This is a GREAT presentation. Five years ago I went to my physician and told him something was severely wrong. I. was suddenly gaining 5-6 pounds every single week. His response was “Well, you work night shift and you’re probably eating too much.” My response was that if I was eating enough to gain that much weight I would be having a lot more fun! I went to a friend who was a nurse practitioner and she ordered a fasting insulin and an insulin resistance panel and it came back as severely insulin resistant ... even though my A1C and my blood glucose levels had yet to show ANY problems. If anything I had issues with reactive hypoglycemia. I took the results back to my doctor who refused to even look at them, threw them down on the counter and said “I don’t care about that. I’ll treat you once you’re a diabetic.” It still makes me mad to this day... I’ve had to figure this out on my own (as a nurse at least I’ve been able to ferret out reliable sources) and my reactive hypoglycemia made me nervous about fasting. But that pretty much took care of itself with a keto based diet. I’ve gone in to IF consistently with trying longer tastes to see how it affects me. And it’s the only thing that’s ever worked . I have to go back to the area where that doctor works for my daughter’s wedding next month. I kind of want to go punch the ass or hit him upside the head with a copy of The Obesity Code....
Been keto for 3 years and progressing to carnivore now. Dr. Bikman answered a long-standing question I've had about high protein consumption and glucogenesis. On a carnivore diet we don't turn protein into glucose because of the lack of carbohydrate. For me, this is epic! Remember: there is no human requirement for carbohydrate, unlike there is for protein (essential amino acids) and fat (essential fatty acids)...
I tell people all the time.. my diabetes may be what kills me.. but I refuse to allow the treatment for my diabetes to kill me.... thank you guys .. don't ever stop what you are doing..
Boy, this is very, very important. I'm self diagnosed with insulinopenia, was losing weight to the point of severe malnutrition, and had 6 MD's (two endocrinologists) tell me there was no way anything was wrong with my insulin. Everyone one of them only looked at glucose, and did not care about insulin. I went to my local Quest lab and paid $50 to get a test on my own. My fasting insulin was
Dr. Bikman is one of my absolute favorites. Even though he’s beating the same drum he’s always so upbeat and enthusiastic about the subject matter. Just an awesome guy and a real gem to the public health domain.
Jasón Fung , MD is the name of the Doctor, and His approach is through IF and Healthy food, it is just a way to improve the sensitivity from the receptor and break the Insulina resistence
Dr. Bikman is both highly technical but explains things on level most can understand. I highly recommend that you find any of his videos and absorb his knowledge, he is exceptional! I love his humility also.
I learn more (and re-learn more) from Dr. Bikman in one video than I sometimes learn from 10 other experts in a month...Don't get me wrong, I'm extremely grateful to everyone working in this field who takes the time to share the most crucial information with us that we can't get from our own doctor's or government health associations. Thanks, Gary and Ben!
The explanation of how the concentration on glucose rather than insulin leads to a late diagnosis of diabetes fits my experience exactly. I can remember suffering a number of diabetic symptoms well before any increase in blood sugar was noted.
Last year for the first time my fasting glucose levels were a little over 100; I have been terrified for a year. Almost everyone on my dads side of the family had type 2 diabetes that led to early death. Listening to you both actually has me in tears. Is it possible that I could actually do something aside from going on drugs that never worked for the rest of my family? I just ordered a keto monitor, I ordered a book from Dr. Fung about intermittent fasting and I’m going to listen to absolutely everything you both have to say. Thank you for possibly saving my life!
This is an amazing video! So glad Dr. Bikman provided warnings on refeeding syndrome after fasting. Later this evening, I will be finishing up a 5-day fast (my first after some 24, 48, and a 64 hr fast). But no way would I have just embarked on this fast willy-nilly without proper information and preparation on how to fast and how to come off of a fast. I started reading Dr. Jason Fung's and Jimmie Moore's book, "The Complete Guide to Fasting" before and throughout my fast, and it is an EXCEPTIONAL tool for anyone looking to fast in any type of way. Thanks for doing this video!!!!
Now I know why my blood pressure plummeted when fasting and eliminating carbs. I have had to cut my BP med in half and some days not take it because my BP is too low... All because my insulin resistance is improving... I learn why right here! Thanks...
I order fasting insulin tests on my patients. I have made numerous videos explaining why you need it to get it done. Easy cheap test. Functional doctors understand and embrace this manner of thinking.
What a BRILLIANT technique! I’m going to do it-stop and think, and ask myself this before a single bite goes into my mouth. I’ve had great success with Keto and IF and this will help keep me faithful to this lifesaving WOE for this T2 diabetic.
Focus on Insulin, the root cause, not the glucose levels? Makes total sense. Why is this not spreading through the medical field, doctors and nutritionists?
Reefs Rock because there is money in selling insulin...some people can be so dumb....they don’t ask where the glucose has to go when you inject insulin into your body....insulin doesn’t make glucose disappear lol...it shoves it into fat cells
To look at it another way: It's not so much that anxiety leads to diabetes or that cortisol causes insulin resistance. It's that our standard, low-fat/high-carb diet drives insulin resistance -- which underlies all of these disorders and diseases.
In my case, I'm pretty sure Complex Trauma is causing this. My body was incredibly healthy and strong until a few years ago. I had some pain and inflammation and back/neck pain, but the work output it gave me was so above and beyond most women my age, there was just no reason to suspect I had any problems like this. But what people were demanding of me was truly perversely wrong. And even tho I knew it was wrong, I was doing my best to provide because I had no options. You run any body on cortisol levels like that for very long and it will break.
Bikman is the first guy I ever heard speak on this subject maybe a couple of years ago - was much more technical but knew it was essential information. My ketone level is 0.3 to 1.5 - I hit the 1.5 post exercise and I exercise prior to my first meal. I keep a 16 to 18 hour break from last meal to first. I mention this only because of Bikman's definition of useful ketone levels. At an average of 0.7 ketone level in the last seven months I have lost 25 pounds and doubled my testosterone, based on standard T blood tests through my physician. He was bewildered, to say the least. I had this great improvement in my fitness and performance despite having been a Marathon runner my whole life - I have also been insulin resistant - that was the missing element in my training and health. I eat intermittent fasting with modified carnivore - this means 16 to 18 hours between last and first meal, then I only eat meat but I add cruciferous vegetables at one meal and only eat twice.
