At 30mins in, when he tells the joy of clinicians (that he has influenced) that get to experience reducing medications instead of having to raise medications each visit (which had never happened before)... that made me tear up! Makes me realize there are more doctors who really do care...
Excellent presentation as always . I cannot express how much I appreciated the opportunity to hear Dr. Bikman speak and share his knowledge and wisdom.The audio however leaves a lot to be desired.
Watching this interview it almost seems like Dr Bikman is talking about me. Since I started taking extra protein because I’m working out to build muscle my morning phenomenon seems to be getting better. In the last week alone my glucose which was in the mornings around 140 have come down to 117. Another 15 points lower in the afternoons even after a meal. So the typical Keto guidelines of 5% carbs 20% protein and 75% fat doesn’t seem to work for me. I’m 66 years old.
Unfortunately there are not too many natural food left - fruit has been modified to be sweeter and animals go to feed lots to be fattened up with cheap sources like corn instead of being grass fed. Vegetables are not what they used to be either.
I am an undiagnosed prediabetic/diabetic. In 2019 A1C was 5.3mmols. Entered menopause that year, was on plant based restricted diet. 3 yrs later A1C 5.8, year later 5.9. I flagged this with two doctors. One GP other functional hormone doc. Both said NOTHING YOU WORRY ABOUT. Took matters into own hands and researched daily. Went carnivore. This hasn’t cut the mustard. Fasting insulin in jan23 was 4.8. Had major op 4 mnths ago. Fasting insulin taken 5 weeks ago and it’s up to 7.6. So out of shear frustration 4 weeks ago went LION and OMAD, ideal weight 768 so calculated (BART@kay) 148g protien and same fat. Been wearing CGM. Have dawn phenomenon lasting hours, readings up to 6.8mmols. Also done a 96hr fast two weeks in. My baseline BG is up by 0.5/1 point. My current doc wants me to take a pill… when actually what I’m experiencing is this.
Thanks for this great talk about this area. I have a question. If I always have between 110 and 130 Glucose Mg/dl every morning in fasting state, and suppose it's because liver is insulin resistant, so liver produce more glucose in the morning.. and this state is due to many and many years of eating a very high carb levels. How long do you think it could take to health liver in a low carb diet? Do you think it's about months? or years? Many thanks !
Low-carb community is waaaay better informed than the average person. So glad to hear BB validate the low-carb lifestyle. We're not the crazy ones in the room.
Can I get a private session with one of you? I have been controlling my type 2 for 3 years with diet and exercise and recently that entire process stopped working. I am willing to do anything/everything but just can't find an answer for me.
I saw a lecture of Benjamin Bikman (on low carb down under) where he talks about how gluconeogenesis is a good thing. And I agree, but I had this problem that my fasting glucose levels were going higher the longer I was on keto (+ IF). After 4 months it reached 105 to 110. And I had no clue why. But it scared me. I reduced protein from about 25 to below 20% and that helped to get fasting glucose levels to go down to about 90. I thought it wss just too much protein. Now I understand it could be some insulin resistance in the alpha cells, causing higher gluconeogenesis activity. But if it is that, then the insulin resistance of the alpha cells should go down over time, resulting in less active gluconeogenesis. How long does it take for alpha cells to lose their insulin resistance?
Fasting is not the only factor in your blood glucose at any particular time. I have been keto for 9 months and I am also an athlete. When I compete I actually fast about 20 hours prior to the competition to ensure I am running (literally) on ketones. However, when I train and when I race - even while fasting - my blood glucose can shoot up to 120 or 130. Your liver will make and push glucose into your blood to fuel your activity. Just because you're keto does not mean you will always have a low glucose reading. On keto you still store glucose - unless you are in an extreme calorie deficit every day you will make and store glucose, which your body will push into your blood to make it available to your muscles - even while fasting.
@@newunderthesun7353 ''On keto you still store glucose'' - to note,,,when gluconeogenesis is present there is no insulin or biological minimum. you are not meant to make glucose by liver and store it. Insulin //anabolic// stops gluconeogenesis //catabolick//. gluconeogenesis doenst not make glucose for storing, but for the body to use it. it would be contraprodactive as they are opposed each other.
