Why do we have skinny people with type 2 diabetes?
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- Опубліковано 5 жов 2024
- Dr Jason Fung explains the difference between subcutaneous and visceral fat and explains why have skinny people can be diagnosed with type 2 diabetes.
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I was diagnosed with diabetes abt 5 yrs ago. Though I was never fat, i lost a lot of weight, I am skinny male, age 40+ under weight at less than 130 lbs. Trying now to gain back my average weight which was about 180 but very hard due to intermittent fasting and eating less calories. Its very difficult and expensive to find good fats and protein to eat, to intake more calories in my feeding window.
*You Did Not Choose To Be Classified As Diabetic, But You Can Choose To Fight Back Against Diabetes* 💪
Intermittent fasting, lose the sugar, low carb diets, exercise, cinnamon with chromium supplements, herbal tea, lose weight. There a lot of ways to fight T2 diabetes without meds.
@@miraak8523To bad the pharmaceutical industry don’t want people to know this.
imagine fatties clogging up the health care system with higher costs because they cant use the cure that's right in front of them.
What rubbish. I am size 29 in shorts 61 kgs (134lbs) and 181 cm (6 foot). I walk 10-12 km a day on average, limit carbs, and have basal and rapid insulin. I can't get my hb1ac below 10%. I would basically need to be on a treadmill 10-12 hours a day to be in the target range, not really possible. Eventually, they'll discover more genetic sequences responsible, until then I'll have to bide my time.
There is a reason why it's called dia-betes = through-idiocy from ancient languages.
Diabetes also inhibits caloric absorption, frequently leading to people becoming progressively more thin while diabetic.
what? I've NEVER heard of this being the case. do you have any credible sources?
@@nannuky1128 Actually that's one of the main symptoms of diabetes, the weight loss rapidly without a change in your lifestyle is a huge sign. This is common knowledge and a quick google search should suffice.
@@nannuky1128 Basically it's to do with how your body uses insulin resistance. your body needs insulin to help turn sugars into energy. When your insulin resistance sucks, the body can no longer effectively use energy resources the way it wants to. That's where i'll stop since i'm not an expert, the rest of the symptoms and impacts of this is quite severe when untreated.
@@nannuky1128 It's caused by Insulin Deficiency. Insulin gives energy and moves fat to the cells.
I don't understand why people think skinny people cannot have diabetes.
Because they think incorrectly only fat people are associated with the disease
Because those "skinny" people that are talked about having diabetes aren't skinny, these people are "American skinny"
Because it is significantly less likely...
Or are "healthy"
We’re ignorant and basically dumb.
I don't have much fat anywhere. I'm 56 yrs, 6'0 160 lbs 30" inch waist, eat a low carb/no sugar Mediterranean type diet and exercise religiously about an hour a day 5 days a week (mix of cardio and traditional free weights). Not just now, but this is how I've lived most my life. And I've been diagnosed as pre-diabetic for years. Always stable but always with a fasting glucose 90s-100s and an A1C around 5.6-5.9 no idea why.
that's scary to hear, that u can look perfectly healthy but u can still become type-2 diabete... what's ur diet by the way?
Fasting glucose of less than 110 is not even considered pre-diabetes by the WHO so not sure why you have Type2? The AIC could be a lower but I don't think it is in the Type 2 range either.
@@ayushkhanna8126 I just re-read what I wrote, I am not type-2 I have no idea why I typed that. Brain fart part of the conversation. I have been assigned as pre-diabetic for years, not type-2. I was told fasting glucose over 100 and A1C over 5.6 is pre-diabetic. A quick Google serach reveals that to be the standard. Glucose under 100 is normal and A1C 5.6 or less is normal. I'm usually just slightly above those high 90s-119 on glucose and 5.6-6.0 on A1C.
Are you doing intermittent fasting?
@@sedansearz5349 No, I just eat small amounts frequently throughout the day.
