Dr. Stephen Phinney on advocates of a plant-based diet for treating type 2 diabetes


One can do a, definitely a low carb, and even a ketogenic diet
as a vegan vegetarian. It’s easier to do as
a lacto ovo vegetarian where the majority of one’s food is coming from non meat sources, and particularly from plant sources. And I actually was, I participated in a symposium recently in Chicago where there was a
advocate of total fasting for a duration of like
two or to three weeks, followed by a plant based diet. And he presented evidence of reversing Type II Diabetes with that approach. The total fasting was done
in an inpatient setting. This is obviously, would
be a very expensive way of using this kind of therapy. And his data was impressive in terms of the people he selected to present. But these are people who
chose to A, pay the money, and B, go through the fasting. And at the end we agreed very collegial that there are some people who are well suited to do it that way. And there are many people, and certainly we found quite a few of them in the Lafayette, Indiana area who were able to do it
with the Virta program. The two are not mutually exclusive. And so in the future as, particularly as there are rigorous studies done with the plant based diet, because up til now it’s
been more anecdotal and ideological than science based. But as people demonstrate
what percent of people who are recruited into
such an intervention can succeed at that, not just
for months, but for years, we’ll be able to offer people, basically a menu of
options rather than saying this is the way to do it. And I don’t think there’s one carbon, or one cookie cutter approach that fits every human
being’s metabolic needs. – Yeah, and I also think
there’s preference, and lifestyle choice
too, is that you have to, we were talking about doing
something sustainable. You have to choose something
that’s going to work for you both in terms of health
and your metabolic needs, and your lifestyle, so
you have to kind of find the balance between the two. And for some people it
might be one direction, and for some people it might
be a different direction. Definitely have to consider what the patient’s goals and values are. – Agree.

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Reader Comments

  1. John Galt

    They had success due to fasting not the high carb diet after the fast. I would like to see an experiment between high carb(plant based) without a fast vs fast+high carb vs fast+low carb+low protein. I'm sure the high carb would have worse results. Followed by high carb+fast.

  2. blk bbw

    Well, my 2 cents is that both high carb low fat & high fat low carb work because they put you in a calorie deficit which causes excess fat to be burned from out of the cells.

    The high carb low fat approach, without fat to compete with (like a typical American diet would cause), just seems to allow carbs to enter the cells more easily for fuel. Thus! Lower blood sugar. Then the cells are also burning off all their old fat stores (caused by the calorie deficit & a need for fat that is no longer supplied by the diet) as well as now having space to let just carbs in. Also a plant based diet is probably gonna be high fibre & low glycemic, so there's not going to be a huge rush of blood sugar.

    Whilst a high fat low carb diet is also burning off all the old fat in the cells & letting in ketones & new fatty acids for energy. Again without having to complete with carbs for space in the cells, so again leading to lower blood sugar.

    All in all both approaches are just using a non competitive way of emptying out the cells so that they can function properly.

    That's my assumption anyway.

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