Help me understand. Let's say a typical keto total caloric intake is 2000 calories. 70% fat=1400 cals. Let's keep net carbs to 20 x day so assuming eating lots of green leafy veggies this totals 35 carbs or 7% & 140 cals. Protein is 23% or 460 cals. You are saying that since insulin is controlled due to low carb intake there is no fat stored, even though fat elicits almost no insulin response anyhow. How can anyone justify the lack of fat storage on the fat macros instead of the total caloric intake? Unless I'm missing something exogenous fat is not stored by the insulin mechanism. Ectopic fat storage is primarily due to an overabundance of calories that can lead to IR. Please clarify if you can. Thank you.
I could never understand why we take a pre-diabetic and fast them and then give them massive HFCS (coke) and then when they pass out we say Oh you have diabetes .... Yes the test caused it ...
I'm a secod year nutrition student in Mexico..they still "teaching" us that we have to prescribe 50-60% CH in the meals.menus 🙄..now you know why we are the one of the fattest countries in the world
I gather that if you have cancer, or are high risk, you may want to limit protein since (with luecine) it initiates an mTOR process which signals cell proliferation..? However I guess without cancer there is no issue with appropriate amounts of protein - for a keto diet. Just my opinion.
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At 30mins in, when he tells the joy of clinicians (that he has influenced) that get to experience reducing medications instead of having to raise medications each visit (which had never happened before)... that made me tear up! Makes me realize there are more doctors who really do care...
Thanks Karen!
Blessings to you Ben....keep talking...it is so important to educate
Excellent presentation as always . I cannot express how much I appreciated the opportunity to hear Dr. Bikman speak and share his knowledge and wisdom.The audio however leaves a lot to be desired.
Watching this interview it almost seems like Dr Bikman is talking about me. Since I started taking extra protein because I’m working out to build muscle my morning phenomenon seems to be getting better. In the last week alone my glucose which was in the mornings around 140 have come down to 117. Another 15 points lower in the afternoons even after a meal. So the typical Keto guidelines of 5% carbs 20% protein and 75% fat doesn’t seem to work for me. I’m 66 years old.
Why did they play with the volume when he was talking but not you. especially when he was trying to make a point??
Splendid discussion, Dr Bikman you Rock!
Unfortunately there are not too many natural food left - fruit has been modified to be sweeter and animals go to feed lots to be fattened up with cheap sources like corn instead of being grass fed. Vegetables are not what they used to be either.
Wow, so much great information. I wish this knowledge was more common.
I am an undiagnosed prediabetic/diabetic. In 2019 A1C was 5.3mmols. Entered menopause that year, was on plant based restricted diet. 3 yrs later A1C 5.8, year later 5.9. I flagged this with two doctors. One GP other functional hormone doc. Both said NOTHING YOU WORRY ABOUT. Took matters into own hands and researched daily. Went carnivore. This hasn’t cut the mustard. Fasting insulin in jan23 was 4.8. Had major op 4 mnths ago. Fasting insulin taken 5 weeks ago and it’s up to 7.6. So out of shear frustration 4 weeks ago went LION and OMAD, ideal weight 768 so calculated (BART@kay) 148g protien and same fat. Been wearing CGM. Have dawn phenomenon lasting hours, readings up to 6.8mmols. Also done a 96hr fast two weeks in. My baseline BG is up by 0.5/1 point. My current doc wants me to take a pill… when actually what I’m experiencing is this.
Thanks for this great talk about this area. I have a question.
If I always have between 110 and 130 Glucose Mg/dl every morning in fasting state, and suppose it's because liver is insulin resistant, so liver produce more glucose in the morning.. and this state is due to many and many years of eating a very high carb levels. How long do you think it could take to health liver in a low carb diet? Do you think it's about months? or years?
Many thanks !
...low carb citizens... they know a lot!! LOL.. totally true.. gotta love how he says that
Low-carb community is waaaay better informed than the average person. So glad to hear BB validate the low-carb lifestyle. We're not the crazy ones in the room.