I was just expecting to learn about Insulin Resistance; but i got very important infos about protein intake on keto; i needed the later even more. Thanks!
I like that Dr Benjamin Bikman said there are benefits to being in what I would call a mild state of ketosis (slightly below .5). I personally wake up to a mild state of ketosis most mornings from following a low carb and time restricted eating protocol. I’ve felt that you don’t necessarily have to be in deep ketosis to get all the benefits. For a number of people mild ketosis (at least for a portion of your day) works well…insulin is low and you are burning stored fat and carbs. Great interview!
Thank You from the bottom of my heart. I just found your channel as I am relatively new to the Keto lifestyle. It is working for me, but I am an insatiable learner who has a need to understand the "why". Dr. Bikman is a lovely human being. I believe he is genuine, and knowledgeable, and is doing his part to share and educate the world for the betterment of all mankind. Kudo's !
What an absolutely fantastic interview. I have recently gone keto and several questions re protein vs fat macro ratios were answered here in a manner I intuitively felt best for my body. And the sleep thing. Huge.
Dr. Bikman has given me the understanding of why I became diabetic and how important it is for us to change the way we diagnose it by taking serum insulin as a general blood test. I am very grateful to him because, finally, there is no way I would ever eat anything but a carnivorous diet.
18:15 Anyone who doesn't understand why a general practitioner would advise against testing for insulin is pretending not to see the predatory healthcare system for what it is.
This is a great interview, and very informative. Thanks. But I disagree that it is not the job of the doctor to do the research from their own initiative. It is part of the doctors job to be up with current research which effects their patients well being. That's why they get paid so well in the first place; because it is their responsibility and enables them to do a good job. It is exactly the same with teachers--if you're a good, dedicated teacher you don't just finish uni and that's it. It is a life long learning curve into the field you teach. I think the reluctance of doctors to look at new research, in many cases has to do with both laziness and the hold of dogmatic thinking.
10 years since my type II diagnosis and today I learn that a) When I get the shakes in my hands and start feeling the blood rushing through, that's my body at *NORMAL* blood sugar - something that none of the myriad of doctors I've seen and asked about this during that time have told me about. That's how bad my glucose addiction is?!? b) Ketoacidosis is *not* something I should be worried about, despite being *told* to be concerned about it. c) Calorie restriction is not a long term answer to solving type II, low carb is the way to go. How does a low carb diet interact with hyperlipidemia associated with type II given increased levels of fat intake ?
I have watched this video multiple times. It is excellent! Thank you for keeping it simple and easy to understand and implement. There is so much new clarity here.
“We can never embrace our hypothesis too firmly. We have to, at any moment, be prepared to step away from it”. This is how we must approach most things in life. Sure does make change for the better all the easier. 👍
Same here. I had ketones 0.1 to 0.3 on regular Keto with plenty of leafy greens as is the prevailing idea to help insulin resistance. 2 weeks after carnivore, I had 1.50 to 3.00 ketones and my hunger had gone. A good sign my previously high fasted insulin has come down.
Thanks to the information regarding measuring Ketones in your own home (I watched this very video yesterday morning), I purchased the dual glucose/keto blood testing device, and for this video alone I thank you so very much! I have been insulin resistant for about 30 years, and have never found out how to treat it without medication, until I heard about Dr Jason Fung and Intermittent Fasting, and now I see how all this IF and Keto can and are working for my health benefit.
Great interview with Dr. Bikman. I could listen to him talk about this all day. If I were to go back and get my PhD, this is the guy I'd want to learn from!
This is all very interesting stuff, but the fact still remains that many of the longest lived people in the world regularly eat corn, rice, potatoes, and drink copious amounts of wine. They also live simply, eat seasonally, and have close knit communities. I think we'd all agree that a diet that consists of highly refined junk food is signing a death warrant, but perhaps there's a large component of health and longevity that goes beyond blood panels and insulin levels.
good interview(er) patient enough to let the guest talk, asking great questions and listening. Dr. Eric Berg, is the only other person I have seen, I just finished your interview with Hollie, the carnivore diet. thanks to both of you.
I am so glad you are talking about this. Some are talking like long fasting is the only way to go. And I just cant. So sometimes I feel like giving up. With some it is all or nothing.
Deborah I agree. I've made peace with the gact that I can only fast 12to15 hours a day. Maybe it helps maybe not. Who really know. But to me it's miles better than where I was before
Me being a type 2 diabetic I found this interview so informative and interesting, I sure wish my medical providers knew all this before putting me on insulin. I am 33 days in doing keto and 18:6 fasting but not seeing much movement on the scales or with my blood sugar reading and I have been wondering if that could have something to do with me injecting large amount of insulin that my doctor has put me on. I know it's going to take a while but I want to come off insulin all together.
Got to be active too! Type 1 for 40+ years here, keto diet for 10+ You have to PRO active on this for yourself. No doctor can micromanage for you, and you can know first hand that the med drs don't really tell you how to get better. Type 2 IS reversible! Research low carbs and diabetes. Some good names: Bernstein, Mary Vernon, Atkins, Michael Eades, dsolve.com, any of the doctors at thincs.org
The big problem also are some doctors, when you tell them or ask them about do insulin test,and we try to explain to them, they look at you like " am the doctor" not you. Like if we were so ignorants
This is great information. I been put on insulin for about 16yrs since I was diagnose with diabetes. No one ever said anything about checking my insulin.
Listening around 30 minutes is very interesting - Bikman's discussion and opinion of the context of how protein impacts blood glucose. If glucose adapted, protein will spike insulin. If fat adapted, it doesn't. And this was shown in the 1970s. (Then it gets ignored and suppressed like everything that challenges the establishment dogma. - my 2 cents) Incidentally, it seems obvious that advising people to "eat less fat" in 1977 effectively put the American population (and subsequently the rest of the Western world where protein consumption was typically more than adequate), on a Sumo wrestler diet: High protein, high carb, low fat. Sumo wrestlers know this is the way to get bigger and fatter, and quickly. It's all very tragic. It's no wonder we have an increase in the number of people who believe in a flat earth. Why should people believe anything the authorities tell us? How do we make sense of it all?
Actually, in another video, he shows that if you are fasting and/or in ketosis, it does NOT affect your insulin at all. But if eating SAD, it can skyrocket your insulin!
George K, indeed, I saw a chart that shows it's a small fraction as much than with glucose. Basically just enough to drive the amino acid uptake into cells. It was one of Dr Bikman's charts.
