Rethinking Nutrition for Type-1 Diabetics | Andrew Koutnik | TEDxUSF
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- Опубликовано: 5 окт 2024
- Whether a scientific expert on nutrition and metabolism or someone who doesn’t understand the differences between carbohydrates, fats, and proteins, everyone understands that what you eat influences your appearance, health and well-being. Andrew shares his personal and research perspective to educate, empower, and motivate Type-1 Diabetics like himself to take notice of how a nutritional approach to managing the disease can make a significant difference. Andrew Koutnik grew up in Tallahassee, FL and attended Tallahassee Community College and Florida State University. While at Florida State, Andrew was involved in 11 publications exploring how exercise, nutrition, supplementation, etc. impacted both the cardiovascular and autonomic systems. Andrew received a Presidential Fellowship award to join the Metabolic Therapeutic Lab at USF College of Medicine to study metabolic therapeutics in health, disease, and performance. Here Andrew was a part of multiple publications, presented at international conferences, initiated extra institutional collaborations, and orchestrated two research projects for NASA NEEMO 22. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at www.ted.com/tedx
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I’ve had Diabetes type 1 since I was 14, I’m 47 now and I haven’t had any issues. But I will say this, these doctors don’t care about you and only care about what medicine they can put you on. As a diabetic you have to take care of yourself and constantly monitor your sugar level, watch what you eat and exercise for the rest of your life! I hate it but it is what it is
Can't never could find a cure negative Nancy!
im with you man, just 17 and was diagnosed last year. Its tough but no problems as of yet. Just gotta take it on the chin is the way i think about it.
My experience with these doctors is the same. They don't actually give a flying f about you, you're just an unlucky nobody who contracted this disease and is now stuck with them to them.
This is very true. I've been type 1 since age 10 and 40 now. Exercise everyday and I have to eat very healthy always and manage stress. I've known type 1 diabetics that didn't do this and sadly they have all died or lost kidney function. Don't trust the doctors, prevention is living healthy, there is no pill that will replace this. You will regret trusting a pill pushing doctor with their "preventive" diabetes drugs from big pharma.
The doctors couldn't care less! It has been one long series of medical neglect, mismanagement, ignoring, and refusing to take ANY responsibility on their part for ignoring and not paying attention to symptoms, blood work, my reports, constant diarrhea, nothing is relevant to them or worthy of follow-up or referrals to other specialists as I watch the life ebb out of me ! I'm a senior citizen that just got diagnosed with Type I diabetes two weeks ago, an onset after being treated with steroids for 6 weeks due to the hepatitis's they gave me by giving me some bogus Immunotherapy treatment for a kidney cancer caused by the two COVID injections in November 2022!! I was in perfect health before all of this "standard of care" medical negligence!!
Type 1 Diabetes Is no ******G Joke :/ I haven’t been taking my Diabetes seriously from 9 years of age till now and I turned 21 June/2018I got out the hospital not too long ago I’ve almost died 4-5 times and I’m here now to turn my life around. Im done seeing my mom cry next to my hospital bed
You got this! It's an everyday struggle and requires us to completely change our lifestyle. You're still young which is your greatest advantage. LCHF is the way to go for sure!
I had a similar story to yours. I was diagnosed at 7 years old and had horrible control in my teen years. When I was 21 I ended up in intensive care for a week, almost died. I turned my life around after that but it was and is still a continuous process. Take it one day at a time, keep educating yourself and doing the best you can!
Je suis désolée
Good boy
Facebook group typeonegrit 60% children and 40% adults and almost all have HBA1c below 5.5
I am watching sitting in a car while my son and wife are talking to Endocrinologist. My son was just diagnosed. I was not let in do to Covid restrictions. I love you Jimmy
Sorry to hear that. I’m glad you’re doing research and watching videos to learn ways to treat the disease. Remember diet and exercise is very important!
Do you have any updates?
As a family doctor I suggested this to a patient who was a brittle diabetic often in hospital. The diabetes consultant told me i was wrong. I also suggested hba1c to diagnose pre diabetes and insulin levels to diagnose metabolic syndrome and insulin resistance. That was 30 years ago. I'm glad to see that this information is available. It was very frustrating that i wasnt allowed to help patients.
Having had type 1 for over 30 years, I have never been advised by any medical professional that actual nutrition is important, I think this is because there is always an effort to make the patient feel as if they can have as normal a life as possible? And thus to be encouraging. Its a lot to expect of someone to give up eating the way they normally would. That said, I have been adapting my own diet similarly, but find I am frustrated by a lot of variables, as were mentioned in the talk. For example, I have found I have some bad injection sites, I have sick days, I have a ton of stress related to work and family. Also I suffer from a lot of depression and general fatigue from this cognitive burden of worrying 24/7 about my blood sugars and/or am I developing complications. Its a scary rollercoaster for me, but I am glad to hear this talk, thank you.
Its an interesting talk for sure and should serve as inspiration for all type one diabetics to eat better and take the least amount of insulin possible, but I agree with you on the variables aspect of managing glucose being endless. He mentions factors in calculating for a bolus injection, I wish I could get his insight on managing these things specifically, especially exercise(as dude is jacked) which is very tough to maintain stable sugars during/after. Least amount of insulin = safest, least stressful life as possible.
