It is important to realize that the program we have described over the past few weeks is not a quick-fix, temporary weight loss gimmick (although fat can be lost surprisingly rapidly on this program), but rather a healthful and sustainable lifestyle that will work to promote appropriate insulin sensitivity and leanness, while reducing risk for many essentially preventable medical disorders that plague countless middle-aged or elderly Americans. It is a feasible long-term lifestyle strategy because it never requires semi-starvation or calorie counting, just a change in the type of foods you eat regularly.

The recommended supplementation is not a "magic bullet" for lazy diabetics - it can only provide its full benefit in conjunction with the recommended exercise training and dietary choices. For type 2 diabetics, the goal of this program is to eliminate or prevent diabetes. Although McCarty’s limited experience with this program in type 2 diabetics who have been compliant in the long term is extremely encouraging - presumably in large measure because of the

substantial fat loss achieved - a larger number of such subjects must be followed before making any definitive statements about typical outcomes.

So far, there have not been any formal clinical studies with this program in diabetics, but such studies are planned. Of course, even if a diabetic becomes a former diabetic on this regimen, he or she can readily become diabetic again if former self-destructive lifestyle habits are resumed. But why go back to bad old habits if you feel good, look great, and have earned an excellent chance to live a long healthy life? Don’t most good doctors advise their diabetic patients to exercise more and eat a better diet? Yes, of course they do, and a minority of patients make such a good effort in this regard that they can notably improve their diabetic control; a few even become ex-diabetics. But the more common experience is not so positive. Next week we will see what can be done to overcome this.