Carol D. his graphs in the other video show that for a fat adapted or fasted person , insulin during amino acid intake such as alanine, does go up very slightly, and glucagon triples.
You will never hear from a medical doctor that HIGH INSULIN is bad and is worse than high glucose. 6 of 6 of us in my family are diabetics. 4 T2, 2 T1. the high insulin gave 4 of us heart disease, retinopathy, and kidney disease. Very Low carb is the way to go! So much good research out there now.
Hi. I follow Dr. Richard Bernstein (Diabetes Solution) who recommends a similar diet (for decades now). He recommends (very) low carb, with focus on enough protein. He doesn't mind the fat, as he claims that if you eat enough varied healthy protein, it will come with enough fat which is built into the protein. Ketosis is the means, not the end, and as such, it should be cycled.
Dr. Bikman talks about ketoacidosis around the 56 minute mark. I started keto on Sept 1st. Over the next month, I lost 17 lbs. I started to feel off on Oct 1st (keto flu). Even though I was drinking E.R. (sodium, potassion, cider apple viengar), and taking a magnesium supplement, I felt worse & worse over the next 5 days (nausea, vomiting). On Oct 6th, I was admitted to Emergency suffering from extreme ketoacidosis. I spent 5 days in hospital on a drip, while they restored my electrolyte balance. I'm 5'4", weighed 125, and was on 2000 mg Metformin, and 10 mg of Forxiga (Dapaglifozine). I'm still not sure how I got into that situation; one of my suspicions is the drug Forxiga I was taking. Back doing keto, I'm down to 120 (my target); blood sugars normal, and regularly in ketosis.
Thank you so much for your excellent, well thought-out explanations. I especially needed to hear about the insulin/glucagon response to protein. Thanks again!
As a Type 2 Diabetic, I cannot tell you the relief of hearing that I might not be "doing it" wrong. I have a bit of relief now, having better information. I still wish I had a Dr. to go to that would tell me how to get off my insulin shots but still lower my BS levels. Right now I'm reducing my insulin from 40U 3xs a day to 30U 2 times. I'll see if that works. Thanks for your interviews with interesting, informative doctors and scientists.
I can reccommend information on diabetes from dr. Jason Fung MD. He has a clinic and works with many patients with diabetes, and runs a diabetes coaching program. See his site idmprogram.com/ He has written a book on obesity and a book on fasting, and is writing a new book on diabetes. He explains it all really well, just watch him on youtube. For example ruclips.net/video/dmLTgOZRUEs/видео.html
Has no one told you about a low-carb lifestyle? Dr. Richard Berstein's Diabetic Solution... although the info is a bit outdated on the insulin side, it does not address the newer very rapid acting insulins humalog and novalg... but it's very good explaining the NON need for carbohydrates. Of the 6 nutrients, water, fat, protein, carbohydrates, vitamins, minerals, CARBOHYDRATES are NOT needed, not essential (for life). And you only need insulin to process the carbs. He recommends less than 20 g of carbs/day... and he's a Type 1 ! Dr Atkins Diabetes Revolution. The best and easiest to read: The Protein Power Plan by Dr. Michael Eades. (He's got videos on youtube too) dsolve.com Just start searching for low carb and diabetes... You also have to do some kind of physical activity in order to make the insulin more effective in your body. Type 1 BTW, on an insulin pump. Went on low-carb and I take much less insulin!
I asked my physician why they used blood sugar when the A1c was so much better an indicator of a problem. He said " quite frankly, we don't medicate for that". Also, as a self pay the full price would have been $73.00 for the Glycosylated Hemoglobin test altho' it was reduced at his office to maybe $19.00. Thanks for the interview...very informative.
Keto mojo Nutritional ketosis can be .3 or .5 Keep insulin at fasting conditions Let’s not fear protein Focus more on controlling carbs People eat in a weird way having loads of oil to get calories 1-2kg protein a day to preserve lean mass Rebound hypoglycaemia creates shaky carb cravings panic need to top up - get off the rollercoaster 🎢 low carb diet 🥘 🥩 🍖 Calorie restriction helps mimicking fasting Low carb diet puts hormones in right place IF can help incredibly well Just has to end Jason Fung is good example But multi day fasts aren’t great Time restricted eating Circadian rhythm Supplements Macros have to be in control protein and fat An egg a day 🥚 you’re covered Cinnamon if your deficient in something Magnesium
I make it my business to stay informed, if that means reading research papers - on my own time - then I do. I think it's fair to expect physicians to stay on top of changing information, and to be well informed. Regarding Type 2 diabetes, new information is rapidly coming forward and to remain ignorant, or use the excuse, "I don't get paid to read papers.", says something about the prevailing attitude of many doctors. I'm thankful for the many physicians who challenge the dogma, are open-minded, and are willing to seek out the latest research to provide the best health care for their patients.
Mike Mentzer asserted it is the demand of high intensity exercise that stimulates the body to adapt by growing stronger and bigger muscles. Eating just facilitates that growth. In other words, eating protein does not guarantee preservation of muscle. Dr. Ron Rosedale warns of the threat to longevity from eating excess protein.
I watched this video and others after suspecting that I might have insulin resistance due to hypoglycemia-like symptoms. I had been monitoring my own blood sugar and, while it was never "low", it had weird patterns. I was able to convince my doctor to give me a 2-hour glucose tolerance test but when I asked (begged really) several times to include insulin measurements I was told there was no indication for such at test. I think fasting insulin also has minimal utility because it might only catch people in later stages of insulin resistance. After further research I found a test called the "Kraft Prediabetes Profile" from Meridian Labs. The test costs about $250 but could help people detect this condition earlier.
I can't decide which of you is more outstanding. Thank you for probing questions and answers which are guiding my keto path of good health. Thumbs down must be big pharma's new logo.
Impact of sleep on insulin: although everyone's sleep requirements are different, 59:00 "but sleep deficiency, within a day, causes insulin resistance the next day."
Thank you for the interview, great stuff. It is often reported that one does not need to consume any carbohydrates ( glucose ) for health/ survival as the liver can produce all the glucose the body needs for its metabolic/ energy needs. However, the question I have is despite the liver's ability to perform this task, has it been proven that it doing so, is metabolically preferential to the consumption of some carbs ( glucose ) to satisfy the cellular needs, i.e erythrocytes, etc. and lessen the glucogenesis required, maybe similar to to the same analogy of eating LCHF and lessening the pancreas's need to release insulin?