I agree Amy, and to my mind it's essential that nutrition be of paramount importance. In the UK they actually tell you to eat carbs, which seems wrong to me. Cut carbs, cut insulin.
i feel u 👍
@@thetroubadourlounge323 And be careful of DKA - always.
I feel the exact same. It's scary how accurate you are.
I am type 1 diabetic . At age 20 , I was diagnosed. My blood glucose level was on a rollercoaster even with insulin therapy. Now it is in steady level due to some lifestyle change. I eat only 2 times as main meal time and foods are of generally medium glycemic index at that time. And other times I will consume food high in potassium so that I don't crave sugar and carbohydrate rich food. Also I add egg to my diet so that I don't overeat. I do a post meal walk if I am at my home. I exercise at morning and evening. I always maintain 3 hrs gap between meal and bedtime and always sleep for 7.5 hrs. So nowdays no spike sudden! Ofcourse I need insulin but 6 units less than prescribed (per day) and I don't feel low on mood nowadays.
Hi, Dear,
I need guidance to gain weight.
Great!
Thanks for this talk. I am type 1. It was very important to me. I was 53% on target. I changed my nutriion and just 45 days atter I am 91% on target.
I have had many operations and medical issues since 1990, and I was diagnosed with diabetes at age 11 on top of that😔. I have my wife totally upset at me at times when suddenly ( seemingly randomly ) my blood sugar drops to 20 within 30min 😩. I feel like it is nearly impossible to control. Stress, pain, sleep, healing, injury, medications, food, depression...etc. all factors to watch out for every minute of every day. I pray we all make it and figure out this complex puzzle 🙏🏾.
Right there with you! Sometimes I think it's easier to launch a rocket than manage all the variables. Increased insulin sensitivity during exercise is one of my biggest issues rn, have you experienced this?
T1 diebtic for 20 years diagnosed when i was 10. Can confirm mental health plays a massive role in BG control
I'm a recently diagnosed T1, found at home alone, coming in and out of a coma, basically on my way out of this life. I was rushed to hospital where I spent 4 days on a drip and I made it through. My HbA1c was 14.7%. Six months later, that's now 6.2%, mainly through going low-carb (not Keto, just low) and avoiding ultra-processed food as meals (I still have low-carb UPF snacks sometimes). My vision issues healed within about a fortnight. My weight dropped. My energy levels are consistent - no need for a nap in the afternoon anymore. There's no cure for T1 (yet) but this is a great reminder of how self-care through nutrition can make a big difference. Thanks for this.
I was diagnosed at 26, it really changes everything, but I work around it. I'm 39 now and happy.
Type 1 Diabetic here since the age of 3. Thank you for this!!!!
I have been a type 1 diabetic since the age of 15 now 62 , very hard 24/7, I wish everybody was a diabetic and they're bloody well realise how hard it is , terrible mood swings low blood sugar or high blood sugar. NO joke!!!!
Sir, i am 21 years old. Now i have daigones type 1 dibatic. Pls sir share your dait chart
David, i want to say that reading your comment just gave me hope that i can live as long as you. Very inspiring man. Would love to know your routine for diet/exercise/basal rate
The key is consistency. Write down every blood sugar measurement and all meals in exact grams. After that it is easy to manage if you have self discipline.
DJB .. Your a survivor!! Congratulations on still being here!! 47 yrs on this T1JD journey. I’m 52 yo now and was diagnosed at 28 yo. My brother also had the condition before me at 8 yo when he was alive. I love Richard Bernstein’s book: Diabetes Solutions as he is 88 yo now and still a MD as far as I know. Also thought the eldest T1JD was 87 yo? I talked with Dr B on the phone briefly this spring of 2021. I’d check out this book too: Nutrition and Physical Degeneration by Weston A Price is one of the most influential, informative books I’ve read in my entire life it was a former Harvard Anthropology course book.
He’s brilliant 🤩 Loved listening. Type 1 for 40 years and now that I’m on a “Keto” diet - my HB1C has gone from 12 in the past now down to lowest EVER: 6,8. I was encouraged by this talk to get that even lower. Eating tofu has only 1.5 carbs, for instance. No reason to eat pasta or bread which sends the blood sugar way up. I’ve given up 80% of most foods I used to eat but I feel MUCH better, and more in control.
What do you eat as a part of your diet?
This was absolutely fantastic. Knowing Andrew personally he is such a pleasure to be around and talk to. Really great job man, proud of you! (I miss our chats in the gym!)
same
Respectfully I Appreciate your kind gesture Dr igho, you have always been able to help with any of my health Issues, I didn't know how to face the Stigma of living with Diabetes but I'm happy to say today that I'm glad to have you as my doctor because it just seems like magical.
This has awoke something in my mind and after 40 years of type 1 I think I'll try this low carb diet. It makes me wonder why no diabetes professional has ever said anything to me about a low carb diet, I mean I've seen books about it but no one ever said this is a good way for type 1's to go.
Thank you for this great advice.
Look for Doctor Bernstein's book on Type 1 Diabetes and low carb diet. He has been Type 1 since around twelve years old - he's eighty five now.
I end up there just via math.
We have to calculate carb to insulin for meals. There is always going to be a percentage of error either from guessing the carb count in the meal or just minor imprecision in carb to insulin ratio.
