I just had a patient who I consulted with a few months back get in contact with me about his type 1 diabetes. Due to his work he had to start incorporating carbs back into his diet, but couldn't adequately control his blood sugar, even with insulin. So out of necessity he cut out carbs and went back onto a strict ketogenic carnivore diet and his blood sugar completely normalized.
I'm sure he could control his blood sugar with insulin, but other variables were in place which are conveniently missing from this guy's twitter sales pitch. And yeah, if you are using insulin and are on a strict diet of any kind you should be controlled.
Now here's the really interesting part: over the weeks and months he needed steadily less and less insulin until now he has completely normal blood sugar, even without taking any exogenous insulin...This is now the second patient I've had who has had this result, both of whom started a ketogenic carnivore diet within a year of being diagnosed. I haven't seen anyone be able to put T1DM into remission and start making insulin again after 1 to 1.5 years after presentation, but it's amazing that it can happen for anyone at any stage.
More variables required to be shared. With a strict diet, especially low carb, it is entirely possible to not need insulin provided you are exercising enough to burn through everything you're eating.
And how does he know the guy is making insulin again?
With my other patient, I saw her two weeks after she was discharged from the hospital with DKA, with blood sugars all over the place. Ketogenic carnivore completely stabilized her blood sugar levels immediately, and she steadily needed less and less exogenous insulin, until finally she didn't need any at all.
Great sales pitch! No info on what was happening with this individual before with blood sugars all over the place, but yes when you eat the same thing every day managing blood sugar is much more predictable! No other commentary on other variables, again.
I even checked her C peptide, which measures how much insulin the body is making, and it was barely detectable after 6 weeks on a ketogenic carnivore diet, but another two months on and it was completely normal, as was her fasting insulin, even though she no longer needed to take exogenous insulin.
Fasting insulin is not a thing, but I will assume grifterbro meant fasting glucose. More overall info on the patient is needed since if she was hospitalized for diabetic ketoacidosis, it is likely that was when she was diagnosed. And yeah your pancreas can begin to produce a bit more in the early stages after diagnosis and initial treatment.
This is something that can stabilize blood sugar for any type 1 diabetic, reducing the amount and variability of insulin, but for new presentations of type 1 diabetes, and type 2 diabetics at any stage, this is something that should be seriously considered as soon as possible.
Eating any type of repeatable, consistent diet will bring more stability. Eating a diet low in carbs will bring stability, especially if there is something (exercise, insulin) done to counteract the glucose spikes which come from eating excessive protein and fat. What? That can happen? Oh absolutely it can, it digests at a different rate so something has to counteract.
Type 1 diabetes is effectively cured. If you have the medicine, devices, knowledge and discipline, it's cured. You will be able to manage it well enough to avoid the negative health outcomes associated with the disease. Retina surgeries are basically non-existent now because T1s can handle their shit with the tools available.
Which brings me to my larger point: This fucktard is positioning his brand as a savior for a health problem for the subset of patients who can't figure their shit out. All he did was inject discipline to them but positioned it as miracle diet. The elimination of insulin could be considered impressive if he provided more evidence on the patients before and after - changes in exercise, behavior, A1C values, full lipid panel results, confirmation of proper diagnosis in the first place. But he doesn't, and without those details it is hard to trust.
The other super critical part is blood sugar management is not the only intended outcome of diet management. Maybe he did solve that issue for these 2 cause they couldn't solve it themselves. Sweet! You still have to manage that cholesterol, vitamins and nutrients, calcium etc essential to living. Has to share that end to end holistic outcome to make the level of claims he is making. And has to do so for a much larger sample over a long period of time. Until then it is just an anecdote to toss out to help him get straight cash homey.
It was my understanding that this technique only works on T2D folks because in T1D folks, your islet cells have been destroyed so you can't produce insulin - not that you've built an insulin resistance.
I could totally see a keto diet cutting your requirements for insulin but I think it's kinda risky because high blood sugar will kill you eventually but low blood sugar could kill you today.
Chinteresting. I’d definitely need to see more information than claims on twitter. I try to tell my kid that eating fewer carbs will make his life easier when it comes to managing his beetuts, but he’s 7 and doesn’t give a shit most of the time.
