You could be right about your cell description. But you don’t show any evidence of how you know what our cells actually do. Your whole premise is based on our cells getting too much noise. Other doctors say the opposite: eat small, protein meals all day. I’m no longer pre diabetic because I’ve lost weight, changed my diet and exercise more. I snack when I’m hungry and eat small meals. It seems to work.
Hi Lisa, you absolutely can reverse the type 2 diabetes! I have a plethora of patients who have done so. Steph also offered a wonderful suggestion to use a CGM because it is a fantastic tool. One of my coaching group members calls it her "governor." Similar to the governor on a rental truck, it keeps you from going beyond a certain mph. The CGM keeps you mindful in an objective manner what your body is doing with the food. You can buy them over the counter now. Lingo is a good one as is the Dexcom Stelo. I am working on an article about CGMs, patterns, best practices, etc.
See my comment above. It can! My prescription is cut in half now and hoping to go off entirely. I also recommend wearing a CGM to learn what foods do not work for you.
Hi Laurie, thank you as always for your posts. I just wanted to share that I have had a bit of success with intermittent fasting in the area of weight loss and sleep. I strive to eat healthily during a 5-6 hour window during the day and over several months have lost weight without much effort. Sleep while still an issue is also a little improved. This will likely not work for everyone but I thought it would be good to raise.
The analogy in this article was really helpful—thank you! What do you suggest for people who do better eating multiple small meals throughout the day (for example, because of IBS or slow gut motility)? Is eating every 2-2.5 hours still considered grazing?
Great question and I’m glad the analogy helped! Eating every 2–2.5 hours can still be considered grazing, but context matters. If you’re using smaller meals to manage something like IBS or delayed motility, that’s a therapeutic strategy, not mindless snacking. The key is being intentional and still allowing your gut some rest when possible.
I'm now prediabetic after 20 years living with type 2 by doing much of what you've said. I don't eat after dinner, and I have 2 meals a day that are basically meat and veg. I don't eat processed food as a regular thing. I'm not perfect--last night I made gyro-smaahed tacos with low carb tortillas. They were amazing and I'm not sorry. But now, my blood sugar only raises slightly and comes right back down. While my weight still isn't where I want it, I'm cutting back the prescription meds and I feel great! I'll get there!
That’s incredible progress, thank you for sharing it! Reversing type 2 to prediabetes is no small thing, and it speaks to the power of consistency over perfection. And honestly? A gyro-smashed taco moment here and there, especially when it’s intentional and enjoyed, is part of a sustainable life. You're clearly on the right path. Keep going, you’re doing amazing work!
Another excellent article, as is everything you write, thank you!
Can I just say I absolutely love the way you explain things, your analogies are superb, often humorous, easy to understand and they’re always SO human and user friendly.
They say when someone really knows their subject they can explain it in a way a child could understand and you are living proof of that… not that I’m a child.. a tad older than that. 😂
Louise, thank you, that means so much! I always say if it’s too complicated to explain simply, it’s not ready to be shared. And I’m honored you’re still here reading (even as a slightly more experienced human 😂).
Looking forward to the Habits bit. I think you posted a note about pick the same meals (that support our health and bloodsugar) and just eat those, keep the same breakfast, and repeat? What about lunch? Oh and expect not to be perfect at it. I think this is where I am: we need 3 - 4 meals that my hubby and I like, that are easy to fix, and that we can keep on repeat. Can still go 1x/week out for dinner but follow this KISS formula for the rest of it.
Yes, exactly, Angie, you nailed it! Pick 3–4 go-to meals you both enjoy, make sure they work for your health goals, and just keep them on repeat. Same with breakfast, find one that works and don’t overthink it. Lunch can be leftovers, a big salad with prepped add-ins, or a repeat of dinner #2. Simple is sustainable. And you’re right, perfection isn’t the goal. Consistency is. KISS for the win!
You could be right about your cell description. But you don’t show any evidence of how you know what our cells actually do. Your whole premise is based on our cells getting too much noise. Other doctors say the opposite: eat small, protein meals all day. I’m no longer pre diabetic because I’ve lost weight, changed my diet and exercise more. I snack when I’m hungry and eat small meals. It seems to work.