So low carbs equals small numbers and the same percentage of error is a smaller error over all.
So yeah, we CAN eat carbs but for me, smaller amounts of carbs are easier to manage.
@@zedex1226 Have you seen need to cover protein?
@@ellenorbjornsdottir1166 only a tiny amount. If it's part of another meal I ignore it. For instance a steak and a tiny baked potato? I'm not concerned with the steak at all. Since a mistake of +/- one mouthful of potato is gonna be more than the whole steak. One of my favorite snacks is a plate of sliced chedder and roast beef (a sammich minus the bread) and I might bolus like 5g of carbs for a whole plate. I'm usually doing a small correction at the same time as a meal so I'll ignore the protein at that time too.
For me good management is all about doing the easiest things that give the biggest a1c returns. Getting sleep sorted out. (⅓ of life) followed by easy stable meals for work (another ⅓) are big chunks of easy to standardize life. With the remaining ⅓ of life I can think of hobbies I would rather spend time doing than playing around with the science project lab that my body is but oh well, I find it interesting enough to keep at it.
@@zedex1226 Fun. How's the average glycemia doing?
Thank you Andrew for telling me about your Tedx talk. You are a phenomenal speaker! Loved listening to you!
thanks man i watched ur vid 4 months ago and it changed my life better levels than ive had in 14 years
so glad we live in a time where pumps, glucose monitors, and google exists. I was also diagnosed at 16, however that was just over 3 years ago. i went through a very depressive period where i was doing drugs and also not giving myself insulin because i thought it was a death sentence. there needs to be more positivity in the education of type one diabetes, instead of making it seem like your whole word is going to change- which it does, however the transition does not have to be as hard as doctors and educators make it.
Thanks for your talk Andrew! You and others like - Dr Dominic D'agostino, Dr Stephen Phinney, RD Dikeman, Dr Richard Bernstein and Dr Eric Berg - are leading the charge on how to take control of your blood glucose. Great stuff.
several of the people you mentioned are NOT physicians.
This is one of the most important medical videos out there imo. On a side note, anybody who has a soda craving may like an all natural sugar free alternative called bobelo. It's a self carbonating powder you put in your own bottle. We love it. It has electrolytes such as potassium which can also help reduce cravings.
I've been type 1 diabetic since the age of 01, and now I'm 20 years old. It's not easy being a diabetic because I need insulin to take, and to keep it from getting higher than they are. The insulin prices are much higher than they ever had been before.
My man so proud of you!
Nice video content! Apologies for the intrusion, I would love your thoughts. Have you heard about - Patlarny Sugar Outcome Principle (just google it)? It is an awesome one of a kind guide for reversing diabetes minus the hard work. Ive heard some pretty good things about it and my old buddy Taylor after a lifetime of fighting got cool success with it.
I’ve been doing keto and intermittent fasting and even Omad, my insulin needs have gone down tremendously, both basal and bolus besides this obvious benefit there are so many other health and cosmetic benefits to doing these. I urge you to look into both if your a T1D, we and our families need us around healthy
Thanks for this talk Andrew, really inspiring & providing a voice to us Type 1 Diabetics, you look shredded too, good work! - about 10 days into my low carb diet, gotta get through Dr. Bernstein's Diabetes Solution, and the next goal is to get into the Type 1 Grit group!! keep strong!!
Great advice for people with T1D and T2D!
I have T1D for 21 years now.. It's really hard to stick to one diet. The hard part are also the emotions that affect our glycemie daily.
Every single thing must be controlled actually..we obviously cannot have normal lives.
I struggle but I want to get better.
For me and for my daughters.
No matter what, we absolutely have to take care of ourselves.
We often forgot how valuable our health is..till we realise that severe health issues may knock at our door
Moschona Kyriaki raw is king
@@orginalry It may be the solution but i'm too weak for that🙈😩
Moschona Kyriaki it’s a process. I’ve been plantbased for 4 years now, diabetic closing in on 10 years. Don’t talk like that, your body/cells can hear/feel your thoughts and emotions. I know how tonight type 1 can be, especially when you have children. That’s how o know you’re not too weak. Type 1 builds strong warriors. First step would be to try and eliminate meat, dairy and all processed foods. Going on a water fast for a week, then a week of homemade juice. You wouldn’t believe the wonders that will stem from just that. Your insulin sensitivity will increase and any resistance will decrease. Also look into minerals. Most people are mineral and vitamin nutrition. I wouldn’t waste my time writing a long paragraph to a complete stranger if I didn’t think it would help. You might never try but you owe yo yourself and children to at least try without bias. We have been programmed to eat a certain way and it’s just plain wrong.
@@orginalry Well thank you so much for your advices!
It's not easy but the least is to try and I definitely will. I'll certainly be surprised with the results.
We indeed have to be more conscious about what we are doing and the ideologies that were given to us - we mostly should follow our senses
@@moschonakyriaki93. Hey, have you tried? Can you share your thoughts? My girlfriend is type 1 and I'm trying to help her if I can
I was diagnosed with T1D last month. Will keep on fighting like you!
Dr Ehimare on RUclips channel cure my son diabetes with natural herbal remedy treatment with no side effects, thank you very much Dr Ehimare for your good work and God will continue blessing you. Contact Dr Ehimare on RUclips or whatsap +2349027349748.
