Dr David Unwin
@lowcarbGP
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All diets and drugs have risks:Do we weigh up the pros and cons of drugs & lifestyle choices properly BEFORE making choices?Starch is concentrated sugar
Joined September 2015
Legumes; less sugar more protein May be a better dietary choice for people with #T2D than rice or foods made from wheat flour Compare their approx glycaemic loads to 4g teasp of table sugar below More on @PHCukorg website #StarchIsSugarToo
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1/7 My 7sugar infographics are back! They help people with T2D predict the glycaemic consequences of dietary choices. Carbs are the main drivers of blood sugar. Here I reinterpret the glycaemic load as approx. 4g teaspoons of table sugar. Freely available
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We did it! ONE HUNDRED CASES OF DRUG FREE #T2D REMISSION in a UK NHS practice 😊 Saving £58,000pa on drugs for diabetes 20% of our entire diabetic population🥂Happy patients Proud docs @DocRunner1 @jen_unwin By cutting the sugar and starchy carbs that put up blood sugar #simples.
EXCLUSIVE: Meet the NHS GP who has got 100 Type 2 diabetic patients off medication and into remission by prescribing low-carb diets AGAINST NHS guidelines, which state meals should be based on potatoes, bread, rice, pasta & other starchy carbs @lowcarbGP @DrAseemMalhotra
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NEWS! NICE have just endorsed my 7 teaspoon of sugar infograms as suitable to be a resource to support the UK guidelines for type 2 diabetes in adults. & shortlisted for a National prize! Find and download here: @MattHancock & @tom_watson Like them too!
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AT LAST 🥳 tonight 6 minutes of low carb magic on prime-time National TV to celebrate 150 yes ONE HUNDRED AND FIFTY cases of drug-free remission of T2 Diabetes in a single UK NHS clinic (mine!) Just choose foods that don’t put your blood sugar up!
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WE DID IT ! The highest ever Altmetric score for any paper in @BMJNutrition So a paper about low carb is the most popular paper they have EVER published. I am so proud and happy Thanks to fellow authors @jen_unwin @DocRunner1 @ChrisDLDN and Prof Roy Taylor
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PUBLISHED! We wanted to showcase what a low-carb approach could achieve for people with #T2D in UK NHS general practice Our @BMJNutrition paper published today. Open access PLEASE read it HUGE thanks to patients and staff @nnedpro Hurrah!
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As a doctor specialising in T2 Diabetes I get REALLY annoyed when unnecessary SUGAR is added to products. Sometimes it’s hidden in unexpected foods Dear Marks and Spencer PLEASE CAN YOU DO SOMETHING ABOUT your coleslaw, pate, prawn salad There is even extra sugar in your roast
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HURRAH! OUR #LOWCARB #T2D PAPER JUST WON AN INTERNATIONAL AWARD🥇🥂’for its impact in the field of nutrition education’ #proud #nnedpro2021 @bmj_latest Read the paper @martyn_kathy @domcro
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What predicts drug free remission of T2D on a low carb diet and what happens to those who don’t achieve remission? We publish today here 97% of participants who chose low carb improved their diabetic control 51% achieved drug free remission #hope 😊
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British doctor pioneers low-carb diet as cure for obesity and type 2 diabetes | Obesity | The Guardian HURRAH that’ll be me and @LoCarbFreshwell @DocRunner1 Our latest paper is featured too 😊
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So our low carb diet paper is featured in today’s Times. Nearly a full page Progress!! About 50% of our #T2D patients who chose a low carb diet achieved drug free remission Also improved cardiovascular risk
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EGGS I am asked so many times if its OK to eat them?.YES, YES, YES! As this meta analysis concludes 'eating more than one egg per day, on average, was associated with a DECREASED likelihood of coronary artery disease (approximately 11%)' Just eat real food!
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Look carefully -you will see his eyes seem to get larger In clinical practice the first thing I notice when folks give up sugar and starchy carbs is a loss of fat around the eyes.
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I think this is the 83rd patient at our practice to achieve drug-free t2 diabetes remission by giving up sugar & refined carbs, 21Kg weight loss Made me so happy to ring her yesterday with the good news! #proudDoctorproudPatient #lockdownWinner.Some days being a GP is fab @rcgp !