All the books I read about diet plans for diabetes are geared toward losing fat, exercise, etc, assuming you are overweight. What do skinny diabetics do?
Exercise and consume low glycemic index foods
lesss sugar less carbs less fat
@@marvin2678 yeah caloric deficit ftw
Right there with you. Barely eating and 5.8% A1C with 1 hour of exercise 5 days a week. Not hypothyroid (although TSH is 3.66 and curious if this is a contributor). Post-menopausal. When I used estrogen (bi-est 1.25) I kept my A1C to 5.6%. Stopped using it since 4 years post-meno and no night sweats etc. and A1C jumped to 5.8%.
So... the more skeletal muscle mass, the more storage space for glucose, the better odds avoiding or reversing T2?!
Unfortunately, the "spare tire " around the middle is the last to go ... 😫"'
If it ever goes at all.
Not really. Stop eating
@@meateater007 Hilariously ignorant that you think it's not genetic. Pick up some reading material some time. Hardly anything in life is ever as simple as your mind thinks it is.
@@plaidchuck Could be genetic. Not as easy as you might think for some people.
@@jdtown6585as a person who had morbidly obese parents and is NOT, I would recommend you read about the science of epigenetics to expand your understanding of how our environment and activities influence and change our DNA and genetic expression. "Genetics" is no longer a viable excuse when you know this, and thankfully we're catching everyone, including doctors, up to this.
Keto 9 months lost 54 pounds, minus 2 meds, Sugar is the biggest killer
Don’t forget canola, vegetable and other rancid seed oils
Fat makes fat. Not sugar.
@@reneechaplin8686 so according to you the Inuits should be morbidly obese as they all they eat is whale and seal blubber, but Americans and Mexicans should be fake thin because they consume sugar by the kilos on a weekly. Right...
Keto didn't make you lose weight, lower calories did.
@@reneechaplin8686all studies agree that sugar turns into fat.
Skinny people can be vitamin D deficient too.
Aren't just most people above certain parallel of north latitude vitamin D deficient unless they supplement? Why would skinny people be exempt?
@@tymondabrowski12 exactly, they’re not exempt. Having said that you are more likely to be vitamin D deficient if you’re overweight because vitamin D is fat soluble so it gets stored in fat so more vitamin D is needed to be activated to the same level for overweight individuals.
Dark skinned people are deficient in Vitamin D because their skin doesn't process it and uptake it as efficiently.
I'm a skinny T2 diabetic and I discovered I have hemochromatosis which is a genetic condition that causes accumulation of iron in the body. I was diagnosed with diabetes in China 20+ years ago, unluckily for me Chinese people don't have hemochromatosis because that gene is not present in their population. In Europe generally 1 person in 200 has it and in Ireland 1 person in 80. Worth getting checked for as it is easy to treat.
This makes me wonder whether the hemochromatosis affects your HbA1C as many disorders that affect your hemoglobine will also affect your A1C scores.
Great to know the differences.
He didn't answer
Thank you so much for this information it explains a great deal and it’s very important
He gave no answer
keto diet and taken Berberine to lower blood sugar, works good for me to lower blood sugar. A.1 C
is 5.0 last check
Excellent how much berberine do you take?
Berberine make me very ill. Start slowly and be very careful. Not everyone can take it.
@@gloriasaliba3395Get the di-hydro-berberin variety of berberin look it up on the boost your biology youtube channel this veriety is more bio-available meaning absorbable to our bodies.
Your valuable knowledge will benefit the world. All you need is put in CC in languages.
This makes sense I watched mastering diabetes channel about the same information
Dr Fung, what decides where the fat is stored, subcutaneously or in organs where fat does not belong?