Hello
@@incrediblefacts6544 Hello
Hey welcome to the family. hows it been going? i bet you have learnt alot over the last 8 months.
@@WilliamCronin Thanks! Yeah it's going fine so far. Learning everyday!
I have been type 1 for 17 years and this really spoke to me. I think its time to make a change.
I am almost the same I have had it for 16, and I totally agree with you I need to change my diet its out of control and I have so many high sugars, and it is not okay May 26, 2018, I had my worst blood sugar ever it went to 1,550, and I didn't even go into a coma! I am fortunate, and I need to do something different.
I've been a type one for almost 11 years and discovered low carb in 2017...I wish I would have been introduced to this concept when I was first diagnosed at children's hospital when I was 16!! I can't believe how different my blood sugar is consistently with low carb. No more rollercoaster...
I'm realizing I got really lucky with my endocrinologist when I was diagnosed as a kid. He did a great hob of explaining how I needed to minimize the amount of insulin I took and not just dose myself for anything and everything that I wanted to eat. It's been almost 27 years and I've managed to avoid any serious complications, not even a single hospitalization since my diagnosis.
@@wadehunter8113sigues bien ?
Im also a T1D i got diagnosed when i was 13 years old with a honeymoon phase. (This is when your pancreas is producing small amounts of insulin) The doctor was shocked how long i stayed in this phase, now that im 29 i’ve decided to stop drinking alcohol/ corn syrup drinks and have a clean diet and go to the gym at least 4-5 days a week. Thank you for this informative video!
My son 13 got it .. what shall we do ?? Use vegan ? I don’t know am desperate now .. saw videos about “Eat to Live” might have tips ??
@@Seekingoptions now please bear in mind that this is just my opinion, but I don't think a vegan diet is good for diabetes because I think it has too many carbs. Carbs are what people with diabetes can't deal with very well, so my line of thought for well controlled blood sugar is along with physicians care, exercise, the right medicine which for a type 1 is insulin, and a nutrient dense diet with less carbs not more.
@@sabrinazakrowski1399 we are helping maintain it.. we are going low carb diet following dr Bernstein
Wish the best for your family and for your son as he learns how to navigate and manage his condition and keep himself healthy.
Gym 4-5 times a week is awesome! Have you noticed that insulin is more effective during exercise?
Sharing this with my nutritional supplement students each semester for our blood glucose/insulin/diabetes/GDA chapter.
Awesome job Andrew!
This is an excellent source of motivation. I’ve been trying to find ways to help stabilize my BG bc i have been struggling immensely with seizures while I’m trying to sleep at night. I’ve been making a lot of changes to combat that and I think this will be added to the list of changes!
Keto has a direct effect on both Diabetes _and_ seizures. Check it.
Kimberly Heard - Laughry whole food plantbased diet
@@DarkMoonDroid que efecto tiene keto ??
Que cantidad de insulina usabas , mejoraste ??
Great work. This whole time I've been doing keto I didn't even realize there was a community of T1D's that use the keto or low carb diet. Finally something i can use to back up my arguements with my endo lol.
Lustig also has some to add on high fructose/sugar poisoning.
I reduce my husband’s Insulin injection amount by three times being on Keto.. ! It’s amazing !
How's your blood sugars nowadays?
Keto is not good for you
Low carb is the way to go
The biggest piece of bad advice I received 20 years ago when diagnosed with t1 diabetes was from the children's hospital is STL mo. They said you can eat anything you want just take insulin for it. That's not true. Maybe from time to time as a treat yes but on a daily basis I've found a strict low carb diet has helped me go from am a1c of 13 to a 6.4 in just 6 months. This diet works if you're strong enough to follow it.
Your intervention should be very obvious to everyone who has T1D. I wish doctors would stop saying things like "you can live a normal life" to patients, because no its most definitely not going to be normal. However, it is manageable. Cutting off carbs, which is in pretty much everything, is not normal. Most staple diets consist of bread, pasta, rice, potatoes which are all full of carbs.
Nondiabetic here... Carbs aren't normal!
There is no normal life. I asked a doctor/endo - why did he charge me $50 more for my kid with Type 1 than my son without for same exam. Quit the BS about "normal life."
@@joannacsoutherland That's nuts. America is broken
@@joannacsoutherland Shouldn't the goal be "reasonable normality within the constraints of what keeps glycemia normal?"
I agree with you that the disease T1D is definitely NOT easy! I have been T1D for over 31 years. I have no complications by the Grace of God! It is a daily adventure. I don't do the strict Keto diet but I do an Atkins diet (level 2 or 3). My sugars are in control. If I eat any type of bread, pasta, rice, potatoes or beans then my sugars go way high. Most people that are non diabetic think that the low carb diet is crazy and not normal. Actually the diet I follow is low carb and doesn't include the carbs. It is quite fulfilling and satisfying. I don't miss the high carb choices. As I am human, I do have a craving once in a while for a higher carb item. I satisfy myself with a small slice of 85 to 90% bite of dark chocolate from a candy bar. Not much sugar but lots of flavor and it is satisfying.
I completely relate to you!I've been through the same road!
