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Unlocking the truth about diabetes: ‘The science has been pretty awful’ - The Guardian   

More than 400m people around the world have diabetes, and many control the condition using insulin. But science writer Gary Taubes believes it's this very treatment that is behind the current epidemic. Does his controversial case for a diet-based alternative to medicine have any bite?

Since 2007, Taubes has published five books on sugar, fat and carbohydrate, including his latest, Rethinking Diabetes, in which he posits that low-carb diets have been under-used as a way to manage blood glucose in type 1 and type 2 diabetes, in favour of drug-heavy treatment regimes which, he suspects, may do more harm than good.

His writing on nutrition has won several awards, notably from the US National Association of Science Writers, but it has also been sharply criticised, mainly for his almost evangelical attachment to the keto diet, in which you eat so little carbohydrate (50g or less per day) that the body goes into a state called ketosis, meaning you stop burning stored glucose and start burning fat instead. In 2021, he published The Case for Keto, a self-help book, after which, as he says, he went "from being a respected source of information to somebody who may indeed be a crank after all". Taubes, who follows the diet himself, is now proposing it should be offered to people living with diabetes. (Keto diets were originally developed as a way to treat certain types of childhood epilepsy.) For Taubes, keto means he doesn't "eat starches, grains or sweets, and I don't eat breakfast because I think better in the morning without it. When I snack, it's nuts or good cheese. If we were to go to dinner together, I'd order a piece of fish or half a roast chicken and ask the waiter to hold the rice or potatoes and give me a green salad or green vegetables instead."

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