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Our greatest low-carb weight loss to date: 168 pounds, 12 stone or 76kg 👏👏👏 I’m so proud of this young man who sent me these photos as a gift 🙏 Cases like this make it all worthwhile 😁 Our paper
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IMPORTANT! Despite high protein fears low-carb diets may well IMPROVE kidney function as our new study suggests👍 @Wongplan1 @jen_unwin @Dr__Guess @drjasonfung @DrPaulMason
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Patient of the week! Low carb liposuction This man has lost 12 kg in weight by giving up sugar & starchy carbs. I am holding the tape where it was back in September 2018. He is so proud & I am too! So many of his cardiovascular risk factors sorted along with loosing his belly
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Low carb - so restrictive and difficult to sustain !! Delicious brunch in the English Lakes. Why not eat delicious nutrient dense food that doesn’t put your blood sugar up ? We just replaced the toast and baked beans with more bacon and mushrooms 😋
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So my first book for The New Year, the brilliant @garytaubes unpicking how we ended up with the drug centric paradigm of T2 diabetes with so little interest in prevention Just lifelong medication I love many of the historical quotes Gary!
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Do low carb higher fat diets cause gallstones? This paper supports the idea it is low fat diets that cause gall stones and "A relatively high fat intake could prevent gallstone formation, probably by maintaining an adequate gallbladder emptying" Fits with my clinical experience
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If people with diabetes were told clearly &unambiguously that if they stopped eating carbohydrate-rich foods they could probably arrest or reverse their diabetes, thousands of lives & billions of dollars could be saved? @DiabetesUK
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How I suffer on low carb!! HUGE piece of salmon, roast sprouts and homemade Tzatziki sauce 😋
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1/2 In the @MailOnline today a rather anti low carb piece Bananas don’t put up blood sugar? Three @DiabetesUK profs against just me Carbs are essential? Name a single essential carb Vitamin deficiency? Which one Please help by retweeting my statement
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@DietDoctor1 The Glycaemic Index helps predict how much glucose starchy carbs produce ?eggs or full fat yoghurt a better breakfast for #T2D
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We all need to help Prof Tim Noakes his Twitter account was closed He is now @LoreofRunning1 He has helped me so much for years Will you help him now by following please?.
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From very severe T2diabetes to normal blood sugars A HUGE IMPROVEMENT IN 7 MONTHS 😊using diet not drugs. This works because often it is a sugary diet that puts up blood sugar. If diet is the problem it is also the solution. We published how we do it here
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If you have Type 2 diabetes why not eat nutrient dense food that doesn’t put your blood sugar up ? Here I am leading by example with steak and eggs 😋 One of our hens laid these under a hedge !!
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A first for me and possibly for low carb Lecturing at a medical school!! Giving the keynote at Edge Hill Medical School Spring Conference @edgehill The questions went on for 45 minutes !!
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When was the last time you saw a happy GP?? I’m excited to tell you about an amazing patient whose T2D is now sorted and FOUR drugs stopped 😊 ‘I love being a doctor’ @rcgp Just eat nutrient dense food that doesn’t put your blood sugar up 👍
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ONE HUNDRED THOUSAND FOLLOWERS !!! Thank-you Thank-you Low carb has come a long way since the first documented Type 2 Diabetes case way back in 1796 Just eat nutrient dense foods that don’t put your blood sugar up 👍
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LOW CARB NEWSFLASH! Norwood NHS GP surgery have their 99th case of drug free T2 Diabetes remission HURRAH! The Century is near 👍 @DocRunner1 @DrAbdulZubairu @katiarcher @DiabetesUK @PHCukorg.
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Graph of the week! Shocking cardiovascular risk factors all reversed in just FOUR MONTHS by cutting sugar and refined carbs NO DRUGS NEEDED High triglyceride levels are so often ignored - doctors they shouldn’t be Blood pressure also much better, more here
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Why do people on a low carb diet eat only dark chocolate? Because milk chocolate has LOADS of sugar in it Equivalent to FOURTEEN teaspoons of sugar per 100g 😱Look how the sugar content drops as it gets darker @DiabetesUK
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Bread can it be addictive ? So many intelligent folk with T2D keep going back to it despite knowing it puts their blood sugar up and causes them to lose control of their diet. I saw three cases in yesterday’s clinic IF YOU CANNOT CUT DOWN CUT OUT be honest with yourself.
