Book cover of The Diabetes Code by Jason Fung

Jason Fung

The Diabetes Code

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Type 2 diabetes doesn't just happen overnight—it develops because of specific diet and lifestyle habits. But the encouraging news is that it can also be reversed by making the right changes.

1: Understanding the Different Types of Diabetes

Diabetes isn't a one-size-fits-all condition. It comes in a variety of forms, each with unique causes. Type 1 diabetes is an autoimmune disorder where the body attacks insulin-producing cells, creating a shortage of insulin. Without this hormone, blood sugar levels escalate. On the other hand, type 2 diabetes is linked to prolonged high insulin levels, typically caused by diet and lifestyle choices.

While type 1 diabetes patients need insulin shots to survive, type 2 diabetes stems from insulin resistance. This occurs when the body produces excessive insulin due to high sugar intake, but the cells stop responding to it properly. This creates a vicious cycle: insulin levels keep rising, but glucose remains in the bloodstream.

Type 2 diabetes is often associated with symptoms like frequent thirst and urination. These happen because the kidneys are overwhelmed by excess sugar in the blood and try to expel it. Recognizing why these symptoms occur, and addressing their root causes, is key to handling the disorder.

Examples

  • Type 1 diabetes usually appears in childhood or early adulthood.
  • Type 2 diabetes cases in the US have surged among adults due to poor diets and inactivity.
  • Symptoms like excessive thirst and frequent urination appear in both types from high blood sugars.

The connection between obesity and type 2 diabetes has been clearly established. Weight gain leads to a sharp rise in the risk of developing the condition. For instance, gaining 10 to 20 pounds increases the risk by 90 percent, while gaining over 40 pounds raises it by an alarming 11,300 percent.

Despite this, simply eating fewer calories doesn’t solve the problem. When calorie intake drops, the body slows its metabolism, conserving energy and making weight loss difficult. Hormones, especially insulin, play a bigger role in weight regulation than calorie tracking.

The way forward lies in reducing insulin levels. This means adjusting what we eat—cutting foods that cause insulin spikes, like refined carbohydrates—to break the cycle of weight gain and insulin resistance.

Examples

  • Harvard studies confirm the strong connection between weight and type 2 diabetes.
  • Individuals attempting low-calorie diets often regain weight due to hormone-driven hunger.
  • Reducing insulin levels through food choices is more effective than simply eating less.

3: The Role of the Liver in Insulin Resistance

Fat deposits in the liver are a key driver of insulin resistance, a precursor to type 2 diabetes. The problem begins when we consume more carbs and proteins than the liver can process. Excess glucose from these foods is stored in the liver as glycogen. When glycogen stores are full, the liver converts leftover glucose into fat.

Over time, this fat builds up in the liver, impairing its function. The liver becomes resistant to insulin's signals, setting off a chain reaction of rising insulin levels and worsening fat deposits. The good news? Returning to a healthier diet can reverse this fatty liver condition.

Examples

  • Research shows insulin resistance can appear after just three weeks of high sugar consumption.
  • A 27 percent increase in liver fat was observed in participants from a sugary diet study.
  • Cutting carbs and sugary foods helps the liver clear stored fat and regain its sensitivity to insulin.

4: Fructose: A Hidden Danger

Fructose, often labeled as table sugar or corn syrup, has a devastating impact on liver health. Unlike glucose, which the body can process more evenly, fructose must be entirely metabolized by the liver. This overload can quickly lead to fatty liver disease and worsen insulin resistance.

Dietary habits built around processed and sugary foods exacerbate the problem. Historical data shows that while 19th-century diets included about 15-20 grams of fructose, modern intakes in the US have surged to over 78 grams daily.

Excess fructose from corn syrup, candies, and even unsuspected products like ketchup floods diets today. Reducing fructose consumption is essential to reversing this health crisis.

Examples

  • Countries with high fructose consumption have 20% higher diabetes rates.
  • Corn syrup emerged in the 1970s, skyrocketing people's sugar intake globally.
  • A shift to natural fructose sources, such as fruits, reduces the liver's strain.