Genetics
@@sorrykay3450and hormones
And poor nutrition choices (lots of white rice/bread, sugars especially added ones)
tross5 • What 'decides' is the wrong carbs consumed.
please dont worry too much about this video, fat will be stored based on genetics but it will be mostly even. unless you have a ton of fat on the outside despite low bmi (no abs or muscle definition at all), i would not worry. myself in 7th grade worried about this for no reason
😔I am only 107 pounds and have blood sugars off the chain…. It’s so frustrating and quite overwhelming. People look at me and say, how can you be diabetic?? Well I am and it’s not getting better. Doc just continued to increase insulin and yet still not decreasing. Or if it decrease then it’s so low I am going into shock..
It has norhing to do with weight, don't know why it's so surprising to people.
Try carnivore diet and sprinting if you can
Eat low carb foods & fast every day. That should help you.
Watch Dr Jason Fung videos, he will explain it fully.
Are you type 2 diabetic? Are you on metformin?
You have a lot of suggestions here. From my studies, diabetes mellitus can be reverse with pretty much any type of whole food diet because they no longe include processed carbohydrates, processed sugars, and seed oils in your diet. These things break your metabolism and lead to pathological insulin resistance. It’s high level stuff but well worth understanding the process. Either way, I strongly believe that humans should eat majority of calories from meat and animal products but there I also think there is a place for natural carbs from fruit, raw honey, and raw milk. Even if you only cycle them in and out. It’s a guarantee though that you can become insulin sensitive again. The healthiest way in my opinion is a cycling between a carnivore diet and an animal based diet. These foods are just how humans have eaten for millions of years (dairy more recent). Stop cooking with plants fats and start cooking with animal fats: butter, talllow, duck fat, lard, etc.
My father was always a health nut. He had type 2 diabetes. My mother was overweight, lost a lot and regained it back and was diabetic too.
I was pre-diabetic for decades and now in my 70s, am a type 2 diabetic. I lost 45 pounds 2 years prior to becoming diabetic and was at the weight my doctor wanted me to be at.
Chet happens and yes, I'm Asian.
Its not the weight. Its insulin resistance, caused by sugar, carbs, processed foods. Eliminate these things completely, and t2 diabetes disappears with them; every time. Insulin resistance is also the real driver in cardiovascular disease, not cholesterol.
Fruits and vegetables are carbohydrates. Do you suggest that fruits and vegetables cause diabetes or is the carb sugar? Especially added sugar?
@@aem870 are you addressing me? Not sure. If so, yes, fruit is not required and can add to diabetes risk/issues. The benefits of eliminating sugar, carbs, processed foods, seed oils and plants is unbelievable. It makes no sense to us until we look at what we ate 120yrs ago, when there was no such thing as cardiovascular disease, cancer,diabetes, alzheimers, parkinsons etc. In that time we ate high protein, high fat, occasional fruit, occasional sugar. Our high sugar/fructose/carb diet makes us insulin resistant, leading to the explosion of metabolic illness we have today. Also, cholesterol is not the driver of cardiovascular disease; insulin resistance is. By eating only meat and eggsfor 4mths i have lost 50lbs, and healed every chronic disease i had, from arthritis to cardiovascular disease and gum disease (inflammation). Good luck
All those diseases existed but they were not discovered. People suffered but we didn't know what they were suffering from. Life expectancies in the past were much shorter and I believe before 1900 most people died in childhood. According to research, those who eat plants live longer than those who only eat meat. I believe that sugar is bad for diabetes but according to what I have read, starch and fibre are not bad for diabetes; starch and fibre are carbohydrates.@@johnallen7367
@@aem870 your mileage may vary. See your doctor. I'm not a doctor. I'm just telling it like it happens to me.
Prescriptions are keeping my checkups in the "good" zone. Yes, I tried the "natural" way, it didn't work for me.
I prefer the fat stored on my chest and not around my organs.
Yep, I’m skinny, and have diabetes. So much fun…
Try carnivore or just keto out for a spell.
Have you done a body composition measurement?
*DIABETES IS NO FUN BABY*
Watch out for "sugar free" products. Many have alternative forms of sugar. That got me last period. I found a delicious new sugar free strawberry drink. Suddenly my A1C blood sugar was 1.8. I knew immediately what had happened and tested with my meter and after having one of those "sugar free" drinks- my blood sugar went up to 240!
