Hi I would like to thank Michael for his excellent research and advice. I have read several of the FAST books and have been putting it into practice, with a few of my own modifications, since I was diagnosed with Type 2 Diabetes this July. As many of us do initially I researched several healthy living and diet plans including Palao, Atkins, low carb, high carb, you name it – several seem completely contradictory and at first it was most confusing but I decided to try as much as possible to follow the evidence and the evidence led me in the direction of interventions that don’t just target sugar/carbs in isolation but in the context of Insulin resistance – particularly carefully paced high intensity exercise combined with intermittent fasting and a healthier diet overall.
So I started out back in July overweight (BMI 29 – not quite obese but at risk of becoming so) and found myself peeing a lot, which took me to the GP who did a urine test and my blood sugar was a whopping 18. Sent me to get a HBa1c screen and that was 96!. Very embarrassing to admit. tbh although I was cycling daily even then and did enjoy things like hiking on weekends I was spending less and less really pushing myself (often too tired to do that) – I was also very much a sugar junkie and had settled into a particularly bad pattern of spending too many sedentary evenings binging on TV and snacks. The GP wanted to put me on insulin straight away but I argued him out of that and we settled on Metformin and I told him I would see what I could do to manage my condition through diet and exercise.
The ‘plan’ I settled on in the end was based on what seemed to work best for me taken from several sources but Michael’s books were a huge help and probably the biggest overall influence – both in terms of diet and exercise. This is what I did:
1) Going cold turkey from anything sweet whatsoever (i.e. no sweetener cheats or even fruit) for the first 2 weeks was really important as it first showed me that I could do it and didn’t need my sweet ‘fix’, but also it retrained my palate. I now find many previously enjoyed foods too sweet and much prefer some nice cheese now for a ‘dessert’.
2) Looking after my gut microbiome was something I added into the FAST plan. We often forget that it’s not just our bodies that help us process food or that determine what happens with it but also our microscopic fellow travellers. In fact it’s possible to tell if someone is obese or not just by examining their gut flora, a diverse flora seems to be the key. So after those 2 ‘cold turkey’ weeks I began to increase my overall fruit, vegetable, nut and seed intake, not just in terms of quantity but also diversity which encourages in turn a more diverse gut microbiome. I also try to include more wild foraged foods and foods from farmers and local markets rather than supermarkets, stinky cheeses, fermented foods, live yoghurts, anything with good bugs in. I have also radically increased my fibre intake and all of this has worked wonders on my bowel habit – I now do epic poos!.
3) I’m also eating a lot less red meat and often have days or weekends of going veggie completely, although I don’t think I could go full on veggie as I do like meat. However I am also eating lots more fish, especially oily, to bump up my omega 3s.
4) While I’m not buying into the whole carbs/grains/gluten = bad argument of the Atkins and Palao crowd, I have reduced the intake of both, but not to extreme levels. Same with dairy. So I may have a couple of slices of bread every few days but not daily and always wholegrain/seeded (preferably dark rye sourdough). Plus an occasional bowl of muesli but again not daily.
5) My intermittent fasting plan combines 5:2 with 16:8 – ie I fast between 8pm and 12 the next day, but twice a week I go a whole day without any food until the evening (maybe at most a piece of fruit and some nuts if I am very active) but just drink plenty of water and green/Roibos tea. And those are the only days I actually count calories to keep them under 600.
6) Finally exercise. I still cycle daily (I don’t drive a car so cycle or walk everywhere) but try to include some HIIT bursts into my cycling on straight stretches. Every 2 days I use the gym at work and do a HIIT plan on the rowing machine which I am gradually increasing reps and resistance on. I go to a yoga class to strengthen my core muscles (floppy belly) and improve my overall flexibility because that was dreadful. I got into Nordic walking on weekends. I enjoy badminton weekly and help run a weekly dance group for older adults with dementia that also incorporates some yoga based warmups and cooldowns and lots of exercise.
So the ‘success story’ is – now after just over 3 months I have managed to pretty much reverse my Type 2 diabetes, in fact my doctor is quite amazed. My latest HBa1c test taken 3 weeks ago was 44 which is close to normal (if they took it now I suspect it would be normal). The person who did the blood analysis at the hospital had attached a note to the practice nurse saying ‘amazing diabetic control – discuss with patient’. I have lost 13 kilos so far, my BMI is back in the green, and my blood glucose has been steadily between 4 and 7 for many weeks now. I find I can even have the occasional treat and it still stays good (in fact I went on a 15 mile hike a few weeks ago and treated myself afterwards to an ice-cream as it was a hot day – my first and only one since I started the plan – tested my bloods when I got home and they were the lowest they had been so far). I’m still taking Metformin but don’t bother with it on fasting days and so suspect I don’t actually need it any more. I am exploring Berberine though as an alternative supplement (been taking it a week now, no ill effects but too soon to tell if it helps).
I’m also much healthier overall – even my skin is clearer and I get less infections and even my asthma and mood have improved (in fact I am coming off anti depressants too).