流體飲食或能治癒糖尿病

We all know our motivation to lose weight is high when we manage to lose weight quickly, and we can do this when we replace meals with diet drink, shakes and soups. So could doctors use this high ?motivation in overweight people with Type 2 diabetes to lose enough weight to cure them of it? It seems so.
我們都知道，當我們成功做到快速瘦身時，我們的減肥動力就會高漲。喝減肥飲品、奶昔和湯而非正常吃飯，是快速瘦身的方法。所以，醫生可否將這種高漲的動力應用於超重2型糖尿病患者身上，以期減輕體重、治癒糖尿病？好像確實可以。

When 277 morbidly obese people were put on a low-calorie diet for three months and followed up after a year, rapid early weight loss led to better long-term weight loss than for those using slower diets.
當277名病態肥胖者被要求攝入爲期三個月的低卡飲食時，我們在一年後對他們進行隨訪時發現：早期快速減肥使他們比採取慢飲食方式的患者擁有更佳的長期減肥效果。

"Programme retention was ?exceptionally high with a low-calorie diet, at 89%," said lead researcher Mike of Glasgow University. In the British Medical Journal, he said this new strategy offers people the chance of a cure. His main point is that it's not just a diet but a carefully structured programme aimed at substantial long-term weight loss that can be delivered by ordinary dietitians and practice nurses.
"低卡飲食的計劃保有率異常高，達到89%，"格拉斯哥大學的首席研究員麥克·利恩說道。他在《英國醫學雜誌上》說道，這一新的策略給了人們治癒糖尿病的可能。他的主要觀點是，這不只是一種飲食，更是一則精心策劃的計劃，旨在通過普通營養師和實習護士爲人們帶來長期的體重減輕。

It would cost less than the average annual cost of treating Type 2 diabetes with drugs. So the NHS is going to pilot a low-calorie diet programme as the first treatment option for new patients with a diagnosis of Type 2 diabetes. For a group of 500 patients, GPs will be encouraged to prescribe a liquid diet of just over 800 calories a day for three months, followed up with a period of full support.
其成本低於用藥物治療2型糖尿病的年平均費用。所以，英國國民健康體系將制定一套低卡飲食計劃，作爲剛被診斷出2型糖尿病患者的首選治療方案。對於由500名患者組成的小組而言，全科醫生將爲他們開具一份800卡左右的流體飲食（三個月），隨後進行一段時間的全面支持。

This initiative is inspired by the DiRECT trial, funded by Diabetes UK, which showed that low-calorie diets can put Type 2 into remission. Most ?importantly it can be achieved as part of routine care in general practice without reference to hospitals and special clinics.
該倡議受英國糖尿病協會DiRECT試驗的啓發，該試驗表明低卡飲食可緩解2型糖尿病。最爲重要的是，它可以作爲全科診療的常規護理來實現，不涉及醫院和特殊診所。

Last August, a study showed the cells in the pancreas that produce insulin can be "rebooted" once ?remission from Type 2 has occurred. Another study showed that with rapid initial early weight loss, weight isn't quickly regained on reverting to normal eating. This reversed previous thinking that when weight is lost quickly it's quickly put back on again.
去年八月，一項研究表明：一旦2型糖尿病有所緩解，胰腺中產生胰島素的細胞就可以"重新啓動"。另一項研究表明：在早期快速減重的情況下，若恢復正常飲食，體重不會很快反彈。這改變了人們之前的想法："瘦的越快，增重也越快"。