This has happened over and over in various ways since I became diabetic.
I've tested and the only sweeteners that do not raise my blood sugar are stevia and sacharine. I'm about to try monkfruit soon.
My procedure is to take a blood test and get my number... then eat the new food/drink the new drink/try the new sweetener... and then take the blood test again 30 minutes later.
For some reason I had slipped on the strawberry drink mix *and* on my popular brand "sugar free" maple syrup.
It did lead me to find strawberry flavored stevia and I'm going to try a keto maple syrup.
Good luck!
P.S. I'm more of a "muscular/athletic" diabetic. 6'5", 228-238. But the doctor wants me down to 195 for heart reasons. Getting there includes losing muscle mass. My legs are 3" smaller around now and the muscle fibers were always visible thru the skin.
Im skinny and diabetic, damn asian rice habit. Stop rice intake thus reversing.
Lose some weight then. Who tell u to not exercise or cut down some calories?
oh btw in Overfeeding trial they demonstrate saturated fat is the king of accumulating liver fat.
Next is sugar and polyunsaturated fat.
Don't tell me you only eat rice? U also eat lots of saturated fat through meat, don't u?
Your grandparents probably eat more rice than you but they rarely get diabetes. I wonder what's the different?
oh not exercising, eating lots of meat, fat, sugar, refined grain and finally not enough vegetables.
Too correct? lose weight then
nah u r diabetic mainly because u r a girl
.........may i ask? Did you always get urination frequently, even after your blood sugar is low?
Rice has no fat. Fat makes you fat, not carbs.
@@reneechaplin8686, I disagree so would Dr. Jason Fung, Dr. Robert Lustig and Benjamin Bikman. They are all very informed on insulin resistance and Type 2 diabetes. It’s not the fat; it’s the carbs. They’ve said this many times themselves. Rice is high in carbs making your insulin spike really high. Fat, barely if at all, affects insulin.
how did I just randomly stumble upon this now
Why muscular athletes have diabetes?
It would have been helpful if you explained how one can reduce their visceral fat.
Fr
Now can we talk about how to reduce sub q fat specifically?
Our grandmothers (husband and mine) both lived longer than our Mother's. Grandmothers mid-late 90's. Mother's mid-70's. Both grandmothers were obese by any standard. My Mom smoked and drank / thin light appetite = 77 (stroke). Husband's Mom didn't smoke or drink / heavy loved sweets = 76 (liver failure). Grandmothers? Real food their entire life. Theirs preceded processed and readily available food AND they cooked their own meals. Personal opinion based on this N = 4 skinny diabetics are the result of decades of processed food (Crazy Cow cereal anyone???) and burned out our beta cells faster. I'd love to micro dose insulin to preserve what is left of mine but cannot find a doctor willing to do this. Fasting is merely prolonging the inevitable since as soon as I eat my beta cells have to produce insulin whether no carb, low carb, all fat. Unavoidable.
Im just soooo sad that so many people, fat or thin, are getting diabetes like crazy. I see it so much now
Nice that people say that they lost 20 to 40 lbs or more with a diet. With 170 lbs and 6'-4", I wonder where it should come from. On low carb anyhow, with meds though.
What factors affect where the fat is stored? I can understand the obese not developing T2D if they were eating only fats but massively overeating. But this is rare, as usually it's the carbohydrates that are prevalent. The skinny could potentially be eating a lot of processed sugar and have elevated glucose which is converting into fat, but why would it be stored in organs and not elsewhere? Would it still happen the same way if the obese and the skinny had the same diet?
Isn't fat also first converted into glucose? And then when it's not used, into fat again? I'm not a doctor so I have no idea, but that's what I assumed.
Fructose is the main poison that makes you fat around organs.