When I was diagnosed in 2014, I stuck to a low carb diet for a year and a half. I was able to manage my sugar levels with a small amount of basal insulin every day, and kept a moderately active lifestyle. Granted I was told I was experiencing a “honey moon phase” but didn’t quite tell my endo I was eating virtually no carbs. After this year and a half I started gassing out. I became fed up with restricting myself, and was never truly satisfied after a meal. While I do believe low carb works, I don’t think it’s sustainable in the long run. With so many people having gone keto, there are also a lot studies proving the dangers. Something to consider before you dive into this diet. Kudos to you for sticking with it though!!
Caitlin Liboiron a whole food plantbased diet is the best
I've been on a low carb diet for the last 16 years. My highest A1C in those last 16 years was 5.3. For the last five years, I've been in the 4.7 to 4.8 range. Low carb eating works. T1 Diabetics should realize that food is simply an energy source. Nothing more. The tradeoffs between eating everything you'd like to eat and eating only what you should are simply not worth it - at least to me. I am healthier and more fit at the age of 49 than any non-diabetic I've met. This diet is sustainable. Do I sometimes wish I could have a burger or pizza? Sure, but the tradeoffs are not worth it to me.
... energy substrate metabolism - Philip Randle
And: type one ... or LADA? (Deficiency of healthy non-oxidised LDL? ... Excessive lectin intake? ...)
After 20 years of type 1 hba1c of 7-8 on average im so excited to give this a go 💪 i dream of steady levels
As a type 2, a ketogenic diet and fasting have saved my life and reversed this condition for me. Doctors don’t recommend this for type 1 or 2 partly because they continue to practice an outdated mantra to treat diabetes and partly because they are worried about potential law suits from a low carb diet that can result in low blood sugars or in type 1, ketoacidosis
This is a direct result of lack of education and research on the doctors part for not understanding the role of nutrition and the therapeutic benefits of a ketogenic diet.
Exactly!! Honestly Endos know nothing about nutrition so you can’t blame them. Maybe ALL doctors should be required to have a degree in nutrition as well!!
Yes. I'm a type one I've been keto for 16 months A1C 5.1%.
Before there was any injectable insulin, people with diabetes were just simply left to die or given harsh diets that were near zero carb bit also well under 1,000 calories a day with many dying of DKA anyway or starvation because of so little food.
Now, it should be better understood than 100 years ago when Banting and Best were giving the first insulin injections to people with type 1 diabetes.
You need to eat enough food but also keep blood sugar in check. Not always so easy.
Many type 1 and type 2 have had good results steadying their blood sugar and requiring less insulin or other medications by reducing carbohydrate intake.
@@sabrinazakrowski1399 Then after the discovery of insulin for T1D, they thought, hey, let’s see how this works for T2D! WRONG approach!
The one flaw that I find in pretty much all these nutrition discussions is that they lump carbs all into one unit. Yes, there are simple carbs in bread pasta, flours, but there are also sources of complex carbohydrates meaning things that people don't even really know about like unprocessed to grains like millet and kasha, barley, and starchy vegetables which have fiber in them to slow the reaction of the carbs down in your body. Until people address that I honestly don't think that. I just think it's a major flaw. When talking about carbs there are two camps. The simple carbs and processed foods which are horrible for everybody, and which cause instant reactions in the body and the much slower. Truly unprocessed complex carbohydrates.
I cannot believe it has so few views. People with type 1 need to wake up and do research on alternative methods of treatment. Hopefully, low carb will soon become the standard of care for type 1. I was pre-diabetic and this nutritional approach solved my problem. Nice presentation. spread the word.
MrBighogman looking after my nutrition ain’t going to be a great treatment for my Type 1, I mean I can eat healthy but that ain’t going to cure me, I need Insulin not a few leaves
Don't confuse Type 2 Diabetes with Type 1 Diabetes. Type 1 diabetics can't "solve their problem" with nutrition. They can, however, explore nutritional strategies that will help them manage their autoimmune disease better. Insulin is still crucial for their survival.
And here lies the problem...ppl thinking you can use the same method for treating type 2 diabetes to cure type 1 diabetes when both are not the same..MrBighogman please go and educate yourself
Yes its very confusing as we are always being told different things, especially with diet in general. The low carb diet will give you good blood sugar control that’s for sure but the fats (saturated) and meat can increase insulin resistance, cholesterol and other stuff putting you at risk of the problems t1 diabetics are already more susceptible to as mentioned.
you are more susceptible to CVD (and many other diseases) as t1 diabetics due to the high blood sugars. If you can control your sugar and have values like a healthy person (as many on keto are able) with a hba1c 4-5%, you don't have a higher risk anymore. And a higher hba1c is THE most dominant risk factor - you can have 10 times higher risk for CVD. So it's more than worth to have a little bit more cholesterol and insulin resistance if you can have normal blood sugars on the keto diet and therefore cancel that risk factor!
@@ma_nu cómo estás .? sigues aún con la cetogenica ??
Going Carnivore cured my Type-2 Diabetes. I wonder what it could do Type-1.
So Low-Carb diet is the best way to go?
I have trouble with eggs, dairy, and gluten intolerance. And I'm type 1. Low carb is smart though.
2020 I got diagnosed with onset diabetes and my blood sugar was 1006 was at the hospital a week I’m so lucky I’m alive today
😲😲 Holy Jesus How did U survive that's just impossible Thanks to Doctors U r still alive 🙂🙂.