Dr. Benjamin Bikman's ideas about brown adipose tissue , and how glucagon behaves uniquely in low carb practioners, when consuming higher protein, has to be two of the most novel things to come out of the low carb community in years. While he seems to credibly refute the idea that eating higher protein will jeopardize ketosis, when a person is consistently eating low carb, I wonder what he feels about the other objection to higher protein consumption - that such higher protein consumption will activate mTOR, which contributes to cancer growth. A major proponent of this idea is Dr. Ron Rosedale, who is also a low carb advocate, but who says we should severely limit our protein intake because of this potential of higher protein to adversely effect mTOR. I wonder what Dr. Bikman's thoughts are on the subject.
1 study is done on low carbers, not zero carbers. any amount of carbs will short circuit the system to a degree, 2 protein is essential, but if u want autophagy, dry fasting, fasting, going into maintenance mode is essential. its not that relevant to think about the small tweaks but the big ones. eat once every 3 days , dry , then eat meat. = maximum autophagy
Drake Santiago he addresses your question pretty thoroughly in a podcast he was on this week with zack bitter and dr Shawn baker. I think it’s called human performance outliers on iTunes. Super interesting if you like this kind of stuff. Such a relief to hear him say this because I tend to think fat is a lot more palatable with protein. I think all of this has to be taken with as grain of salt it’s clear that the jury is still out but I’m glad to hear there is info to support it’s benefit.
Sooo many people need to listen from 40:00 onwards if nothing else. I keep telling people I'm close to that they should not feed their jitters but they just don't want to know :-( They think I'm mad for going hours without food.
I enjoyed this interview immensely. I will just point out, however, that Dr. Fung talks at great length regarding refeeding syndrome, and how to break a longer fast safely.
Biohackers Lab - I have my fingers crossed that you get him on! I love his pragmatic and insightful advice. It has helped me vastly improve my health over the past nine months.
There’s a lot of info on breaking a fast and actually prepping g your body nutritionally beforehand. I like Thomas DeLauer and Dr Berg. Awesome interview!
Keeping protein to around 1 gram per pound of body weight is sensible to protect the kidneys. I make up the energy with fat(don’t count calories or macros). Coffee and sleep deprivation are my main problems. Reading definitely helps(I like thrillers and sci-fi).
Dr Bikman is doing great job of pointing out the futility of chasing higher ketone meter numbers while fearing protein and slurping down a whole bunch of oil. That is a fundamentally unnatural diet. I am feeling so much better since going carnivore from keto.
I have been eating mostly carnivore for 8 months. I feel wonderful. I believe that my "insulin Resistance" is no longer a factor even though I haven't dropped weight. I'm going to steady the course. I eat on a 18:6 IF. I am trying to be more OMAD, so I can lose weight. One thing I love about carnivore, is that I'm never hungry.
It's true there tends to be resistance to requesting an insulin test. Part of it is whether insurance will pay for it, or not. The doctor is required/forced to "make up an excuse" why the test is being done. It's a bit awkward. I just did an insulin and testosterone test recently. I paid out of pocket as it is worth it to me to do so; particularly the insulin. Insulin and testosterone appear to be inversely related (for human males). They've been blaming high cortisol for suppressing T levels. I think it misses the mark. Doctors just really aren't with the program.
Three steps.
CC- control carbs
PP- prioritize protein
FF- fill in with fat
This is a GREAT presentation.
Five years ago I went to my physician and told him something was severely wrong. I. was suddenly gaining 5-6 pounds every single week. His response was “Well, you work night shift and you’re probably eating too much.” My response was that if I was eating enough to gain that much weight I would be having a lot more fun! I went to a friend who was a nurse practitioner and she ordered a fasting insulin and an insulin resistance panel and it came back as severely insulin resistant ... even though my A1C and my blood glucose levels had yet to show ANY problems. If anything I had issues with reactive hypoglycemia. I took the results back to my doctor who refused to even look at them, threw them down on the counter and said “I don’t care about that. I’ll treat you once you’re a diabetic.” It still makes me mad to this day...
I’ve had to figure this out on my own (as a nurse at least I’ve been able to ferret out reliable sources) and my reactive hypoglycemia made me nervous about fasting. But that pretty much took care of itself with a keto based diet. I’ve gone in to IF consistently with trying longer tastes to see how it affects me. And it’s the only thing that’s ever worked .
I have to go back to the area where that doctor works for my daughter’s wedding next month. I kind of want to go punch the ass or hit him upside the head with a copy of The Obesity Code....
Been keto for 3 years and progressing to carnivore now. Dr. Bikman answered a long-standing question I've had about high protein consumption and glucogenesis. On a carnivore diet we don't turn protein into glucose because of the lack of carbohydrate. For me, this is epic!
Remember: there is no human requirement for carbohydrate, unlike there is for protein (essential amino acids) and fat (essential fatty acids)...
I tell people all the time.. my diabetes may be what kills me.. but I refuse to allow the treatment for my diabetes to kill me.... thank you guys .. don't ever stop what you are doing..
Boy, this is very, very important. I'm self diagnosed with insulinopenia, was losing weight to the point of severe malnutrition, and had 6 MD's (two endocrinologists) tell me there was no way anything was wrong with my insulin. Everyone one of them only looked at glucose, and did not care about insulin. I went to my local Quest lab and paid $50 to get a test on my own. My fasting insulin was
Dr. Bikman is one of my absolute favorites. Even though he’s beating the same drum he’s always so upbeat and enthusiastic about the subject matter. Just an awesome guy and a real gem to the public health domain.
I love how excited this man gets about a great question
Jasón Fung , MD is the name of the Doctor, and His approach is through IF and Healthy food, it is just a way to improve the sensitivity from the receptor and break the Insulina resistence
Dr. Bikman is both highly technical but explains things on level most can understand. I highly recommend that you find any of his videos and absorb his knowledge, he is exceptional! I love his humility also.
I learn more (and re-learn more) from Dr. Bikman in one video than I sometimes learn from 10 other experts in a month...Don't get me wrong, I'm extremely grateful to everyone working in this field who takes the time to share the most crucial information with us that we can't get from our own doctor's or government health associations. Thanks, Gary and Ben!
