Dr. Lustig: Type 2 Diabetes Is "Processed Food Disease"
type 2 diabetes August 4th. 2019, 1:14amDr. Robert Lustig is an endocrinologist and professor of pediatrics in the Division of Endocrinology at the University of California-San Francisco. In this video, he sits down with CrossFit’s Rory McKernan to explain sugar’s toxicity, outline the stakes of sugar consumption and offer suggestions for addressing the ongoing sugar crisis.
“Sugar is toxic,” Lustig explains. “It proffers a set of biochemical alterations that are detrimental to human health—unrelated to its calories.”
In this way, Lustig says, sugar “is very much like alcohol,” and chronic metabolic diseases associated with alcohol are becoming prevalent in children with high-sugar diets.
When asked about the state of pediatric medicine in the United States, Lustig says, “We have a problem.”
Because the food industry has negatively influenced nutrition science for the last 45 years, many people still abide by the mistaken belief that a healthy diet is attained by regulating calories and saturated fat. This misconception has led to a rise in chronic metabolic diseases such as Type 2 diabetes in adult and youth populations.
People who believe they are making healthy choices and avoiding sugar are nevertheless affected by the crisis.
“Even though you might not be sick,” Lustig says, “society is.”
In the final third of the video, Lustig outlines the necessary steps for enacting a societal intervention. These steps include educating the public, approaching sugar as an addictive substance and calling Type 2 diabetes what it is: “processed food disease.”
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Research is telling us that those with Type 2 diabetes don’t need to be testing for blood glucose levels at home and that doing so is a waste of money and a strain on the health care system.
Other HCT Episodes on Diabetes:
1. YMCA and the Diabetes Prevention Program: https://www.youtube.com/watch?v=mR77alFcekw
2. The Effectiveness of Screening and Treating Diabetes: https://www.youtube.com/watch?v=kLCI58lbqcE
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August 4th, 2019 at 1:36 am
Such an important video, so critical an issue
August 4th, 2019 at 2:22 am
The sugar industry, the processed food industry and christian religious garden-of-eden/anti-masturbatory doctrine are all perverting the message
August 4th, 2019 at 2:37 am
I’m disgusted with the bbc in trying to,with a so called health expert to downgrade the beneficial facts you presented. The bbc here in Britain are not very popular at the moment for being bias and stuck in their ways!
August 4th, 2019 at 2:59 am
I say as a mathematician Ph.D that Dr. Lustig is worthy of a Nobel Prize for bringing us this
awareness. His explanations helped me self-diagnose and completely recover from metabolic syndrome, high blood pressure etc. All that sugar was killing me!
2 weeks after I quit all foods with added sugar my arthritis went completely away.
Lots of other miraculous improvements in my life.
But I give my God the glory for showing me the Straight and Narrow Way back to health.
I went back in time about 20 years. The strength of my youth returned, stamina as well.
ASTONISHING!
August 4th, 2019 at 3:27 am
Dang, that interviewer is handsome.
August 4th, 2019 at 4:26 am
@25:17 boom! mic drop! You cannot fix anything until you fix your liver!
August 4th, 2019 at 4:48 am
Potatoes
August 4th, 2019 at 5:18 am
I love sugar! I stay away from it more often than not. I have always been able to eat whatever I wanted for a meal or snack…no problems. In my late 70s and I do not have any medical issues. Even so, I am learning to stay away from sugar because of what it does to our bodies. Yes, OCCASIONALLY, I will get a few baked goods and after taking my first bite and taste, I immediately recognize the addicting nature it has on me…and my wanting more. So, my "goody" tasty things are few and far between. I will pay $5 or $6 for a SLICE of cake or pie rather than pay $3 for the whole cake or pie. I also have noticed the SLICES are SMALLER and selling for MORE money! THAT will probably break me of my love for sweets more than anything else.
August 4th, 2019 at 5:25 am
the industry and demon elites are killing humanity
August 4th, 2019 at 6:03 am
He’s lost a lot of weight
August 4th, 2019 at 6:09 am
Thank you Dr Lustig
August 4th, 2019 at 6:25 am
The cameraman doesn't seem to know that the bright background behind the head and torso of the doctor is IRRITATING on the eyes.
August 4th, 2019 at 6:42 am
Wake up, America! I'm sharing this with my representatives at State and Federal levels. Education is the key; My people perish for lack of knowledge. Years ago was able to get my elderly father off ALL medication for type 2 diabetes by changing his diet…in 3 days!
August 4th, 2019 at 7:13 am
i really respect him, he is honest and gives information that helps people.
August 4th, 2019 at 7:24 am
He gave them medicine to stop insulin? He openly admitted to experimenting on children. How is this man still a Dr? To lose weight…consume less atoms than you exhale..that's it!!!! Atoms in, atoms out! Lustig experimented on kids, well his surname is German! Funny, that!
August 4th, 2019 at 8:10 am
Seems like Dr Lustig has start living what he preach and lost quite some weight lately.