I don't know how it is in the US, but in Denmark, where I live, there is a lot of focus on diet as a part of treating diabetes. When I was diagnosed with type 1 14 years ago, they kept saying that I could live a "normal life", but they've mostly gone away from that, because this life is not close to being "normal". I have two large drawers full of medical equipment, for Christ's sake! The doctors don't necessarily focus on ketogenic or very low carb, but on what works for you, while managing the amount of carbs you eat.
In my opinion the biggest part of eating low carb is reducing your short term risk, as you are well aware, insulin is dangerous and its effectiveness is volatile depending on many factors... Less insulin means less chance for dangerous low. People seem to downplay the risk of insulin, you can always take a little bit more in 2-3 hours if your dose was not correct, you can't take away insulin you have injected. If your eating meals with low/no carbohydrates, your BG will move less, so its inherently easier overall, with less risk.
@@coupeL0VE Yes, I totally agree. You remove the roller coaster effect of insulin, that some have on a moderate to high carb diet while on insulin.
I turned to a similar strategy after I got my first CGM. My reasoning was a bit different, though. For me, it was more a matter of simplifying things as much as possible. I keep my carb intake low, but another thing I do that isn't mentioned in this video is to also use intermittent fasting. If I only eat within an 8-hour window of the day and my basal insulin levels are where they need to be, I don't need nearly as many correctional bolus dosages. Fewer corrections and fewer bolus insulin dosages mean more stability and fewer educated guess, which always carry a chance of being off the mark.
I don't aim for HBA1C levels as low as the speaker in the video, but I've been between 5 and 5.5 for over 3yrs, while also keeping my BG levels within the target range over 85% of the time. I don't aim to have my HBA1C lower, because the lower my BG averages, the more frequently I'd be approaching hypoglycemic levels.
Great story! That's a really interesting approach. I struggle with exercising due to my blood sugar plummeting with any activity more strenuous than walking my dog... Have you noticed increase insulin sensitivity when exercising?
@@Pow828 I try to stay active. I don't go so hard that I have problems bottoming out following exercise but remaining active helps my body to use insulin efficiently.
I have been type one diabetic for 16 years. When I was on a low carbohydrate diet I felt horrible most of days, no energy, bad gut bacteria, and it even lead to an eating disorder. I think low carb can work for some people but at the moment I eat a diet that is mostly unprocessed BUT with unlimited wholesome carbs (fruits, vegetables, potatoes, etc) and my A1c is 5.4%. I just ditched the biscuits, pasta, pizza etc but I still think it is really important for hormones, growth, cognitive development and more to have some healthy carbs in the diet, even for a type one diabetic. However, I agree that carbs will never be eaten as easily for us than non diabetics, and we will, on average, consume less, even if we are not spcifically on a low carb diet.
depends on your bloodtype really. im type o which is pro to low carb high protein and veges
@@WilliamCronin esa alimentación es buena para todo el mundo
Andrew, have you heard of any studies for type 1 diabetes involving cleansing the liver and gallbladder and using the enzyme lubrokinase to help remove scar tissue in the pancreas to allow islet cells to re awaken?
Alicia S Richards trll me more pls
Yes! Do tell more. Any links?
Yeah I’m trying to connect through FB messenger with you Alicia S Richards regarding this. Any updates?
@@robrich8294 Unfortunately no
For T1Ds - talk starts from 06:20
while i appreciate your story and journey, i have had type 1 since i was 7. I am now 32 years old. They need to make a cure. Listen to this guy - i had some years where i didn't take care of myself and i am paying for it now. DKA a dozen times, Insulin pump nearly killing me due to malfunction, and monthly shots in the eyes. TAKE CARE OF YOURSELVES! PLEASE!
Why you take shots in the eyes
@@ramniwasmeena4854 Diabetic retinopathy. If I don't take the shots, I could go blind.
I also have type 1 diabetes mellitus that's why I am asking you.I diagnosed with type 1 at age 17 ,right now I am 23 years
@@lojack85 sorry to hear your condition may God bless you...
@@ramniwasmeena4854 Sorry to hear about your diagnosis. You haven't had it long enough to really see long term effects like mine. I got it when I was 7 and i'm 36 now. I have it under way better control these days though.
Love this video your story is 100% Relatable 💯
I think that people have to get out of their heads “FOOD AS A REWARD”. That’s difficult because many people, particularly in the US, live to eat. It is important to know that just as with tobacco dependence, once you give up bread and sugar, grains and pasta, the cravings gradually go away.
I been eating low carb for years and I'm still having blood sugar problems.
Living with Type 1 is SO hard! My best friend of 20 years just asked me, “So wait, you could die in your sleep if your blood sugar got too low? How do you sleep?” And I said, “Often I don’t.”
I am having super glucose sensitivity in the evenings! So I have to eat in order to go to bed :(
Oh my trust me I can relate. Would the continuous glucose monitoring be an option? I started last year and I am actually sleeping.
Michelle Bean- yes!! I’m on a CGM now and it helps so much! Fewer highs, and almost no scary lows anymore 😁
@@irentoth8107 Yes same! i always drop to normal levels overnight. its like a reset everynight but often wakeup too low on 4/5 mmol
I feel this comment lol. Diabetes is so strange/funny sometimes. Have you had any issues with lows during exercise?
