I am following the diet to a T for 8 weeks. Start week 5 tomorrow. No deviations, but i am pre-diabetic and am on no medication for it. I am on high dose steroids which also interfere with weight loss and cause significant weight gain. Most of the time, I have no hunger, but on occasion i am hungry enough to eat the frig door, lol because the steroid level had to be boosted. But i just persevered because the significant weight loss is motivating. i am losing more weight than i ever have. Probably not as fast now as many others, but it is going in the right direction. After many weeks, i’ve lost 19 pounds and have about 95 to go.
I think patience and taking the time to read the book and other resources on this website is key.
Key: As Dr. Mosley says, the 800 calories causes significant weight loss and that IS motivating.
Only you and your doctor would know whether you can tolerate the 800 calories for 8 weeks. If not that, why not try the Mediterranean diet for most of the week and then go to 800 calories one or two days a week? You would have to constantly check your blood sugars on both the regular Mediterranean diet and the 800 calorie diet and adjust your insulin levels as needed. How to do that would be up to you and your doctor. Perhaps staring off slowly might be helpful. The diet works. I have autoimmune pancreatitis and it is slowly destroying my pancreas. While i may have to go onto insulin later, at this time i do not need to. I don’t expect the diet at that time to bring down the blood sugars, but the weight loss is a significant piece and will help with other problems. With good supervision, I think you would do well.
From the FAQ’s : You SHOULD NOT do a low calorie / fasting diet if you are:
Underweight and/or have a history of an eating disorder
Under 18 years of age
Breastfeeding
Diagnosed with a significant psychiatric disorder
Frail or recovering from surgery
Under active investigation or treatment or have a significant medical condition affecting ability to comply with diet and / or
On certain medications
A Type 1 diabetic
Unwell or have a fever
You should also confirm with your doctor that you really are a type 2 diabetic as there are other rarer forms of diabetes that will not respond in the same way to weight loss.
Use CAUTION doing a low calorie / fasting diet & DISCUSS WITH DOCTOR if any of the following apply:
On insulin – detailed assessment & education by health professional to plan a suitable reduction in medication/insulin to avoid a drop in blood sugar.
Type 1 diabetics and those who have other, rarer forms of the disease, like pancreatic or monogenic diabetes will not respond in the same way to weight loss