The explanation of how the concentration on glucose rather than insulin leads to a late diagnosis of diabetes fits my experience exactly. I can remember suffering a number of diabetic symptoms well before any increase in blood sugar was noted.
Mike Regan me too, neuropathy in my feet. Diabetic foot pain before sugar in the blood showed up.
Stop eating turkey.
Steven Morales Why not?
Yes, hypertension was my first symptom. Weight gain, high insulin, blood sugar normal. Great interview.
Last year for the first time my fasting glucose levels were a little over 100; I have been terrified for a year. Almost everyone on my dads side of the family had type 2 diabetes that led to early death. Listening to you both actually has me in tears. Is it possible that I could actually do something aside from going on drugs that never worked for the rest of my family? I just ordered a keto monitor, I ordered a book from Dr. Fung about intermittent fasting and I’m going to listen to absolutely everything you both have to say. Thank you for possibly saving my life!
This is an amazing video! So glad Dr. Bikman provided warnings on refeeding syndrome after fasting. Later this evening, I will be finishing up a 5-day fast (my first after some 24, 48, and a 64 hr fast). But no way would I have just embarked on this fast willy-nilly without proper information and preparation on how to fast and how to come off of a fast. I started reading Dr. Jason Fung's and Jimmie Moore's book, "The Complete Guide to Fasting" before and throughout my fast, and it is an EXCEPTIONAL tool for anyone looking to fast in any type of way. Thanks for doing this video!!!!
Now I know why my blood pressure plummeted when fasting and eliminating carbs. I have had to cut my BP med in half and some days not take it because my BP is too low... All because my insulin resistance is improving... I learn why right here! Thanks...
I order fasting insulin tests on my patients. I have made numerous videos explaining why you need it to get it done. Easy cheap test. Functional doctors understand and embrace this manner of thinking.
I think even fasting insulin isn't enough. People need GTT with insulin draws at each interval.
Gibsonia Spine, Sport & Health well done sir!
I hope you never get tired of talking about this and helping so many people with the keto lifestyle. I appreciate you so much.
4:50 "When I'm deciding what I'm going to eat, essentially I'm asking myself what this meal is going to do to my insulin."
What a BRILLIANT technique! I’m going to do it-stop and think, and ask myself this before a single bite goes into my mouth. I’ve had great success with Keto and IF and this will help keep me faithful to this lifesaving WOE for this T2 diabetic.
KetOMAD I also stop and think....am I eating to satisfy hunger....or habit... or boredom?
Focus on Insulin, the root cause, not the glucose levels? Makes total sense. Why is this not spreading through the medical field, doctors and nutritionists?
Reefs Rock because there is money in selling insulin...some people can be so dumb....they don’t ask where the glucose has to go when you inject insulin into your body....insulin doesn’t make glucose disappear lol...it shoves it into fat cells
Some day in the future they will find out that Anxiety has a lot to do with diabetes and other major illnesses.
Well anxiety is stressful. Stress spikes cortisol. Cortisol promotes insulin resistance.
To look at it another way: It's not so much that anxiety leads to diabetes or that cortisol causes insulin resistance. It's that our standard, low-fat/high-carb diet drives insulin resistance -- which underlies all of these disorders and diseases.
In my case, I'm pretty sure Complex Trauma is causing this. My body was incredibly healthy and strong until a few years ago. I had some pain and inflammation and back/neck pain, but the work output it gave me was so above and beyond most women my age, there was just no reason to suspect I had any problems like this. But what people were demanding of me was truly perversely wrong. And even tho I knew it was wrong, I was doing my best to provide because I had no options. You run any body on cortisol levels like that for very long and it will break.
Bikman is the first guy I ever heard speak on this subject maybe a couple of years ago - was much more technical but knew it was essential information. My ketone level is 0.3 to 1.5 - I hit the 1.5 post exercise and I exercise prior to my first meal. I keep a 16 to 18 hour break from last meal to first.
I mention this only because of Bikman's definition of useful ketone levels. At an average of 0.7 ketone level in the last seven months I have lost 25 pounds and doubled my testosterone, based on standard T blood tests through my physician. He was bewildered, to say the least.
I had this great improvement in my fitness and performance despite having been a Marathon runner my whole life - I have also been insulin resistant - that was the missing element in my training and health.
I eat intermittent fasting with modified carnivore - this means 16 to 18 hours between last and first meal, then I only eat meat but I add cruciferous vegetables at one meal and only eat twice.
Two weeks of moderate sleep deprivation (6hrs/night) for college age males left them with the glucose control of a 60 year old.
this guy's enthusiasm is level 10 like he just started his phd program yesterday
This interview really filled in some gaps in my understanding about IR and KETO’s impact on it. It was an hour well spent- thanks much!
this interview is priceless! Dr Bikman is so knowledgeable
I was just expecting to learn about Insulin Resistance; but i got very important infos about protein intake on keto; i needed the later even more. Thanks!
I like that Dr Benjamin Bikman said there are benefits to being in what I would call a mild state of ketosis (slightly below .5). I personally wake up to a mild state of ketosis most mornings from following a low carb and time restricted eating protocol. I’ve felt that you don’t necessarily have to be in deep ketosis to get all the benefits. For a number of people mild ketosis (at least for a portion of your day) works well…insulin is low and you are burning stored fat and carbs.
Great interview!
Thank You from the bottom of my heart. I just found your channel as I am relatively new to the Keto lifestyle. It is working for me, but I am an insatiable learner who has a need to understand the "why". Dr. Bikman is a lovely human being. I believe he is genuine, and knowledgeable, and is doing his part to share and educate the world for the betterment of all mankind. Kudo's !
Dr. B, you are amazing. I could listen to you all day. Wish my doctor would.
What an absolutely fantastic interview. I have recently gone keto and several questions re protein vs fat macro ratios were answered here in a manner I intuitively felt best for my body.
And the sleep thing. Huge.
this talk was bang on! haven't heard something as relevant and accurate as this in quite a while. kudos to both the host and the guest. thanks a tonne
Dr. Bikman has given me the understanding of why I became diabetic and how important it is for us to change the way we diagnose it by taking serum insulin as a general blood test. I am very grateful to him because, finally, there is no way I would ever eat anything but a carnivorous diet.
I really wonder how little subscribers this channel has. So many good interviews. I hope more people come.
Thank-you for the kind words. I'm just glad people, like yourself, are enjoying the info being shared.
I love the channel. Such interesting people. I have learnt a lot.