Any chance you can tell us how many units of insulin you were taking versus the number of units and type of insulin you're taking now? Thanks.
In his other talk he mentioned he went from monthly 900$ to 129$. From 6 doses to 1 dose a day.
I am vegan an Type one I have also 5.9 Hba1C since 10 Years now.But only with sport and a healthy way to eat which is much more affordable in Germany than in the US…
Sending love
Do you guys know of any community websites where diabetics can get to know and find support in one another’s experiences???
My LDL went up like crazy.. how do you handle this situation?
Ive had type 1 for over 10 years and it’s the worst. I’ve never been able to gain control, and then the thought of not eating potatoes....pasta....Rough
Yes, carbs are the culprit! For all of us but in particular for diabetics.
The body can make them itself if necessary.
My son, type 1, did a zero carb carnivore diet last week and his bloodsugars were great!
Humbly appreciate your kind gesture Dr igho, you have always been able to help with any of my health issues, i didn't know how to face the stigma of living with Diabetes, but I'm happy to say today that I'm glad to have you as my doctor because it just seems like magic I'm healed.
"type one" what? cannot hear what he says. what is the on line group?
when i went to the hospital for type one i had a very large blood sugar, the doctor said i was in DKA but she said it so fast both me and my mom thought she said decay, regardless to say it scared us
Excellent video, bro. Great job
My 10 yr old son literally just got out of the hospital first onset type 1 they're saying his glucose was 1400+ at the er when we got there so scary im still trying to figure it all out
Intermittent fasting and ketogenic diet is the cure.
Before the advent of injectable external source insulin, type 1 diabetics simply just died or went on essentially ketogenic diets to extend their lives, with varying results depending on their condition before cutting the carbs.
I got it at 9
My girlfriend’s doctor told her she has 5 years to live. She’s 25 today, diagnosed with diabetes at 16 like you. She loves food too. How. Do I save her..
I really believe that some of the problem is that older people I'm talking above 60 and up, many times have type one or type 1.5 diabetes, but most of the medical people treat type one and type two exactly the same and really don't put much effort into figuring out which one There are many good test to determine this yet they are seldom done in older people. I think one good way to figure out if your type one or type two, is to just go 24 hours or maybe a little less without eating anything. Stay well hydrated with just water but if your blood sugar remains high you need further testing to find out if you really are a type one or type 1.5 diabetic.
So how do you bolus for meals like this? My son is 11 and probably not going to follow a strict lo carb/keto, but at times we have meal like salmon and Brussel sprouts and since there’s no carbs I have no idea how to bolus since we carb count, usually he will add in yogurt or granola bar. But I know if he ate the salmon/brussel sprouts alone with no insulin BS would rise. So my question is there a calculation like insulin:protein ratio??
Handsome Pants Eating protein on its own can cause the body to use it in a similar way to carbohydrates, thus increasing the blood glucose level. So in some cases you actually do have to end up bolusing for the protein. The best way to work out how much insulin to give is by experimenting. Start with a small dose and increase it until the blood glucose reading stays stable. You can monitor this with a CGM on a pump or just test the BG about an hour after eating. The reading should be similar to what it was before the meal if the right amount of insulin was given. (This is taking into account the correct amount of basal insulin was given)
Other notes:
I am currently 14 and have had T1 for about 3 and a half years. I have found that the best way to stabilize my BG is to eat a lean protein with a Low GI carb. For example the salmon with sweet potato. If I do end up spiking I just sugar surf and give myself a little more insulin. This ultimately lowers my HBA1C.
I have also found that calories play a big role in stabilizing blood glucose although I am not sure why. A lower calorie diet helps keep my blood glucose stable and increases my insulin sensitivity.
Kiara you are so smart for being only 14!! Keep it up and you have a long life ahead of you!!
@@kiara574
I got there by "experimenting" the other way around. Use my body as a test tube. I would test several times before a meal with a long stable fast. Then make a meal that I knew was 100% carb free. Measure/weigh it up. Eat it. Track bg with frequent tests post meal and see what it did.
Then I could compare the rise with sensitivity factor as for a correction and look at that against "carb" to insulin ratio to get a ratio I should divide by for different types of protein.
Nearly 50 years a type 1 diabetic. I still have to argue with my doctors about my low-carbohydrate diet. One board-certified endocrinologist told me that my brain could not work properly without 100 grams of carbohydrates in my diet a day...
Still not as good control as I’d like. A1c still over 6. Gastroparesis makes things harder.
How long do you have gastroparentesis? Was it before the onset of diab? I may hace t1d because of some gastric issue. (I am newby t1d and have some gastrointesztinal disturbs.)
doctors are useless. mum took me off insulin when i was diagonosed at 6. all she got from the nurses where "you are killing your son". We were on basically no carb diet and i probably had it the best managed for that year.
Found out I had type 1 diabetes last year after I went into a diabetic coma because my sugar was 1700. I woke up days later and was hospitalized for a month, with this nightmare of a disease. I'm officially going vegan after this last meal.
I'm plant based and it helps alot!!
Checkout mastering diabetes...they have all the info on this subject and it saved my life
Wow good luck on you journey. I am also newly diagnosed and it's been one heck of a ride. Insulin and exercise is still a rough patch for me, any suggestions? I think insulin becomes more effective during exercise.