August 4th, 2019 at 8:45 am
Hard to believe the american-white-businessman is lying and ripping you off? Don't understand anything this man is saying or don't believe his words? Rebumpkin maybe?
August 4th, 2019 at 9:32 am
This man's right on the money.
I've been following an approach similar to his and have reversed type 2 diabetes to the point where it's diagnostically undetectable. Both a surgeon who recently cut me up and an eye doctor who looked at the back of my eyeballs both told me that they did not see any signs of type 2 damage.
I cut carbohydrates out of my diet and started eating real food.
Other interesting things happened. I stopped having chest pains, my energy levels evened out, ED went away, and i started working out.
I've been eating a low carb diet for 6 years now and there's no turning back, for me.
August 4th, 2019 at 9:57 am
I don't eat sugar ….I am not overweight..I don't eat processed foods..but I have high blood pressure…so how can that be?
August 4th, 2019 at 10:46 am
I WANT SOME POP TARTS AND KRAFT MAC N CHEESE WITH SOME JUICE FROM SIMPLY AND I WANT SOME POPS CEREAL
August 4th, 2019 at 11:06 am
Hi! Like this episode? We've made some other HCT Episodes on Diabetes, if you want check them out:
1. YMCA and the Diabetes Prevention Program: https://www.youtube.com/watch?v=mR77alFcekw
2. The Effectiveness of Screening and Treating Diabetes: https://www.youtube.com/watch?v=kLCI58lbqcE
August 4th, 2019 at 11:37 am
First off… Buy your strips on ebay. I get 50 for $18 free delivery. If you're using your insurance to buy them you're most likely paying more than you can get them for on your own. Testing IS very helpful for finding out which foods spike your bs. DO NOT listen to people who tell you fruits and oats or sweet potatoes won't spike you.. Test. The guy from the Beat Diabetes channel here tested two bananas against two Hershey bars and the bananas had the higher spike. I also learned by testing the "add fats and proteins to carbs to slow down the blood sugar spike" theory is a bunch of hooey… At least for me.
August 4th, 2019 at 12:07 pm
I test twice a day, and it helps me.
August 4th, 2019 at 12:57 pm
I must tell you about a person who helped me with Diabetes 2! He is the only 1, who can grant you a 1, 2 step way how to cure it. Just open DIABETES. XCOURSE. XYZ (without spaces) and watch his amazing story!
August 4th, 2019 at 1:50 pm
thanks for your help. I use natural remedies to stop my diabetes, you can see the method here: thebigdiabetes-lie.com. and in about 2 weeks my blood sugar went down to normal levels.
August 4th, 2019 at 2:41 pm
I have serious reservations about these recommendations- patients who are changing regimens, are sick, etc. can't get extra test strips from their insurance because they are not 'medically necessary'. We do a poor job with diabetes education for patients who have type 2, and these patients are not always taught the importance of self-foot checks, dilated eye exams, and have less primary care follow-ups and provider administered foot exams. People with type two are (especially when developed young which is more and more the case) are at higher risk of complications which drive up healthcare costs. Daily monitoring (or even better, CGMs) allow for patients to know how food/stress/exercise affects them, and allows for changes that can be managed by the patient. Prevention now, or cleaning up the mess later? I know which I prefer. Let's teach people with type 2 how to manage their disease so they don't risk future complications- just like I get to with type 1. Not to mention the mere fact that treating people with type 2 differently that those with type 1 perpetuates stigma and leads to healthcare inequalities for those with type 2.
August 4th, 2019 at 3:00 pm
I disagree from personal experience. I know this is not statically relevant, but then there are lies, damn lies, and statistics. Anyway when I test my blood sugar regularly it enforces good eating habits because I can see the effect of food decisions and exercise choices. I actually sometimes do it more than once a day to see just how bad that plate of pasta really is. I know this is mostly a psychological, but long term health is about adjusting psychology. And it doesn't have to be expensive. Use store brand test strips. I compared them to name brand for a month and they read within a point every time. At Walmart they are $18 for 100 strips.
August 4th, 2019 at 3:43 pm
You are out of your mind, you picked a study that lasted for 1 yr and said this is the truth and arent even emphasizing that it was for non insulin dependence with established diabetes.
Some doctors should just stay away from research if they don't know how to use it
Why don't you act like a doctor first instead of a desperate youtube celebrity? Look at the stupidity you're encouraging in the comments
August 4th, 2019 at 3:45 pm
For what it's worth, I've got type 2 non-insulin dependent, I was diagnosed about eight months ago, and at this point I mostly test daily. I've found out a lot about what raises or lowers my blood sugar. For some reason, I can handle rice congee but not rice. Sweet potatoes are surprisingly bad. Algae supplements seem to help.
And insulin is very expensive compared to test strips. I seriously doubt that test strips and lancets are sucking that much money out of the system.
