Dietary interventions can be as effective as surgery without the risks
• The importance of addressing excess liver fat in treating diabetes

9. Exercise alone is insufficient for treating type 2 diabetes

"Exercise can only improve insulin resistance of the muscles. It does not improve insulin resistance in the liver at all."

Limited impact: While exercise has many health benefits, it is not sufficient on its own to reverse type 2 diabetes. The primary issue in diabetes is insulin resistance in the liver, which exercise does not directly address.

Complementary role: Exercise should be viewed as a complement to dietary changes rather than a standalone treatment for diabetes. It can help improve muscle insulin sensitivity and overall health but is not a substitute for addressing dietary factors.

Exercise considerations for diabetes:

• Can improve muscle insulin sensitivity and glucose uptake
• Helps with weight management and overall health
• Does not significantly impact liver insulin resistance
• Should be combined with dietary changes for optimal results
• Benefits may be offset by increased appetite and food intake

10. Prevention and reversal of type 2 diabetes are possible through lifestyle changes

"We can prevent and cure not just type 2 diabetes but the entire metabolic syndrome completely and utterly with knowledge alone."

Empowering message: Understanding the true nature of type 2 diabetes as a dietary disease opens up the possibility of prevention and reversal through lifestyle changes. This challenges the notion that diabetes is an inevitable, progressive condition.

Key strategies: Preventing and reversing type 2 diabetes involves addressing the root causes of insulin resistance through dietary changes, intermittent fasting, and other lifestyle modifications. These approaches can be highly effective without the need for medications or surgery.

Prevention and reversal strategies:

• Adopt a low-carbohydrate, healthy-fat diet
• Implement intermittent fasting regimens
• Eliminate or drastically reduce added sugars and refined carbohydrates
• Focus on whole, unprocessed foods
• Incorporate regular physical activity
• Address stress and sleep issues
• Monitor progress through blood tests and body composition changes

Last updated: January 23, 2025