I'm sure he's sincere and fully believes what he believes. I also believe he spends no time seeking out a null hypothesis to his claims.
There has yet to be evidence produced on this board that he knows what he's talking about. Only anecdotes, and I guess his MD degree, which makes him like every other doctor in the world.
I don't think in a real T1 that a keto diet would lead to life threatening hypoglycemia (low blood sugar) unless you were to over-insulin. If I were to do what this guy says, I would flip my dosages to be much much higher for basal insulin (slow acting) and cut back on bolus insulin (fast acting) due to the digestive profile of a protein/fat only diet. Blood sugar does spike on excess consumption of such food, which is basically what meat sweats are.
The problem of course with being T1 and going carinovore/keto/whatever only is that if you do encounter that terrible hypoglycemia which can kill you today, you have to eat/drink sugar or whatever to not die.
FTR once in my life have I almost died from the 'beetus. Around 15 years ago I wasn't paying attention and while taking my once per day dose of Bolus (slow acting) I accidentally picked up the Basal (fast acting) pen. That once per day dose is always 30 units plus, which is way more than what I would ever take in one does for fast acting. I promptly went to bed. An hour-ish later I woke up in a massive panic and sweat, the fight or flight hypoglycemia reaction, and flew downstairs and in a panic chugged juice and ate like a billion things. Covered the floor in sweat. Blood glucose test came to 13. Below 70 is technically hypoglycemia.
This was years before I had a continuous glucose monitor. Over 7000 injections of slow acting insulin, 1 error.
This documentary was done by a Gabriel Cousins, MD, from Columbia. His premise is that he can get diabetes patients off, or damn near completely off, all diabetes medication in 30 days on a raw food diet. And that is mostly what happens in this documentary. n = 7.
Gabriel Cousins has been a pioneer in the health food movement since the 80s . Arguably an early icon.
Holy shit, that’s terrifying. My kid was camping with my father in law and accidentally dosed himself for 8 units, and that was bad enough. 30 would be fucking terrifying. I don’t know what your carb ratio was, but you must have eaten a shit ton of carbs to pull out of that.
I remember being in a blur shoving whatever I could which was sugary into my mouth. I probably chugged an entire bottle of cranberry juice and just kept going.
I've done the exact same thing. As soon as I did it, I realized what I had done and sat down with a whole box of cereal and started eating my way out of it. I took me several hours to get things smoothed back out again.
Comments
No. Absolutely fucking not.
I'm sure he could control his blood sugar with insulin, but other variables were in place which are conveniently missing from this guy's twitter sales pitch. And yeah, if you are using insulin and are on a strict diet of any kind you should be controlled.
More variables required to be shared. With a strict diet, especially low carb, it is entirely possible to not need insulin provided you are exercising enough to burn through everything you're eating.
And how does he know the guy is making insulin again?
Great sales pitch! No info on what was happening with this individual before with blood sugars all over the place, but yes when you eat the same thing every day managing blood sugar is much more predictable! No other commentary on other variables, again.
Fasting insulin is not a thing, but I will assume grifterbro meant fasting glucose. More overall info on the patient is needed since if she was hospitalized for diabetic ketoacidosis, it is likely that was when she was diagnosed. And yeah your pancreas can begin to produce a bit more in the early stages after diagnosis and initial treatment.
Eating any type of repeatable, consistent diet will bring more stability. Eating a diet low in carbs will bring stability, especially if there is something (exercise, insulin) done to counteract the glucose spikes which come from eating excessive protein and fat. What? That can happen? Oh absolutely it can, it digests at a different rate so something has to counteract.
Type 1 diabetes is effectively cured. If you have the medicine, devices, knowledge and discipline, it's cured. You will be able to manage it well enough to avoid the negative health outcomes associated with the disease. Retina surgeries are basically non-existent now because T1s can handle their shit with the tools available.
Which brings me to my larger point: This fucktard is positioning his brand as a savior for a health problem for the subset of patients who can't figure their shit out. All he did was inject discipline to them but positioned it as miracle diet. The elimination of insulin could be considered impressive if he provided more evidence on the patients before and after - changes in exercise, behavior, A1C values, full lipid panel results, confirmation of proper diagnosis in the first place. But he doesn't, and without those details it is hard to trust.