August 4th, 2019 at 4:15 pm
Your thumb nail is kind of misleading. I understand that pushing people to buy more and more blood glucose monitoring machine is costing the United States as a whole but most of diabetics even the type to ones that I know that have to monitor their blood glucose or even do or all on Direct shot insulin at this point
August 4th, 2019 at 5:11 pm
insert anecdote here to explain why my opinion is correct instead of the massive body of research
August 4th, 2019 at 5:49 pm
Excellent episode. I'm from the UK, and when i was diagnosed with type 2, about 10 years ago, daily testing was standard practice. It did always seem rather pointless, as there are too many imponderables to make it an effective means of managing the condition, but i persevered because, like most people, i did what the doctor told me. It was a definite relief, a year or so in, when the guidelines changed and i was told not to bother with daily (or indeed any) self testing. I'm sure that, in the early days, i would have been upset if i'd been told to stop testing myself, but in hindsight, it was always more of a security blanket than a diagnostic tool. Clearly, by exception, there may be a need to do frequent testing, particularly where more "aggressive" medication is prescribed, but for someone like me, on Metformin, it was entirely unnecessary.
August 4th, 2019 at 6:14 pm
Testing once a day seems like a waste of time but my Mum has been able to control her blood-sugar very successfully with diet alone by testing every hour for several hours after different types of meal and identifying the foods that really push her blood-sugar up and the ones that dont. She only had to do this for a short time after being diagnosed and no longer uses them. She was however told specifically not to do this by her diabetes clinic. She'd probably have had to go onto medication if she'd taken that advice, given how high her blood-sugars where initially and how she found the diet the clinic recommended was the absolute worst for causing blood glucose spikes.
August 4th, 2019 at 6:45 pm
So I agree with the results of the studies you mentioned, I will say that for me after I became a type 2 diabetic that monitoring 3x day for the first 30 days was very useful in helping me change my eating habits since I could see the results of my actions on my blood sugar. I think there may be some value in monitoring early on for eating habits and not overall health; at least for data nerds like myself. But after that I didn’t see the need to monitor daily, more on a spot basis
August 4th, 2019 at 7:02 pm
So it only took an entire decade of people advertising on telephone poles and yard signs to buy other people's diabetes testing strips for the medical community to catch on they're over precsribing them.
August 4th, 2019 at 7:15 pm
Yes, I think that providing the patient is of insulin and well controlled, you are absolutely right. However, I would like to say that as someone who found out in September 2018 that I had type 2 by ending up in the hospital with DKA and a blood sugar of 823, my glucometer was crucial the first three months. I showed up at the hospital with an A1C of 15 and with a combination of insulin, Lantus, Metformin, and diet, I showed up at my doctor's office three months later with an A1C of 6.3. That would have been impossible without constant monitoring those first months. I tested 7 times a day during that time. Seems excessive, I know. But I needed that at first to find out what affected me how. As a result after those first three months I know what to eat when and no longer take insulin or Lantus. At my last visit my doctor halved my Metformin and told me to test only if I felt I needed to. I agree that once you get control you can lay off. But I also think that sometimes doctors are not aggressive enough about getting that initial control. I had to fight tooth and nail to eat the diet I chose, they thought it was too low in carbs, too keep taking insulin after I left the hospital, my insurance company didn't want to pay, they said I didn't need it or the Lantus. Each patient is different and requires different levels of guidance. I just wish that the insurance companies would follow the docs and more docs would partner with their patients.
August 4th, 2019 at 7:31 pm
As always, a great breakdown of a very important health issue!
I want to point out some things about the Monitor trial:
Patients in all three arms had pretty low A1cs at baseline (at least compared to my patients), and the vast majority of patients have had diabetes for >1 year at baseline.
Like you said, it's not news that SMBG does not significantly improve outcomes in patients like these.
However, the patients that were underrepresented are those with very uncontrolled diabetes (but still non-insulin dependent), and those newly diagnosed. These patients most definitely need to be followed very closely.
Also notice how the two SMBG arms were in the controlled range until month 6, then suffered a slight increase by month 9, and then BAM! Back to baseline at month 12!
I think this is the largest highlight of the study – that no matter what we do, patients might do great in the first few months after an intervention, but then suffer disease fatigue and regress back to baseline (this is touched upon by the authors in this trial, which is great).
This showcases the importance of keeping up with patients and making sure they're not burning themselves out – diabetes is an entire lifestyle change, which can be very mentally challenging (the anecdotal new year's resolution failure).
That's the biggest take-away from the study. Not the fact that SMBG in slightly poorly controlled, long-standing diabetes is useless in the long run (12 months). Rather, it's the fact that all patients suffer from some form of fatigue and need to be on our radar in some way (which will reduce healthcare costs in return).
August 4th, 2019 at 8:22 pm
It sounds like you could use universal healthcare
August 4th, 2019 at 8:45 pm
Doctor, was any similar tests conducted for monitoring blood pressure as well?
August 4th, 2019 at 8:49 pm
Diabetes tests are very wasteful. Vampire starvation is at an all time high.