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TODAY IS THE DAY!! Get back to the diet that keeps you healthy Clear away any ‘treats’ you have been indulging in or they could become a habit DO IT NOW👍
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I really put my heart and soul into this talk Near the end quite unexpectedly( and embarrassingly) I find myself emotional as you will see This video is dedicated to all those clinicians who care and notice what makes a difference #hope Please retweet
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HISTORY IN THE MAKING! An invited review just published in the British Dietetic Association’s own journal on #T2D Remission concludes low carb is effective and safe 😊 We all agree on so much. No one can say now the @BDA_Dietitians ‘don’t like low carb’
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THIS IS SO SAD 40% of our ten year old school children are overweight now @sajidjavid Their future is compromised as is that of the NHS as they will drive up demand on the system STOP ADVERTISING JUNK FOOD NOW 🙏🙏🙏
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TWO FULL PAGES on the successful UK low carb rollout for #T2D in mainstream media today HURRAH! So pleased to see all the hard work that @helenpgowers @DrKimAndrews @olliehart7 @PHCukorg & @LoCarbFreshwell have done recognised today in the Daily Mail
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HURRAH Drug free T2D remission number 130!!! So in the UK NHS we have done this ONE HUNDRED & THIRTY TIMES now by simply cutting foods that put blood sugar up: Sugar and starchy carbs! Details here Docs all over the world are doing the same 1/2
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THE HIGHEST TRIGLYCERIDE LEVEL EVER from our 9500 patients, improved in 14 days by low carb Who has seen a higher one ? @BenBikmanPhD @LDLSkeptic or @realDaveFeldman I feel we don’t talk enough about triglyceride levels in lipid profiles Often a marker of insulin resistance
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HURRAH!!! At last yes My NHS practice has published results 93% resolution of prediabetes and 50% drug free T2D remission Saving £68,000 on the diabetes drug budget each year Are you interested?? We just improve diet.
We cannot keep pouring an increasing amount of money into more doctors, hospitals, and medicines in the hope that we can treat our way out of our health problems. We need to look "upstream" and tackle the determinants of health. My speech in @UKHouseofLords on NHS.
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Our NHS GP practice spends £68,000 less on drugs for diabetes than is average for the area LOOK! We help our patients with T2D to control their high blood sugar by eating less sugar and the starchy carbs that become sugar #LogicalFirstStep #deprescribing @DiabetesUK @sajidjavid
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I used to worry about what would happen to Cholesterol and Triglyceride levels for my patients who went low carb, so I measured them and published the results here In fact they improve significantly -Phew! Particularly note the triglycerides and HDL
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So on this 15 acre field I am producing wildflowers, Skylarks, Brown Hares, Kestrels, butterflies, moths, Swallows AND quality nutritionally dense food This is what #regenerativeagriculture could do all over the country @SusFoodTrust @PastureForLife @Groundswellaguk
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1400 in the audience for the @BraciaRodzen low carb conference in Poland -Astonishing!!! Here I am with the wonderful @KenDBerryMD We have so much in common both keep sheep and have amazing wives!! I am 65 years old today 😊 Great way to spend my birthday!!
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This paper has become the most popular paper ever published by BMJ Nutrition. What a very long way the low carb diet has come 🙏😊.
What predicts drug free remission of T2D on a low carb diet and what happens to those who don’t achieve remission? We publish today here 97% of participants who chose low carb improved their diabetic control 51% achieved drug free remission #hope 😊
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GPs to offer NHS patients Wegovy weight-loss jab. I feel it would be better if the govt looked at the actual cause of the obesity problem Why not start with banning the advertising of junk food to children @RishiSunak @HenryDimbleby
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Happy Birthday to us! Seven years of low carb group consultations at our UK GP practice 👏👏Yes we had low carb cake 🍰 Average weight loss 9.4 KG over 2 years Drug free #T2D remission rate now 49% ⚡️#groupconsultations are fun patient centred, and effective at so many levels
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How long can drug free remission of type 2 diabetes last ?? Without me knowing one of our patients has done it for 17 years so far, look. What about the rest of you ? I feel remission is a great clinical goal and it is important to discuss it
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Insulin causes renal sodium (salt) retention putting blood pressure up. Low carb reduces insulin and you wee out the excess salt and BP drops ‘We are blaming salt for what the sugar did’ We published here How many of you have noticed improvements in BP ?.