I like this channel, too. But if I subscribed to every channel, my email inbox would be stuffed with emails.
18:15 Anyone who doesn't understand why a general practitioner would advise against testing for insulin is pretending not to see the predatory healthcare system for what it is.
KetOMAD your double negatives makes your statement confusing.
Super interview. I am such a huge fan of Dr Bikman. Thank you for inviting him.
This is a great interview, and very informative. Thanks. But I disagree that it is not the job of the doctor to do the research from their own initiative. It is part of the doctors job to be up with current research which effects their patients well being. That's why they get paid so well in the first place; because it is their responsibility and enables them to do a good job. It is exactly the same with teachers--if you're a good, dedicated teacher you don't just finish uni and that's it. It is a life long learning curve into the field you teach.
I think the reluctance of doctors to look at new research, in many cases has to do with both laziness and the hold of dogmatic thinking.
10 years since my type II diagnosis and today I learn that
a) When I get the shakes in my hands and start feeling the blood rushing through, that's my body at *NORMAL* blood sugar - something that none of the myriad of doctors I've seen and asked about this during that time have told me about. That's how bad my glucose addiction is?!?
b) Ketoacidosis is *not* something I should be worried about, despite being *told* to be concerned about it.
c) Calorie restriction is not a long term answer to solving type II, low carb is the way to go.
How does a low carb diet interact with hyperlipidemia associated with type II given increased levels of fat intake ?
Andy P you may have initial raised cholesterol but what is more important markers are your triglycerides and hdl cholesterol.
I have watched this video multiple times. It is excellent! Thank you for keeping it simple and easy to understand and implement. There is so much new clarity here.
“We can never embrace our hypothesis too firmly. We have to, at any moment, be prepared to step away from it”.
This is how we must approach most things in life. Sure does make change for the better all the easier. 👍
Same here. I had ketones 0.1 to 0.3 on regular Keto with plenty of leafy greens as is the prevailing idea to help insulin resistance. 2 weeks after carnivore, I had 1.50 to 3.00 ketones and my hunger had gone. A good sign my previously high fasted insulin has come down.
Thanks to the information regarding measuring Ketones in your own home (I watched this very video yesterday morning), I purchased the dual glucose/keto blood testing device, and for this video alone I thank you so very much! I have been insulin resistant for about 30 years, and have never found out how to treat it without medication, until I heard about Dr Jason Fung and Intermittent Fasting, and now I see how all this IF and Keto can and are working for my health benefit.
One night of sleep deprivation makes you insulin resistant for the next day. That's scary stuff
Siim Land thats why after a sleep depravation, no carbs the next day
Good idea.
Good thing I almost never take in carbs.
So sleep deprivation is fewer than 5 hours' sleep per night?
Any good source for that?
Great interview with Dr. Bikman. I could listen to him talk about this all day. If I were to go back and get my PhD, this is the guy I'd want to learn from!
This is all very interesting stuff, but the fact still remains that many of the longest lived people in the world regularly eat corn, rice, potatoes, and drink copious amounts of wine. They also live simply, eat seasonally, and have close knit communities. I think we'd all agree that a diet that consists of highly refined junk food is signing a death warrant, but perhaps there's a large component of health and longevity that goes beyond blood panels and insulin levels.
good interview(er) patient enough to let the guest talk, asking great questions and listening. Dr. Eric Berg, is the only other person I have seen, I just finished your interview with Hollie, the carnivore diet. thanks to both of you.
I am so glad you are talking about this. Some are talking like long fasting is the only way to go. And I just cant. So sometimes I feel like giving up. With some it is all or nothing.
Deborah I agree. I've made peace with the gact that I can only fast 12to15 hours a day. Maybe it helps maybe not. Who really know. But to me it's miles better than where I was before
Thank you both, this was worth my 1 hour 5 minutes and 56 seconds! 100 thumbs up's!
God bless!
Me being a type 2 diabetic I found this interview so informative and interesting, I sure wish my medical providers knew all this before putting me on insulin. I am 33 days in doing keto and 18:6 fasting but not seeing much movement on the scales or with my blood sugar reading and I have been wondering if that could have something to do with me injecting large amount of insulin that my doctor has put me on. I know it's going to take a while but I want to come off insulin all together.
Got to be active too!
Type 1 for 40+ years here, keto diet for 10+
You have to PRO active on this for yourself. No doctor can micromanage for you, and you can know first hand that the med drs don't really tell you how to get better. Type 2 IS reversible!
Research low carbs and diabetes. Some good names: Bernstein, Mary Vernon, Atkins, Michael Eades, dsolve.com, any of the doctors at thincs.org
It's probably going to take at least 6 months to start seeing huge changes.
Your probably doing it wrong...either you eat to much carb or fat
The big problem also are some doctors, when you tell them or ask them about do insulin test,and we try to explain to them, they look at you like " am the doctor" not you. Like if we were so ignorants
Many doctors are Narcissists.
yeah, starch based Dr Mcdougall does that a lot.
Roger Gonzalez exactly, and because of that, I tried to switch doctors and they wouldn't take me as a self-pay patient. What's this country coming to?
excellent interview. what a guy. learned loads
Ditto
"a scientist is defined as a seeker of truth.." so a beautiful sentence
This is great information. I been put on insulin for about 16yrs since I was diagnose with diabetes. No one ever said anything about checking my insulin.
Thank you a lot for this enterview! Both of you are focused, down to heart and easy to listen to. You clarified me a lot here. ❤
Listening around 30 minutes is very interesting - Bikman's discussion and opinion of the context of how protein impacts blood glucose. If glucose adapted, protein will spike insulin. If fat adapted, it doesn't. And this was shown in the 1970s. (Then it gets ignored and suppressed like everything that challenges the establishment dogma. - my 2 cents)
Incidentally, it seems obvious that advising people to "eat less fat" in 1977 effectively put the American population (and subsequently the rest of the Western world where protein consumption was typically more than adequate), on a Sumo wrestler diet: High protein, high carb, low fat. Sumo wrestlers know this is the way to get bigger and fatter, and quickly. It's all very tragic.
It's no wonder we have an increase in the number of people who believe in a flat earth. Why should people believe anything the authorities tell us? How do we make sense of it all?
Martin Irving
EVEN if fat adapted, insulin does go up but not as much compared to glucose.
