#015 Panel of experts: Robert Cywes.
Diabetes Unpacked: Just Science and Sense. No Sugar Coating
by Tim Noakes (Author), Jason Fung (Author), Nina Teicholz (Author), Malcolm Kendrick (Author), Zoë Harcombe (Author), Robert Cywes (Author), Jeff Gerber (Author), Ivor Cummins (Author), David Unwin (Author), Caryn Zinn (Author)
“The cause of T2DM is not a lack of insulin, it is a chronic excess of carbohydrate consumption that results in genetically predetermined failure of the insulin-glucagon blood glucose management system.” Dr Robert Cywes
“Asking a diabetic to count their carbohydrates is no different than asking an alcoholic to count their drinks.” Dr Robert Cywes
CHAPTER 4 – Who gets Type 2 diabetes?
Ed 23/09/2017 Extracts No Comments
Only two groups of people get Type 2 diabetes (T2DM): drug addicts and performance athletes.
It is neither the addict nor the athlete’s fault for becoming diabetic. Remission is possible, but the burdensome responsibility of remission lies solely in the hands of the diabetic and can occur only once they understand why they became diabetic in the first place. I cannot help diabetics to become non-diabetic, but I can help diabetics to help themselves to become so.
Carbohydrates are an endorphin releasing drug, not a hunger satisfying food.
You cannot have T2DM if you do not consume carbohydrates. And just as with alcohol, opioids and nicotine, it matters not how the drug enters your face – whether as a simple sugar or as a complex starch, nor how fast it enters. What matters is how much and how often. Irrespective of the form it takes at entry into your mouth, by the time it enters your bloodstream, it can only be glucose, galactose or fructose.
Because treatment is usually based on glycemic index principles, almost all T1DM have an additional Type 2 component added into the complexity of their disease. There is no reason a T1DM patient should not be managed according to carbohydrate abstinence principles. In our experience, this approach achieves the most sustained degree of tight glycemic control and the most effective way to stabilise medications at very basal levels.
Typically a person with T2DM consumes more than 75-90% of their total daily calories in the form of carbohydrates. The pattern of consumption is more like smoking than real meals. Not only is the total fraction of carbohydrate calories excessive, the pattern of consumption follows endorphin needs rather than somatic nutritional needs. Diabetics typically have more than 15-20 consumptive events per day, mostly in the form of carbohydrate snacks or drinks that pattern daily endorphin activation requirements. A snack is always an emotional event, never a nutritional event, and “hunger” is the need for an endorphin release through eating or drinking rather than a need to consume nutrients based on a somatic nutrient deficit.
Extract from Chapter 4 – Diabetes Unpacked, by Dr Robert Cywes