I am type 1 diabetic. When I try to go keto, I get this persistent cramp in the middle of my chest, which gets worse when I lay down. A bit of labored breathing as well. As soon as I eat carbs and take bolus insulin, this goes away. What is this side effect? I don’t think I’m in danger of keto acidosis because I keep my basal insulin high and my blood sugar stays comfortably low during these attempted transitions.
Im curios about what sickness he helped you with? The pain in the stomach or the T1D?
That is not normal. Keto diet reduces your need for insulin. Talk to a medical professional you may have another issue
Search up euglycemic ketoacidosis you can still go into ketoacidosis even with normal blood sugars. Diabetic ketoacidosis isn't caused by blood sugars alone it's caused by lack of insulin. It's good to take a little bit of carbs and insulin to get it down. That's why I don't wanna do keto, I'm still a low-carber but if I'm gonna eat carbs I might as well get it from fruits and veggies than from breads.
This is called Anxiety!!!
@@eugeneabreut960 No, anxiety doesn’t give a tangible cramp in the middle of my chest. I’m chill when I have done this. It feels labored to try to breath. Not constricted as if I was anxious and breathing in a tight panicked manner.
Thank You!!!
This is obviously bound to happen, considering that when you lower carbs your necessity for insulin will also plunge.
The problem with T1D’s like myself is that I drop an excessive amount of weight and muscle, which is terrible and something that won’t help my cause, nor cure it.
David Lainez, you need to increase your consumption of healthy fats.
David, absolutely correct.This is definitely not a cure. Everyone must find what works for them. A well formulated ketogenic diet (with sufficent protein) can help mitigate much of these concerns.
Yes I lift weights and do keto and if combo and I’m t1
@@andrewkoutnikphdAyuda
Excellent! Love this!
Thank you so much
Have you written a cook book at all?
Great video! Thanks Andrew.
Had ketoacidosis twice,This diabetes thing is not easy. Hardest part is to eat healthy, Because from my experience is that i don't get any support from my family because they don't understand this at all even after explaining it to them , giving them content to read about what to eat and what not to eat as a type 1 diabetic. i Know they will find a cure or at least something better than injection yourself daily with insulin, but it won't be in my lifetime.
Is there a guide or anything I can find, listen to or read on this diet? I’m very interested in using it to help manage my type 1 diabetes
It's called keto diet
Look up Dr. Berg.
dr bernstein
Game changer
I’ve been a type 1 now for 3 years and just want to say that remember guys money is a big factor in medicine, of course doctors are you to tell you eat this and eat that because the more carbs you eat the more rapid acting insulin is flying off the shelves.
Just found out I'm T1D. Thank you for the video, the video made me feel like this thing will be manageable and that im not alone
I’ve been T1 for 16 years. It’s very manageable with the right amounts of insulin, exercise and frequent testing of BS
If you haven’t already, consider a Dexcom CGM if you can. Its an amazing tool. It lets you monitor your sugars 24/7 without a single finger stick required!
@@Markk4785 hi , I've been T1 for 10 years and it really is manageable but im still waiting for a new cure which doctors always say that it's close but i still wait for years
@@so1667 Keep hoping. A cure will be here one day
Amazing!
While I was preparing for a fight I was dieting using keto/paleo and for nearly 3 months I didn't inject once. This was amazing. But as soon as I added carbohydrates back in my diet the old sugar levels sky rocketed. Also I cut milk and caffeine as they spiked the sugar levels too. Awesome speach and keep the fight going 😀😀
Thank you
Great presentation! Type 1 diabetic here teaching percussion in college at Mexico. HUGS!
The doctors couldn't care less! It has been one long series of medical neglect, mismanagement, ignoring, and refusing to take ANY responsibility on their part for ignoring and not paying attention to symptoms, blood work, my reports, constant diarrhea, nothing is relevant to them or worthy of follow-up or referrals to other specialists as I watch the life ebb out of me ! I'm a senior citizen that just got diagnosed with Type I diabetes two weeks ago, after five days on a critical care unit of a hospital, an new onset after being treated with steroids for 6 weeks due to the hepatitis' they caused by giving me some bogus Immunotherapy treatment for a kidney cancer which itself was caused by the two COVID injections in November 2022!! I was in perfect health before all of this "standard of care" medical interference, incompetency and negligance!!
Just memorize your carbs. Not hard.
7.58 time H1Abc test is a must
what about a ketoacidose on a low carb diet?
As long as insulin works in your bloodstream, you won't get ketoacidosis. It must be present even at low levels.
WARNING: Your body needs a certain amount of insulin to function because insulin does more than just move glucose into the cells. If a diabetic eats normally and takes insulin normally the other functions are covered. Cutting back on carbs and insulin will make the margins for staying out of DKA much smaller.
Can diabetes be avoided?
My 13 years old boy last night was diagnosed with type 1 .. is there a cure ?? I will give my life for him to be cured .. please any guidance .. I have hope this will be fixed
I feel you buddy! I was dx at 23 last October I am telling you try to cope with it don’t stop anything you do in life so you avoid depression. Good luck
But if youre a woman they say its Anxiety and Hysteria until you have 2 strokes and 39+ seizure....... (which they tried to call psychosomatic/ caused by stress caused from "not maintaining "depression")
btw im thin/below average. lets see how long i live