Key point
Actually, in another video, he shows that if you are fasting and/or in ketosis, it does NOT affect your insulin at all. But if eating SAD, it can skyrocket your insulin!
George K, indeed, I saw a chart that shows it's a small fraction as much than with glucose. Basically just enough to drive the amino acid uptake into cells. It was one of Dr Bikman's charts.
Carol D. his graphs in the other video show that for a fat adapted or fasted person , insulin during amino acid intake such as alanine, does go up very slightly, and glucagon triples.
You will never hear from a medical doctor that HIGH INSULIN is bad and is worse than high glucose.
6 of 6 of us in my family are diabetics. 4 T2, 2 T1. the high insulin gave 4 of us heart disease, retinopathy, and kidney disease.
Very Low carb is the way to go! So much good research out there now.
Hi. I follow Dr. Richard Bernstein (Diabetes Solution) who recommends a similar diet (for decades now). He recommends (very) low carb, with focus on enough protein. He doesn't mind the fat, as he claims that if you eat enough varied healthy protein, it will come with enough fat which is built into the protein. Ketosis is the means, not the end, and as such, it should be cycled.
Dr. Bikman talks about ketoacidosis around the 56 minute mark. I started keto on Sept 1st. Over the next month, I lost 17 lbs. I started to feel off on Oct 1st (keto flu). Even though I was drinking E.R. (sodium, potassion, cider apple viengar), and taking a magnesium supplement, I felt worse & worse over the next 5 days (nausea, vomiting). On Oct 6th, I was admitted to Emergency suffering from extreme ketoacidosis. I spent 5 days in hospital on a drip, while they restored my electrolyte balance. I'm 5'4", weighed 125, and was on 2000 mg Metformin, and 10 mg of Forxiga (Dapaglifozine). I'm still not sure how I got into that situation; one of my suspicions is the drug Forxiga I was taking. Back doing keto, I'm down to 120 (my target); blood sugars normal, and regularly in ketosis.
Thank you so much for your excellent, well thought-out explanations. I especially needed to hear about the insulin/glucagon response to protein. Thanks again!
Thank you both!...such a nice interview...fabulous flow of such rich info!
I’m going on dr Ben tour. I love this guy.
As a Type 2 Diabetic, I cannot tell you the relief of hearing that I might not be "doing it" wrong. I have a bit of relief now, having better information. I still wish I had a Dr. to go to that would tell me how to get off my insulin shots but still lower my BS levels. Right now I'm reducing my insulin from 40U 3xs a day to 30U 2 times. I'll see if that works. Thanks for your interviews with interesting, informative doctors and scientists.
I can reccommend information on diabetes from dr. Jason Fung MD. He has a clinic and works with many patients with diabetes, and runs a diabetes coaching program. See his site idmprogram.com/ He has written a book on obesity and a book on fasting, and is writing a new book on diabetes. He explains it all really well, just watch him on youtube. For example ruclips.net/video/dmLTgOZRUEs/видео.html
Increasing your protein intake and drastically reducing the carbs will reduce insulin requirement. Not so easily for insulin dependents type 1
Has no one told you about a low-carb lifestyle?
Dr. Richard Berstein's Diabetic Solution... although the info is a bit outdated on the insulin side, it does not address the newer very rapid acting insulins humalog and novalg... but it's very good explaining the NON need for carbohydrates.
Of the 6 nutrients, water, fat, protein, carbohydrates, vitamins, minerals, CARBOHYDRATES are NOT needed, not essential (for life). And you only need insulin to process the carbs. He recommends less than 20 g of carbs/day... and he's a Type 1 !
Dr Atkins Diabetes Revolution.
The best and easiest to read: The Protein Power Plan by Dr. Michael Eades. (He's got videos on youtube too)
dsolve.com
Just start searching for low carb and diabetes...
You also have to do some kind of physical activity in order to make the insulin more effective in your body.
Type 1 BTW, on an insulin pump. Went on low-carb and I take much less insulin!
Incorporate fasting to your lifestyle and quit the stupid medicines!!!! No ifs and buts. Just do it!
We need to get this important information out to the world especially the government and doctors
I asked my physician why they used blood sugar when the A1c was so much better an indicator of a problem. He said " quite frankly, we don't medicate for that". Also, as a self pay the full price would have been $73.00 for the Glycosylated Hemoglobin test altho' it was reduced at his office to maybe $19.00. Thanks for the interview...very informative.
Dr Gabriella Lyons talked about protein in this way with Mike Muntzel, fits perfectly with these ideas.
Simply brilliant , as I'm a man who is desperately trying to FIX a nafld with a knock on effect of peripheral neuropathy .
More good stuff from somebody that is not glued to what was before but rather that which is current. Thank you Dr Benjamin Bikman.
Dr. Bikman!! You're awesome! I loved this, thank you for sharing all of this priceless information.
Keto mojo
Nutritional ketosis can be .3 or .5
Keep insulin at fasting conditions
Let’s not fear protein
Focus more on controlling carbs
People eat in a weird way having loads of oil to get calories
1-2kg protein a day to preserve lean mass
Rebound hypoglycaemia creates shaky carb cravings panic need to top up - get off the rollercoaster 🎢 low carb diet 🥘 🥩 🍖
Calorie restriction helps mimicking fasting
Low carb diet puts hormones in right place
IF can help incredibly well
Just has to end
Jason Fung is good example
But multi day fasts aren’t great
Time restricted eating
Circadian rhythm
Supplements
Macros have to be in control protein and fat
An egg a day 🥚 you’re covered
Cinnamon if your deficient in something
Magnesium
SOOOOO helpful! Dr Bikman has demystified the macro question for me. Thank you!!
I make it my business to stay informed, if that means reading research papers - on my own time - then I do. I think it's fair to expect physicians to stay on top of changing information, and to be well informed.
Regarding Type 2 diabetes, new information is rapidly coming forward and to remain ignorant, or use the excuse, "I don't get paid to read papers.", says something about the prevailing attitude of many doctors.
I'm thankful for the many physicians who challenge the dogma, are open-minded, and are willing to seek out the latest research to provide the best health care for their patients.
Mike Mentzer asserted it is the demand of high intensity exercise that stimulates the body to adapt by growing stronger and bigger muscles. Eating just facilitates that growth. In other words, eating protein does not guarantee preservation of muscle.
Dr. Ron Rosedale warns of the threat to longevity from eating excess protein.
