We are being taught that T2DM has a huge genetic component simply based on studies showing children born to parents with the disease are more likely to develop it. How do we just assume that this association is not from observed/forced eating habits since children have virtually no say in what they eat during this formative period in their lives. Food consumption during this period (shaped by their parents) might have lasting impacts on their health. Is there any more robust research looking at specific genes implicated?
Why are strict diet recommendations not common practice for treatment/eradication of the disease? There are a couple of diets that have show great efficacy (Virta health aka low carb and fasting). Instead, patients are put on medications with the expectation that they will be on this med forever until their beta cells burn out and eventually begin to require insulin. I totally understand that many patients might not be willing, but it seems like it is not even common medical practice to offer these strict interventions and asses total caloric needs and macronutrient intake at a very minimum.
The United States spends an obscene amount of money on T2DM that seems rather futile with current trends of the disease. It is my understanding that the ADA has never even recommended ANY form of carbohydrate restriction until very recently. How is that the case? This seems like such an obvious treatment option.
Source: Original link