I now have a better understanding. Do I dare hope that Type 2 can be reversed after ten years on Metformin?
Hi Lisa, you absolutely can reverse the type 2 diabetes! I have a plethora of patients who have done so. Steph also offered a wonderful suggestion to use a CGM because it is a fantastic tool. One of my coaching group members calls it her "governor." Similar to the governor on a rental truck, it keeps you from going beyond a certain mph. The CGM keeps you mindful in an objective manner what your body is doing with the food. You can buy them over the counter now. Lingo is a good one as is the Dexcom Stelo. I am working on an article about CGMs, patterns, best practices, etc.
See my comment above. It can! My prescription is cut in half now and hoping to go off entirely. I also recommend wearing a CGM to learn what foods do not work for you.
What’s a CGM? 🙏🏼
Continuous Glucose Monitor
Thank you ☺️
Hi Laurie, thank you as always for your posts. I just wanted to share that I have had a bit of success with intermittent fasting in the area of weight loss and sleep. I strive to eat healthily during a 5-6 hour window during the day and over several months have lost weight without much effort. Sleep while still an issue is also a little improved. This will likely not work for everyone but I thought it would be good to raise.
Absolutely! It can be a excellent addition.
The analogy in this article was really helpful—thank you! What do you suggest for people who do better eating multiple small meals throughout the day (for example, because of IBS or slow gut motility)? Is eating every 2-2.5 hours still considered grazing?
Great question and I’m glad the analogy helped! Eating every 2–2.5 hours can still be considered grazing, but context matters. If you’re using smaller meals to manage something like IBS or delayed motility, that’s a therapeutic strategy, not mindless snacking. The key is being intentional and still allowing your gut some rest when possible.
I'm now prediabetic after 20 years living with type 2 by doing much of what you've said. I don't eat after dinner, and I have 2 meals a day that are basically meat and veg. I don't eat processed food as a regular thing. I'm not perfect--last night I made gyro-smaahed tacos with low carb tortillas. They were amazing and I'm not sorry. But now, my blood sugar only raises slightly and comes right back down. While my weight still isn't where I want it, I'm cutting back the prescription meds and I feel great! I'll get there!
That’s incredible progress, thank you for sharing it! Reversing type 2 to prediabetes is no small thing, and it speaks to the power of consistency over perfection. And honestly? A gyro-smashed taco moment here and there, especially when it’s intentional and enjoyed, is part of a sustainable life. You're clearly on the right path. Keep going, you’re doing amazing work!
Another excellent article, as is everything you write, thank you!
Can I just say I absolutely love the way you explain things, your analogies are superb, often humorous, easy to understand and they’re always SO human and user friendly.
They say when someone really knows their subject they can explain it in a way a child could understand and you are living proof of that… not that I’m a child.. a tad older than that. 😂
Louise, thank you, that means so much! I always say if it’s too complicated to explain simply, it’s not ready to be shared. And I’m honored you’re still here reading (even as a slightly more experienced human 😂).
Looking forward to the Habits bit. I think you posted a note about pick the same meals (that support our health and bloodsugar) and just eat those, keep the same breakfast, and repeat? What about lunch? Oh and expect not to be perfect at it. I think this is where I am: we need 3 - 4 meals that my hubby and I like, that are easy to fix, and that we can keep on repeat. Can still go 1x/week out for dinner but follow this KISS formula for the rest of it.
Yes, exactly, Angie, you nailed it! Pick 3–4 go-to meals you both enjoy, make sure they work for your health goals, and just keep them on repeat. Same with breakfast, find one that works and don’t overthink it. Lunch can be leftovers, a big salad with prepped add-ins, or a repeat of dinner #2. Simple is sustainable. And you’re right, perfection isn’t the goal. Consistency is. KISS for the win!
If you have any meals suggestions or resources, I’m all ears!
Nice analogy Laurie.
Thank you!