Emphasis on the superiority of insulin sensitization is good news, but the article did not say what substances are being used. We presume metformin and the like, with the usual often distressing side effects. (anal leakage) Often these type II diabetics are on lousy diets. There just isn't enough lifestyle Rx being handed out. The medical community wants dosages, and single pills to handle patient behaviour understandably from a compliance point of view. Emphasizing diet, lifestyle, etc as being major therapuetics only seems to work at all well in type I diabetics, and often, as in drinking prohibition, not all that well sometimes. Doctors are loathe to Rx diet, substances like banaba leaf, chromium vanadium (championed by Carol Burnett, a diabetic, 25 years ago), and dietary and exercise control, which according to some type II's I have known, "works".. because the regime is complex, you can't write it on a piece of paper thus the compliance rate would be poor, supposedly. Doctors don't have the time to handhold 2000 patients and ask them if they are doing their push ups on a daily basis. They might do a bit of dietary control with type I's because of the obvious necessity, but type II's seem to get only basic advice. But self help gurus know the opposite.
The religion approach works possibly better than take a pill once a day. In this the greenies, movement types and new wave evangelists might have the edge. The advantage may be the pharmacy is right at your fingertips and all about you. In the grocery store, in the park, as far away as a set of dumbells, or a walking path, the local gym and health food/drug store. It couldn't be easier. The next thing to do is fill your head with the attendant knowledge of fighting plaque and metabolic syndrome, an all too often ignored set of symptoms that plaque the middle aged. The reason making diet (supplements) and exercise a religion is that it is ongoing and more all encompassing than just a pill. It increases patient involvement and removes symptoms (in this case) making the disease a more manageable one should surgical intervention, or drugs become absolutely necessary. The embracing of a whole other lifestyle and food group mind set might make more sense in that is could be seen as new hope, as after all, if you aren't doing all that, how can you say, "it doesn't work". You can actually see that lean fit people are generally healthier or damned well should be. The doctors would generally agree. Eating the right things cannot be wrong. How could it? The next scientific step one might take is to examine all the literature with regard to insuline sensitivity and what the average guy without and Rx could do about it. It turns out, a whole hell of a lot. So why not try? All we need is the accreditation of the approach. In that case, it appears that the literature as nascent as it is on the subject of metabolic syndrome, has considerable history, and medical/nutritional/biochemical authority. What we need now is real well controlled clinical tests of food group, exercise and supplement tests.. and not just another "vitamin study", where people report taking a multi and doing god knows what else. You need a regimen group, well controlled by a clinician with ample reports and dedicated people, as well as a control group. In that respect it cannot be a blind introspective, self reporting study, although the analysis and meta analysis of these types of studies may be beneficial as well.
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