Metabolic Mind

We Can Reverse T2 Diabetes. That Doesn’t Mean Patients Are at Fault

July 23, 2026·6 min
Episode Description from the Publisher

Type 2 diabetes is a chronic disease that can often be put into remission. So why do so many people still struggle to get better?In this discussion, Dr. Bret Scher explores how the environments we create, from our food system to our healthcare system, shape metabolic health in ways that are often overlooked.Using a thought experiment as a starting point, he examines why remission is possible for many people with type 2 diabetes, why that shouldn't be confused with 100% personal responsibility, and what needs to change if we want to improve outcomes at scale.He covers:Why type 2 diabetes remission is possible for many peopleHow ketogenic nutrition and other metabolic therapies can improve insulin resistanceWhy type 1 and type 2 diabetes require fundamentally different approachesHow modern food environments contribute to metabolic dysfunctionThe limitations of decades of conventional nutrition adviceWhy clinician education and public policy matter for metabolic healthHow shifting the conversation from blame to biology can improve patient careGrowing evidence continues to show that metabolic health can be improved through nutrition and lifestyle interventions when people have the right support. Building healthcare systems and food environments that reflect that science could help more people achieve better long-term health.👉 Want to stay up to date with the latest research on metabolic health and metabolic psychiatry? Sign up for our newsletter to stay informed: metabolicmind.org/about-us/newsletter/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #Diabetes #KetogenicTherapyExpert Featured:Dr. Bret ScherBaszucki Group Medical Directorhttps://x.com/bschermdFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

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