I watched this video and others after suspecting that I might have insulin resistance due to hypoglycemia-like symptoms. I had been monitoring my own blood sugar and, while it was never "low", it had weird patterns. I was able to convince my doctor to give me a 2-hour glucose tolerance test but when I asked (begged really) several times to include insulin measurements I was told there was no indication for such at test.
I think fasting insulin also has minimal utility because it might only catch people in later stages of insulin resistance. After further research I found a test called the "Kraft Prediabetes Profile" from Meridian Labs. The test costs about $250 but could help people detect this condition earlier.
What a totally awesome interview!! Thank you both!!
I can't decide which of you is more outstanding. Thank you for probing questions and answers which are guiding my keto path of good health. Thumbs down must be big pharma's new logo.
Impact of sleep on insulin: although everyone's sleep requirements are different, 59:00 "but sleep deficiency, within a day, causes insulin resistance the next day."
LOVE your shows, Beckmann rocks!
Thank you for the interview, great stuff. It is often reported that one does not need to consume any carbohydrates ( glucose ) for health/ survival as the liver can produce all the glucose the body needs for its metabolic/ energy needs. However, the question I have is despite the liver's ability to perform this task, has it been proven that it doing so, is metabolically preferential to the consumption of some carbs ( glucose ) to satisfy the cellular needs, i.e erythrocytes, etc. and lessen the glucogenesis required, maybe similar to to the same analogy of eating LCHF and lessening the pancreas's need to release insulin?
Dr. Benjamin Bikman's ideas about brown adipose tissue , and how glucagon behaves uniquely in low carb practioners, when consuming higher protein, has to be two of the most novel things to come out of the low carb community in years. While he seems to credibly refute the idea that eating higher protein will jeopardize ketosis, when a person is consistently eating low carb, I wonder what he feels about the other objection to higher protein consumption - that such higher protein consumption will activate mTOR, which contributes to cancer growth. A major proponent of this idea is Dr. Ron Rosedale, who is also a low carb advocate, but who says we should severely limit our protein intake because of this potential of higher protein to adversely effect mTOR. I wonder what Dr. Bikman's thoughts are on the subject.
1 study is done on low carbers, not zero carbers. any amount of carbs will short circuit the system to a degree,
2 protein is essential, but if u want autophagy, dry fasting, fasting, going into maintenance mode is essential.
its not that relevant to think about the small tweaks but the big ones.
eat once every 3 days , dry , then eat meat. = maximum autophagy
Drake Santiago Yeah, it would be great to have a discussion between Bikman and Rosedale and see what combined insights they could come up with.
Drake Santiago he addresses your question pretty thoroughly in a podcast he was on this week with zack bitter and dr Shawn baker. I think it’s called human performance outliers on iTunes. Super interesting if you like this kind of stuff. Such a relief to hear him say this because I tend to think fat is a lot more palatable with protein. I think all of this has to be taken with as grain of salt it’s clear that the jury is still out but I’m glad to hear there is info to support it’s benefit.
Your mitochondria will be good so apoptosis will happen, so no cancer.
mTor will just increase your muscle mass in this case.
Where can I access more about this?
30:30 Carnivores eat eggs, butter and cheese which are high fat, liver, brains, bone broth and fatty fish - so keto carnivore isn't that hard.
Sooo many people need to listen from 40:00 onwards if nothing else. I keep telling people I'm close to that they should not feed their jitters but they just don't want to know :-( They think I'm mad for going hours without food.
man. i would love it if you time stamped this for key moments. fan-flippin-tastic video.
I enjoyed this interview immensely. I will just point out, however, that Dr. Fung talks at great length regarding refeeding syndrome, and how to break a longer fast safely.
I want to get Dr Fung on the podcast to talk about fasting and IF ;)
Biohackers Lab - I have my fingers crossed that you get him on! I love his pragmatic and insightful advice. It has helped me vastly improve my health over the past nine months.
fung is not a good representative for fasting. he is biased by his comfort level. try gettign cole robinson / snake diet
I must have missed that one. I ended up with disaster pants a bunch of times.
There’s a lot of info on breaking a fast and actually prepping g your body nutritionally beforehand. I like Thomas DeLauer and Dr Berg. Awesome interview!
Excellent Information from a very competent professional.
15:15 and 16:05. That's huge. Thank you.
Amazing chanel, amazing questions and great answers, I just hope you become more interactive in a more energetic way.
Keeping protein to around 1 gram per pound of body weight is sensible to protect the kidneys. I make up the energy with fat(don’t count calories or macros). Coffee and sleep deprivation are my main problems. Reading definitely helps(I like thrillers and sci-fi).
Dr Bikman is doing great job of pointing out the futility of chasing higher ketone meter numbers while fearing protein and slurping down a whole bunch of oil. That is a fundamentally unnatural diet. I am feeling so much better since going carnivore from keto.
What an AMAZING podcast!! So much information!! Thank you!
Thank you for all this information. Fabulous program.
I enjoy your interviews so much! Thank you for providing such great content x
Thank you Dr Benjamin Bikman fore the knowledge that you give
Excellent. Thank you for this, one of your better interviews.
Thank-you for the nice feedback, appreciated :)
I have been eating mostly carnivore for 8 months. I feel wonderful. I believe that my "insulin Resistance" is no longer a factor even though I haven't dropped weight. I'm going to steady the course. I eat on a 18:6 IF. I am trying to be more OMAD, so I can lose weight. One thing I love about carnivore, is that I'm never hungry.
Thank you so much for this interview! I have been trying to boil down all this keto information to a simple to-do plan. :)
It's true there tends to be resistance to requesting an insulin test. Part of it is whether insurance will pay for it, or not. The doctor is required/forced to "make up an excuse" why the test is being done. It's a bit awkward. I just did an insulin and testosterone test recently. I paid out of pocket as it is worth it to me to do so; particularly the insulin. Insulin and testosterone appear to be inversely related (for human males). They've been blaming high cortisol for suppressing T levels. I think it misses the mark. Doctors just really aren't with the program.
My daughter had her insulin checked, without finding out cost first. She is still paying for it. It was over $1000 in upstate NY.
Jan Levine
ouch. I would call that legalized fraud. It really is remarkable what medical insurance gets away with.
Your interviews and discussions are top notch!
Please make more science videos about the topic or other health areas. Thank You!
Great interview! Thank you!
this was a gem. Thankyou so much
Priceless information! Love it.