The other super critical part is blood sugar management is not the only intended outcome of diet management. Maybe he did solve that issue for these 2 cause they couldn't solve it themselves. Sweet! You still have to manage that cholesterol, vitamins and nutrients, calcium etc essential to living. Has to share that end to end holistic outcome to make the level of claims he is making. And has to do so for a much larger sample over a long period of time. Until then it is just an anecdote to toss out to help him get straight cash homey.
I know him personally fairly well and he is one of the most sincere people I've ever known. He knows what he's talking about
It was my understanding that this technique only works on T2D folks because in T1D folks, your islet cells have been destroyed so you can't produce insulin - not that you've built an insulin resistance.
I could totally see a keto diet cutting your requirements for insulin but I think it's kinda risky because high blood sugar will kill you eventually but low blood sugar could kill you today.
Chinteresting. I’d definitely need to see more information than claims on twitter. I try to tell my kid that eating fewer carbs will make his life easier when it comes to managing his beetuts, but he’s 7 and doesn’t give a shit most of the time.
I'm sure he's sincere and fully believes what he believes. I also believe he spends no time seeking out a null hypothesis to his claims.
There has yet to be evidence produced on this board that he knows what he's talking about. Only anecdotes, and I guess his MD degree, which makes him like every other doctor in the world.
@whlinder
Have you seen the documentary ‘Raw for 30 Days’ ?
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I don't think in a real T1 that a keto diet would lead to life threatening hypoglycemia (low blood sugar) unless you were to over-insulin. If I were to do what this guy says, I would flip my dosages to be much much higher for basal insulin (slow acting) and cut back on bolus insulin (fast acting) due to the digestive profile of a protein/fat only diet. Blood sugar does spike on excess consumption of such food, which is basically what meat sweats are.
The problem of course with being T1 and going carinovore/keto/whatever only is that if you do encounter that terrible hypoglycemia which can kill you today, you have to eat/drink sugar or whatever to not die.
FTR once in my life have I almost died from the 'beetus. Around 15 years ago I wasn't paying attention and while taking my once per day dose of Bolus (slow acting) I accidentally picked up the Basal (fast acting) pen. That once per day dose is always 30 units plus, which is way more than what I would ever take in one does for fast acting. I promptly went to bed. An hour-ish later I woke up in a massive panic and sweat, the fight or flight hypoglycemia reaction, and flew downstairs and in a panic chugged juice and ate like a billion things. Covered the floor in sweat. Blood glucose test came to 13. Below 70 is technically hypoglycemia.
This was years before I had a continuous glucose monitor. Over 7000 injections of slow acting insulin, 1 error.
I have not. I am much more of a reader than a viewer fwiw, but will see if I can track it down
Jeezus. Glad you made it.
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I found it. Above.
This documentary was done by a Gabriel Cousins, MD, from Columbia. His premise is that he can get diabetes patients off, or damn near completely off, all diabetes medication in 30 days on a raw food diet. And that is mostly what happens in this documentary. n = 7.
Gabriel Cousins has been a pioneer in the health food movement since the 80s . Arguably an early icon.
.
Holy shit, that’s terrifying. My kid was camping with my father in law and accidentally dosed himself for 8 units, and that was bad enough. 30 would be fucking terrifying. I don’t know what your carb ratio was, but you must have eaten a shit ton of carbs to pull out of that.
I remember being in a blur shoving whatever I could which was sugary into my mouth. I probably chugged an entire bottle of cranberry juice and just kept going.
Do not recommend.
Obviously always in the house to be mixed with Vodka.
And to make UTI jokes
I've done the exact same thing. As soon as I did it, I realized what I had done and sat down with a whole box of cereal and started eating my way out of it. I took me several hours to get things smoothed back out again.
Does cranberry juice really have any other intended purposes?
It's a good thing you had that UTI when the hypoglycemia attack hit.
I worry about your Northern VA (is for gay lovers) cuntry club folks and your selection of spirits sometimes.
Only sometimes? That sounds like improvement.
It was nice for that burning sensation to subside while I dealt with the more pressing issue