@@tymondabrowski12 when we eat a typical meal usually comprises of both fat and glucose. The body prefers fat as the #1 source of fuel. but if glucose exists in the body it is recognized as a threat and the body seeks out the glucose FIRST above the fat in order to use it so that it may exit the body. After using glucose in the bloodstream, the body will then seek fat which is then further converted into glucose. So, both of them (and in excess) may contribute to too much glucose in the body, thus making many people pre-diabetic or diabetic.
All of this information is available in Dr. Berg's videos on insulin resistance on UA-cam. Its worth a watch to help learn more about it.
Yeah, I know a guy who weighs 450 and is not diabetic yet.
@@kyieberry His pancreas will blow? That sounds like type 1 rather than type 2.
EDIT: I just looked again at Jason Fung's book on diabetes. It says the body has two defenses against hyperinsulinemia: 1) obesity, because fat cells produce leptin, and 2) insulin resistance. #1 is kind of what you were telling me, I guess.
What determines where the fat is stored?
My BMI is always in the underweight range my whole life. But since I'm getting old (59), my fasting BG in the morning is in the pre-diabetes range.
I can't lose weight since I'm skinny. But I have to watch my diet, low on sugar (I don't mind that), low on carbs (that's hard for me).
If I don't watch my diet and gave up on carbs for years, I'm sure I am diabetic, now.
Ok, but can I fast 24h/36h without become a skeleton?!?!
I finally reached 61 kg...from 56/ 175 cm hight... I would like to remain at least at 61
why?
low carb high fat diet
you may have lost a lot of weight staying in ketosis and not eating much, but it will bite you back in the long run, you'll get diabetes and heart disease and then wonder "how is it possible when I'm so fit and healthy? I'm doing everything the low carb gurus said!"
Seriously, i eat zero sugar, zero carbs, zero plants. Apart from losing weight, ive also healed every chronic illness I had. Mental and physical. Every one who does this reverses out of diabetes in short order. As to heart disease? I have reversed my cardiovascular disease, and have been taken off all my heart meds. I am thriving on Carnivore diet. I know it sounds upside down, but i assure you its powerful. It also cures virtually every autoimmune disease. Cholesterol is not the enemy. Insulin resistance is, caused by sugar and carbs. Thoughts?
True.
@@reneechaplin8686 true to what?
Would a low carb, low fat diet okay, then?
@@glowcube believe it or not, the elusive formula is zero sugar, zero carbs, high protein, high saturated fat. It only seems crazy when in reference to the last 100 years, not the times before then. During the last 100 years we have followed the 'new'diet of high sugar, high carbs, low fat. You only have to look around you to see how that is working.
I am suffering from fatty liver problem with high bilirubin levels almost 2.0 in number.
so whats the solution to skinny folks with digestion or gut fat causing all that?
Why? One word: Sugar
Fat, fried food,grease also
Diabetes isn’t a fat issue. It’s purely a carb issue
Thank you.
My friend is like this
H0w do u get rid of fat around the liver and pancreas
There is not such thing as diabetes has only two type. There two most common types indeed, and a specially the type one. But the other thing callinng the type 2 is a whole catalog of different things some how related to shugar and insuline but not onley.
Isn't frequent eating the culprit most of the time? You can eat the same calories in 1 meal a day and not have the issue
Omad didn't work for me. Lost too much weight and muscle mass and to compensate, I end up overeating. 2 meals a day worked better for me.
@@mstr293 wait thats still very little meals
This could probably cause diabetes because frequently introducing food into the body basically floods the body with glucose. The body wants fat to use as a fuel source, but when glucose enters the body it seeks out glucose first to eliminate it. Constantly eating doesnt give the body its chance to get rid of the glucose properly, and then seek out fats to use as fuel. Instead you are constantly pumping glucose throughout the body and never giving it enough time to regulate itself. That, in my understanding, is why constant snackers can end up with diabetes.
However, all the above is my educated guess, and I do not know any of this for certain. I am not an expert on the matter nor a professional. Please seek out other educational channels for clarification on this.