5: Rethinking Insulin Shots for Type 2 Diabetes

Insulin is life-saving for type 1 diabetes but far from an ideal solution for type 2. High levels of insulin, rather than low levels, characterize type 2 diabetes. Introducing more insulin through treatment only worsens the underlying issue, propagating health risks like heart disease and strokes.

Studies dating as far back as the 1940s found a correlation between high insulin levels and hardened arteries. More recent research, such as the ACCORD study, revealed that aggressive insulin use actually raised cardiovascular death rates among patients.

The lesson is clear: instead of introducing more insulin, the treatment should focus on lowering the body’s unnecessary insulin production through diet and fasting.

Examples

  • The ACCORD study had to halt early because insulin-treated patients faced higher death rates.
  • A 2010 study found an alarming 279% increase in heart disease risk from insulin treatments.
  • Long-term insulin use can exacerbate rather than solve type 2 diabetes.

6: Surgery as a Last Resort

Weight loss surgery, or bariatric surgery, can effectively reverse type 2 diabetes by rapidly causing patients to drop weight and reduce insulin resistance. However, it’s not the ideal approach due to its invasive nature, high costs, and risks associated with complications.

Post-surgery, most patients experience immediate benefits. Their livers burn through fat deposits, and diabetes can disappear without further medication. But complications like bleeding, nutrient deficiencies, and infections are common.

While effective for some extreme cases, dietary changes can replicate surgery’s effectiveness without the costs or risks, making them the more sustainable solution.

Examples

  • A Cleveland Clinic study found surgery cured diabetes in 95% of cases.
  • Post-operative patients often enjoy long-term health improvements like lower blood pressure.
  • Complications like nutrient malabsorption make surgery a risky gamble.

7: Avoid Fructose and Refined Carbs

Minimizing sugar and refined carbs is among the most effective ways to reverse and prevent type 2 diabetes. Fructose drives liver fat accumulation, while refined carbs push insulin levels dangerously high.

Replacing refined carbs (like white rice and chips) with foods like brown rice and whole-wheat pasta keeps insulin levels manageable. Similarly, avoiding processed foods and sugary drinks helps eliminate “hidden sugars” lurking in daily diets.

Examples

  • A three-year-old in Texas became the youngest known type 2 diabetes patient due to diet.
  • Smoothies, sauces, and even bread often hide added sugars.
  • Switching to unrefined carbs offers longer energy release and better nutrition.

8: The Power of Intermittent Fasting

Intermittent fasting taps into a time-tested, drug-free strategy for addressing type 2 diabetes. By alternating eating periods with fasting windows, the body reduces insulin production, bypasses resistance, and sheds fat.

Short-duration fasting, such as skipping dinner, is flexible and effective. Research shows fasting diets outperformed traditional portion control in reducing insulin and weight.

Examples

  • Nineteenth-century doctors relied on fasting to manage diabetes even without modern tools.
  • A 2011 British study verified how intermittent fasting normalized insulin levels.
  • Patients lose significant fat during fasting since the liver depletes glycogen reserves.

9: Taking Control Is Within Reach

Type 2 diabetes may feel overwhelming, but it is reversible. By addressing insulin resistance with sustained lifestyle changes—like reducing high-fructose and refined-carb foods and incorporating intermittent fasting—most people can take control of this condition.

Recognizing food's outsized impact empowers individuals to reverse harmful patterns and stop relying on invasive solutions. Sustainability is about turning these adjustments into permanent habits.

Examples

  • Personal responsibility, rather than reliance on medication, yields long-term results.
  • Fructose-conscious diets are becoming increasingly popular worldwide.
  • Many success stories underline the potential of dietary control over type 2 diabetes.

Takeaways

  1. Cut out sugary and processed foods, especially anything with fructose or refined carbs.
  2. Consider trying intermittent fasting—experiment with durations to find what works.
  3. Focus on adding whole, healthy fats and unrefined carbs to your diet for better energy levels and insulin sensitivity.

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