Irish Daily Mail

Curb SUGAR cravings ... and reverse your risk of DIABETES

- by Dr Michael Mosley

WHEN you are young it feels as if you can eat anything and not put on weight. But most of us gain about a pound a year from our mid-20s onwards.

That’s what happened to me. From being a slim 11st at medical school my weight slowly crept up until, in my 50s, it had reached 13½st.

I didn’t think of myself as being particular­ly overweight. It didn’t occur to me that my love of chocolate was putting my health at risk.

But I am eternally grateful for the blood test I had in 2012 that revealed I had type 2 diabetes, and for the research that showed that I could get my blood sugar levels back to normal by losing weight. It gave me the jolt I needed.

These days, the science is even clearer. If you are very overweight, with a large stomach, then your risk of developing type 2 diabetes is 11 times greater than if you are slim.

That’s because when we eat more than we need, fat gathers around the gut, clogging the liver and pancreas, stopping them from working properly. Research has shown that by losing weight rapidly you can clear that abdominal fat and the organs start working normally again. Even if you are just a bit overweight there is a higher risk.

By losing 20lb eight years ago, I did put my diabetes into remission, as have thousands of others. That’s why we recommend diets for diabetics.

Now, with a possible winter resurgence of Covid-19 the importance of losing weight is stark. Research shows being significan­tly overweight increases the risk of complicati­ons if you get the virus, and having high blood sugar multiplies your risk.

This week, I have been telling the inspiratio­nal stories of the 30 volunteers on our Shape Up weight-loss challenge.

On my Fast800 online plan they ate delicious meals from recipes like those in today’s paper, which are packed with Mediterran­eanstyle ingredient­s rich in protein and healthy fats. Because they are low in carbohydra­tes they keep you feeling full, while blood sugar levels stay on track.

I am delighted volunteers, like Jackie Frith, 51, a life coach saw blood sugar levels drop after eight weeks on the Fast800 online plan.

And Dominic Havercroft, 37, a truck dealership branch manager, found his blood sugar levels had switched from prediabeti­c (borderline type 2) to normal.

COVID AND OBESITY

LOSING weight is no longer about looking good or fitting into skinny jeans — it’s about your health. Being overweight can mean raised blood sugar levels and type 2 diabetes, which make you more prone to infection. High blood sugar unleashes destructiv­e molecules which affect the body’s defences.

Those with raised blood sugar tend to have damaged blood vessels. Covid-19 attacks the vessels which, if already damaged, can mean a heart attack or stroke.

Covid-19 also causes blood to clot, particular­ly in those with elevated blood sugar levels, which means those with poorly controlled type 2 diabetes are in the biggest trouble.

If you are overweight, your immune system will be much less effective, initially, at dealing with the virus and stopping it spreading.

Later on, your immune system is more likely to over-react and damage healthy tissue.

But thankfully, it’s not all bad news. Research by Professor Roy Taylor has shown the best way to return blood sugar levels to normal is by losing a lot of weight fast — and that’s why I was able to reverse my diabetes in a few months.

THE MAGIC NUMBER

ALTHOUGH sticking to 800 calories a day sounds hard, our recipes offer all the protein, fibre and essential nutrients you need to stay full and healthy.

You might think you will swiftly run out of energy but if you limit your daily intake to 800 calories, particular­ly if you avoid carbohydra­tes, it triggers beneficial metabolic changes.

Most of us have enough fuel (in the form of fat) to keep us going for months. Normally your body treats the fat like money in the bank which is only to be used when your blood sugar levels fall. But when you follow the Fast800 programme, your body starts looking for energy in the form of glucose stored in your muscles and liver, called glycogen.

As glycogen stores start to run

low (ten-12 hours after your last meal), your body goes through a remarkable change, switching to fat-burning mode.

When this happens, fat is released from your stores and converted into fatty acids and ketone bodies. The process is called ‘ketosis’. Your brain and body will use these for energy.

The longer you can avoid sugar and cut back on carbs the longer you should be able to preserve this fat-burning state.

CUT DOWN ON CARBS

AVOIDING potatoes, bread, pasta, rice and noodles on 800-calorie ‘fasting’ days will speed up weight loss. Instead, pack your plate with vegetables. They supply key vitamins and minerals

and fight inflammati­on, a cause of disease.

Although breakfast cereals, cakes, sweets, biscuits and soft drinks are out, you can enjoy full-fat Greek yoghurt and the occasional glass of red wine.

Many volunteers used to have a diet full of sugar and refined carbs.

But the Fast800 plan has given them a healthier way to eat, banishing their carb addiction and sweet tooth.

Anna Powell, 46, who runs a sweet shop with husband Lee, says: ‘I’ve swapped sweet snacks for nuts but mostly I don’t snack at all.’

JACKIE FRITH, 51, is a spiritual life coach from Sheffield. She says:

BEFORE lockdown I was a stone overweight. By the end, I’d put on another and was at my heaviest.

So when the Fast800 diet challenge came along, I signed up. But when I realised it was 800 cals a day, I didn’t think I could do it. I soon realised, however, that the recipes mean you can have three small meals a day.

I used to eat cereal for breakfast. But now I’ll have a herbal tea and an omelette, say, nearer midday. Lunch is at 3pm and dinner at 7pm. I’ve not been hungry between meals.

The plan does require discipline but it’s worth it. My blood sugar levels went from a nearly 7 per cent risk of type 2 diabetes in ten years to 2 per cent. I’m thrilled at the weight loss and plan to lose 5lb more.

 ?? Picture: ALAMY ?? YOUR EXCLUSIVE 4-PAGE PULLOUT
Picture: ALAMY YOUR EXCLUSIVE 4-PAGE PULLOUT
 ??  ?? Thrilled: Jackie Frith is delighted to have lost weight — and pledges to keep going AFTER BEFORE
Thrilled: Jackie Frith is delighted to have lost weight — and pledges to keep going AFTER BEFORE

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