TLC
A bit of TLC…I always thought TLC was “tender loving care”. A bit of TLC is definitely a good thing – we need to show kindness to ourselves and look after ourselves, particularly when things are difficult. Taking time to de-stress and do some active relaxation increases our wellbeing, whether that’s time dedicated mindfulness practice or just taking a bath. But in the world of lifestyle medicine TLC also means Therapeutic Lifestyle Change. Therapeutic lifestyle change is what we prescribe to our patients. We ask patients to make changes to the way they live because the evidence tells us that the changes recommended will help reduce illness, promote well-being and…
Reversal of type 2 diabetes
👩⚕️When I was training, diabetes was seen as a progressive condition, getting steadily worse over time, needing increasing medication, at first tablets, then leading on to injectables and then insulin. After diagnosis it was a relentless progression to more and more medicines as the disease advanced.🗞However, there is now a shift away from this – diabetes is reversible, there is an increasing body of evidence which supports this. There are various ways of achieving diabetic remission that have been described in studies:1. Weight loss2. Combination of low calorie diet and daily exercise3. Very-low calorie diet (VLCD)4. Mediterranean diet5. Vegan diet6. Intermittent fasting 7. Bariatric surgery As yet, there is no consensus on…