Can I get a private session with one of you? I have been controlling my type 2 for 3 years with diet and exercise and recently that entire process stopped working. I am willing to do anything/everything but just can't find an answer for me.
transcript link doesn't have the option for this pod,... can you fix it please? thanks
I saw a lecture of Benjamin Bikman (on low carb down under) where he talks about how gluconeogenesis is a good thing. And I agree, but I had this problem that my fasting glucose levels were going higher the longer I was on keto (+ IF). After 4 months it reached 105 to 110. And I had no clue why. But it scared me.
I reduced protein from about 25 to below 20% and that helped to get fasting glucose levels to go down to about 90.
I thought it wss just too much protein. Now I understand it could be some insulin resistance in the alpha cells, causing higher gluconeogenesis activity.
But if it is that, then the insulin resistance of the alpha cells should go down over time, resulting in less active gluconeogenesis.
How long does it take for alpha cells to lose their insulin resistance?
Thanks for the feedback Peter!
Fasting is not the only factor in your blood glucose at any particular time. I have been keto for 9 months and I am also an athlete. When I compete I actually fast about 20 hours prior to the competition to ensure I am running (literally) on ketones. However, when I train and when I race - even while fasting - my blood glucose can shoot up to 120 or 130. Your liver will make and push glucose into your blood to fuel your activity. Just because you're keto does not mean you will always have a low glucose reading. On keto you still store glucose - unless you are in an extreme calorie deficit every day you will make and store glucose, which your body will push into your blood to make it available to your muscles - even while fasting.
Glucose sparring and physiological insulin resistance is a normal state. It's not about the glucose. It's about the insulin.
@@newunderthesun7353 ''On keto you still store glucose'' - to note,,,when gluconeogenesis is present there is no insulin or biological minimum. you are not meant to make glucose by liver and store it. Insulin //anabolic// stops gluconeogenesis //catabolick//. gluconeogenesis doenst not make glucose for storing, but for the body to use it. it would be contraprodactive as they are opposed each other.
Great talk!
Great interview - a bit of ice cream now and again is not going to kill you!
Will insulin to glucagon ratio change with eating eggs other than meat?
Protein DOES NOT turn into birthday cake...!
In layman's terms, what does mean to a type 2 diabetic? Does it mean keto is good for me?
Sue Moshier Yes. Keto will cure diabetes.
Sue Moshier Absolutely yes!
Help me understand. Let's say a typical keto total caloric intake is 2000 calories. 70% fat=1400 cals. Let's keep net carbs to 20 x day so assuming eating lots of green leafy veggies this totals 35 carbs or 7% & 140 cals. Protein is 23% or 460 cals. You are saying that since insulin is controlled due to low carb intake there is no fat stored, even though fat elicits almost no insulin response anyhow. How can anyone justify the lack of fat storage on the fat macros instead of the total caloric intake? Unless I'm missing something exogenous fat is not stored by the insulin mechanism. Ectopic fat storage is primarily due to an overabundance of calories that can lead to IR. Please clarify if you can. Thank you.
I could never understand why we take a pre-diabetic and fast them and then give them massive HFCS (coke) and then when they pass out we say Oh you have diabetes .... Yes the test caused it ...
Brian - your intro is painfully long - save it for your show on PBS.
I'm a secod year nutrition student in Mexico..they still "teaching" us that we have to prescribe 50-60% CH in the meals.menus 🙄..now you know why we are the one of the fattest countries in the world
I gather that if you have cancer, or are high risk, you may want to limit protein since (with luecine) it initiates an mTOR process which signals cell proliferation..? However I guess without cancer there is no issue with appropriate amounts of protein - for a keto diet. Just my opinion.
ON keto diet I hardly feel like even eating one meal a day. My Insulin is complaining.
Intro way too long.
Thank you for posting this interview.
What's the intro all about any way ... showing AH doctors who don't speak truth ... but just get paid by industry to sell stuff ...
yep..my last triglycerides 31
Dang it! Control your intro audio! It’s built into the program you’re using. Google how to lower it and get it adjusted!!
What a dreadful and very long intro! For that reason, I'm not gonna watch the rest.