The Majority of Essential Hypertension is caused by.chronic Hyperinsulinemia. .
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1/8 My latest teaspoon of sugar infogram is here! … These represent the glycaemic load of portions of various foods to help you predict the glycaemic consequences of dietary choices. Based on this paper The others will follow
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In happier times together with @DrClareBailey at the Bridgewater hall earlier this year. @DrMichaelMosley was gentle, generous and kind We shared a passion for lifestyle medicine as an alternative to lifelong medication particularly for people with Type 2 Diabetes
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I am so pleased @MattHancock exceeded all my expectations I was given a warm reception He listened PROPERLY & liked my sugar infographics as you see !! Matt completely understood the importance of the glycaemic index in Type 2 Diabetes Starch is sugar too Thankyou 👍 #HOPE
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GRAPH OF THE WEEK! Low carb liposuction yet again! The tape measure shows where this young man’s belly was in Oct 2019. I am so proud of what he has achieved by cutting sugar and starchy carbs OVER TEN STONE WEIGHT LOSS 👏My fourth case off the sleep apnoea clinic waiting list 👍
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THIS IS SO IMPORTANT At last! In a consensus report 'Reducing overall carbohydrate intake for individuals with diabetes has demonstrated the most evidence for improving glycemia' Look there is so much good sense in this .Authors CONGRATULATIONS!
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So what could be the best dietary start to 2020? I suggest COMPLETELY giving up table sugar as it’s not just glucose but fructose too, another sugar, one that can be a real problem for your liver to deal with Reset your taste buds 👍
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I am I the only one to find hotel shower and tap controls have turned into a fiendish international intelligence test ? Perhaps a good screening test for early dementia 😅
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BLOOD PRESSURE VARIES A LOT IN THE SAME PERSON LOOK !! These two readings were taken just a minute apart Breathing out slowly in the second one dropped BP amazingly Works really well for anxious patients in clinic Try it!
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Here is @SBakerMD enjoying one of our goose eggs and dry cured bacon in our kitchen before flying back We have had such a great time together. Shawn was so interesting himself and very interested in the countryside and farming practices of Northern England
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CHRISTMAS GRAPH 2019🎄 Sarah came to see me Christmas 2017 on the left, she gave up sugar and starchy carbs & Sarah sent me the updated photo last week Just look at her now !! #PROUD AND she can run now too @parkrunUK PB 29mins #MedicineIsGreat @rcgp
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We have eaten our way into this epidemic of T2 diabetes AND we can eat our way out again by eating nutrient dense food like this that doesn’t put your blood sugar up 👍😊
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Yesterday saw my 84th case of drug free T2D remission HURRAH!! 👍.Here is a handout I produced for my talks in Australia last year with @DrPaulMason @lowcarb_aus Where does dietary glucose come from and how can knowing this help people reverse T2Diabetes?
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Discussing with @drjasonfung how to help people in North America with T2D ?? We are by the Mississippi River 👍😊
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Our 120th case of drug free T2 Diabetes remission at the Norwood GP practice HURRAH 😊 This person demonstrates the triad of improving blood pressure, liver function and blood sugar that so often follows giving up sugar & starchy carbs Insulin is the key
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Thanks so much for the amazing support 👍So far 120,000 people have seen this tweet, yet still no one knows of an essential carb or any vitamin deficiencies from a well formulated low carb diet and yes many folk can easily go low carb for years Again THANK YOU 🙏.
