I am a vegan and I was one before diagnosis. It is an ethical choice for me and permanent lifestyle for me. That said, after i was diagnosed I saw an infomericaly type thing on cable about him and saw the book. I went to Borders to check it out first. I was already doing low carb but since I was already a vegan I wanted to check out his book (maybe for recipes and such) and his book recommends a higher carb diet than I was already eating which is why I didn’t buy the book. A vegan diet can have tons of fat in it depending on your foods choices. I was also already eating less fat or the same amount of fat that was in the recipes in his book.
The theory that there is too much fat on the cells is one I have heard before. I naturally do not eat a lot of fat becuase I have not eaten much saturated fat (meaning animal fat) for 20 years. There is also saturated fats in coconut and choclate btw.
I guess I have a different perspective on this considering my background. I know many on this site do not like any vegan diet. Here is what I think: You should avoid all the processed foods you can. Things like bread, pasta and also high carb white foods like potatoes and rice. Before I was diagnosed, my vegan diet was full of a lot of that stuff (and not much fat at all!) All those extra carbs turn into sugar and turn into fat. I stopped eating them after i was diagnosed (I eat one piece of low carb toast a day) and I lost 25 pounds - I was NOT overweight, btw 5’4" and I weighted 130 - and I dropped my diagnosis A1C of 9.2 to 4.9 in three months and I think it was all because I gave up those four things. Also I have increased fresh foods - lke greens, veggies etc. Oh, no more real sugar too but that is obvious - I didn’t eat a lot of sweets prior anyhow.
So, what do I think about the fatty cell theory? Well, it is a difficult one for me. It makes sense - I mean, if your cells are all covered with fat how could they work properly right? But the question for me is: where does that fat really come from? Is it strictly fat that is consumed from a diet high in animal saturated fat? Or is it fat that is created from too many high carb food like processed breads, sugary pops etc. that turn all those excess carbs into sugar than into stored fat (because we know most people don’t exercise enough to burn that stuff off)? For me, it would be the latter because the first doesn’t apply.
For me, my D is definatley genetic and defiantely age-related. A vegan diet will NOT STOP you from getting D if you are already genetically predisposed to it (I am living proof of that). But can it improve your insulin sensitivity - I think maybe yes IF you give up all those white carbs. A vegan diet (if it is a healthy one - yes, vegans can have crappy diets!) can be low in fat but there is a lot to give up and it requires a lot of will power. If you do it, you can’t replace all the meat you were eating with a bunch of high carb stuff if you are diabetic - best to do is to put in more greens, veggies etc.
Anyhow, this is just my viewpoint based on my experience. This all said, if you decide you want to be a vegan, I thought his book was a decent starter for new vegs. Me, I am an expert at this diet so his book was very beginnerish for me! But if you do the diet right and exercise, it should help you lose weight (and fat!) if that is what you are also needing to do.
If you need advice on the diet, you can email me.