@@pbjt2396 Someone finally gets it on here LOL
Some people eat a lot of crap and still not get fat
Me. Impossible to gain weight. Impossible
@@hermesmcclintok peanut butter is pretty good i heard
Why the fat store in liver not as body fat
Any reason
The Chinese diet is very high in carbohydrates and it is eating a high carb diet that leads to diabetes.
White rice is full of glucose (or another type of sugar).
@@OhgodImtoosexy white rice is metabolized into glucose. The same thing with potatoes pasta, and bread.
Simple carbs, yes. But complex not necessarily. The Japanese in Okinawa have had a high carb diet based on sweet potatoes for centuries and no diabetes. I sense though that even the complex carbs we consume in the West have been so modified through selective breeding that their glycemic index is much higher.
@@HenIchaer I eat sweet potatoes all the time. However, instead of baking them, I peel and boil them for at least 30 minutes first before I eat them and when I eat them, I get no glucose bump.
@@HenIchaer bruh, just because u eat sweet potato it didnt mean you Will definitely get diabetes, the main reason get diabetes is sugar, man human sugar, so if you just eat bread or rice but not drink sweet tea, sweet coffe,cake i doubt you Will get diabetes,
I have some kind of metabolic issue i am very lean but i have high sugar and NAFLD doctors cant answer .tthe cause
What about patients with type 2 diabetes that don’t have fat accumulation. No subcutaneous or visceral fat?
Everybody has some amount of subcutaneous and visceral fat. Do you mean patients with very little overall fat?
@@davidterrell1242 yes!
Can I do i intermittent fasting as a super skinny type 2 diabetic person. I do have a slightly larger waist for my weight and size. I’m skinny but got a bit of a tummy.
That's one of the reasons but not the only reason why skinny people have type 2 diabetes.
What's other reasons please tell I'm normal BMI recently diabetic
There aren’t. People conflate type 1 and 2 and also self diagnose themselves.
One thing you do for health should be exercise not fucking AG1. Holy fucking shit.
Good!
Thank you!
One of the signs of diabetes is rapid weight loss...
T1
Ssris and anitpsychotics and other medications cause diabetes thats my assumption. I had 5 blood tests prior to getting drugged imma find out if im prediabetic soon
No... processed sugar, seed oils and breads are the main reason for any desease
Yes, secret to curing most of our chronic illness is eliminating sugar, carbs, plants and seed oils. Unfortunately, that only leaves meat and eggs, which works incredibly well.
@@johnallen7367Why plants? Why complex carbs?
I say TOFI people dont have fat cells so sugar stays in the blood
the belly
It's because metabolic dysfunction has less to do with body fat and more to do with fructose consumption, true fact.
EVERYBODY who has type 2 diabetes eats high-fructose diets.
Don't believe me? Find me somebody with diabetes that has never eaten sugar...good luck...
If you want to live a long life avoid doctors
I think sometimes they give me medicine when I leave just to make me feel better about something. It's not even really related to the reason why I went there and end up not using it most of the time.
Are you stoopiiid lol hypertension is a silent killer you need to get checked by doctors once in a while
0 argument lol word salad
Ahh yes, the skinny fat type 🧐
Carnivore diet!!!!
Maybe they are skinny because of diabetus...lol
True the medication they take actually causes weight loss
Perfect explanation of why Sumo Wrestlers don’t have diabetes 🤼♂️
Sumo Wrestlers have a large waist which means visceral fat. I don't understand how a person can be obese and not have visceral fat, as Dr. Fung implies.
Sumos intermittent fast till the evening to gain weight. It increases insulin resistance
Excellent Professional! 👏👏Explicit to the Point Clear easy to understand! Dr J Fung You have helped endless people improve or Cure their deseases blessings, thx🙏❤️🩷
I knew a very skinny guy who had a big beer belly.
Mightve been a symptom of nutritional deficiency
Bet you he's a real chick magnet. 😂