1/2 In the @MailOnline today a rather anti low carb piece Bananas don’t put up blood sugar? Three @DiabetesUK profs against just me Carbs are essential? Name a single essential carb Vitamin deficiency? Which one Please help by retweeting my statement
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THE FIRST EVER published data on outcomes of a clinical intervention for food addiction by my wife @jen_unwin This is why ‘moderation’ is so difficult for many people with a weight problem and why stigmatisation of obesity is so wrong
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Growing army of doctors helping their patients REVERSE DIABETES via @MailOnline Look in our biggest newspaper The Daily Mail 👏👏@RuthTapsell @Gaylegerro @DrDavidCavan LOADS MORE LOW CARB ARTICLES AND @KatieCaldesi RECIPES TO COME Starts Saturday 👍.
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The photo is me asleep in the Sun Has anybody else noticed they just don’t get sun burnt the same when low carb ? Today 6 hours walking on shorts in brilliant sun and no sunburn at all Odd ?.
#relax it’s the #LakeDistrict in the #sunshine let’s hope for the same in July 20th ✊ #RFR19 @natureboyrr @FitnessExplorer @KatieCaldesi @DrAseemMalhotra @SamFeltham @PHCukorg @DrMichaelMosley @itsjillgardner @BrathayHall @MilesMooreClay @DocRunner1 @TheHornedBeefCo
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Ok folks so tonight just for you I ate my first mince pie for 12 years in front of 20 patients. To demonstrate what happens when someone with T2D eats JUST ONE SMALL MINCE PIE (52 gms) MY BLOOD SUGAR DOUBLED in 45 minutes. I did it so you don’t have to!! @DiabetesUK
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Thinking about how to reach out to more local people with #T2D ? So 5 local GP practices wrote to everyone on their T2D registers to invite them to a ‘Hope for T2D’ community event this Thursday night. We have been AMAZED by the response ! Hundreds want to come 👏👏 More anon !.
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I met the brilliant Professor Solaris in Melbourne recently The quote below pretty well summarises how my lipid advice has evolved Starting 30 years ago with ‘cholesterol is bad so don’t eat eggs or dairy’ These days I worry far more about liver function triglyceride and HDL
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A short thread on joint pain and low carb: Ten years ago both @jen_unwin and I suffered with chronic joint pain, particularly the morning after exercise. For Jen it was her knees for me ankles which throbbed ++ the morning after a long walk. Over the years this got worse 😞
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‘Fatty tongues could be main driver of sleep apnoea’ - BBC. So tried low carb diet for a recent patient He improved in 4 weeks Yes he says his tongue is smaller !! His wife delighted 👍 Has anyone else noticed this ?
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Now we have 109 😊 cases like this, of DRUG FREE TYPE 2DIABETES REMISSION at our UK NHS practice This forty year old guy is very proud and so am I !! #lifestylemedicine He just cut sugar and starchy carbs, no medication needed 👏👏👏
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My message for #WorldDiabetesDay Its VITAL that we don’t accept the epidemic of #T2D as normal I can remember a time when it was rare & only in older people That could be the case again if we have the will to fight it on every front Drugs are not the answer in #T2D prevention.
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We are ‘overfed but undernourished’ Many overweight people are vitamin deficient The answer is to eat less food but make it more ‘nutrient dense’ and satiating. Junk food makes you hungry for more
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#TheTruthAboutCarbs @xandvt BBC1 So moved to see those results in just weeks #T2D weight and liver all improved WOW what brilliant people taking charge of their own health Great work BBC Thankyou 👏👏👏.
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Wife Jen surrounded by Junk food trying to pay for fuel Non of this is food ! Food addiction is a HUGE PROBLEM !.
The gauntlet of sugar I had to run to pay for my fuel. We are a nation of addicts!! @lowcarbGP @PHCukorg @xandvt
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So tomorrow excited to be off to Manchester #NICEConf19 My sugar infographics have been shortlisted for a prize by NICE as well as being endorsed as suitable educational material for adults with T2Diabetes Starch is ‘soon to be sugar’ @NICEComms
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I was worried that low carb meant higher protein and that this was bad for renal function in those with #T2D SO with a prof of nephrology and a senior dietician we looked at the evidence and also audited our practice data GOOD NEWS ! #nephrologists Read
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Graph of the week Diabetes remission number 136😊👍!! In just a few months! All due to a motivated patient agreeing to eat food that doesn’t put his blood sugar up & practice nurse Catherine. 1/5th of our T2D patients have now achieved remission👏Published
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Insulin causes renal sodium retention putting up BP. So proud our ‘low carb improves blood pressure’ paper has proved incredibly popular look at it’s Altmetric score 👍
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I shall be in The House of Lords tomorrow night for the launching of the ‘Beyond Pills Campaign’ There are valid lifestyle alternatives to so many lifelong medications prescribed for the chronic diseases of modern life We could spend those £££s differently & better @bmj_latest
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Today i saw a patient confused at why their diabetic control was so terrible. He was surprised as he had been eating lots of 'no-sugar' bread. He even brought a photo of the packet, look. This is very confusing labelling as much of the starch in bread is 'soon to be sugar'
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THIS IS ODD! In ten years of offering low carb not one of our 136 drug free T2D remission patients has suffered a single cardiovascular event also all cardiovascular risk factors improve significantly Published
People with T2 diabetes in #remission off therapies have a higher 5 year risk of major cardiovascular events. We shouldn't take people off therapies if in remission. Need to change that terminology. @AnastasiaSMihai
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No Gary I’m not bored yet! I was due to retire six years ago -so fed up with the NHS and disappointed with myself as a doctor too Now I see transformations in every clinic I do To date drug free type 2 diabetes remission 68 times 👏👏.
Does it get boring turning around patients lives with one conversation and some simple support and reassurance? Not yet 🤔😉. #lchf #Yes2Meat #lowcarb .Are you bored yet.@lowcarbGP.@DoctorTro.@AnnChildersMD.@drjoesDIYhealth.@GeorgiaEdeMD.@KenDBerryMD .@drjasonfung.@DietDoctor1?.
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HURRAH!!! Our 129th case of drug-free T2 Diabetes remission @DiabetesUK we and this patient are both so proud 20% of our NHS diabetes register are in remission Read here how we do it 1/2
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At last we have managed to design a sugar-free summer holiday where we don’t eat and drink more each day becoming lethargic. I used to gain a stone each holiday! A Campervan tour round Scotland. Here we are wild swimming in the Cairngorms Brrr!
2 weeks in a camper van doing the #NC500 🏴 #lowcarb all the way on a two burner gas ring! Tuna with courgette & pancetta .Steak with mustard mayonnaise & samphire .Lamb with onion, chorizo & sauerkraut .Tomorrow is a Thai chicken curry with stir fry veg.Zero fried Mars bars 🤣
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So grateful to @tom_watson He gave up a lot of his time today in Parliament to hold a meeting about how to reverse the epidemic of Type 2 Diabetes & make drug-free remission a reality for so many more of us & HURRAH! he really likes my sugar infographics just like @MattHancock
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NEWSFLASH!! Our UK NHS low carb clinic is to get NATIONAL news coverage!! Friday Jan 3rd 7 pm @itvnews Thanks to @Oliviaguthrietv PLEASE RETWEET & TUNE IN TO FIND OUT WHY 🙏🙏
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OUR GREATEST LOW CARB LOSER !! 70kg or 11 stone👏👏👏Sustained for four years 👍 #PROUD patient and doctor. Read how we do this for our patients here
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Insulin causes renal sodium and fluid retention putting blood pressure up We blame salt for what the sugar did!! Our paper
For people with high blood pressure, consistently reducing carbs often lowers blood pressure to the point where medications can be reduced or even eliminated. Additionally, they increase their salt intake. However, some doctors continue to insist that salt intake is the problem.
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If you have T2Diabetes sugar is a poison - so eating a ‘moderate’ amount of sugar you will be ‘moderately’ poisoned How about being not at all poisoned?? Cut the sugar out all together!!.
Thoughts on ‘moderation’ what a useless concept !!
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Our new #regenerativeagriculture experiment at year one. 15 acres of wildflowers where there were non It was a monoculture of barley. Seven species of butterfly, Brown hares, Voles, Stoats, Barn Owls Bees++ AND it produces lamb @SusFoodTrust @rlewington2
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Drug free T2Diabetes remission in just 16 weeks 👏👏👏 He started with a sky high blood sugar too One of 117 cases of remission in just one UK NHS practice by cutting sugar and starchy carbs HURRAH 😄 Our paper:
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