Can Keto Transform Type 1 Diabetes Treatment? A Decade of Insights from Dr. Andrew Koutnik

[@SusanOJohnsey]

My mom is type 1 diabetic. She has been so for over 50 years. She was told to count carbohydrates. She had a book that listed thousands of foods and many were processed and others were whole foods. She was very careful in counting her carbs for each meal. She had a formula at first that she used to decide her insulin need. She took the shot before eating. She ate 35 carbs for breakfast and 40 carbs for lunch and dinner. Evening snack of. 20 carbs. She is now 96 and until two years ago she took care of her diabetes this same way although she did begin using a pump 10 years ago. That took a lot of persuasion from me but she finally made the change and loved it. I was able to convince her to use a cgm in 2023. I have found it to be so helpful in understanding what affects her insulin needs. I am her caregiver now. I have learned a lot in last 5 years about carbs and insulin and recently metabolism. Keto diets are excellent for everyone I think. I’m not diabetic but I watch what carbs I eat.

[@1timbarrett]

The stats on T1D are sobering. Thanks for this interview. 🙏

[@bakrantz]

It is sad to me that Type I diabetics are treated so poorly by the medical establishment and not directed to use dietary interventions to obtain a normal A1C and a better health outlook. We have known a ketogenic diet is a valid intervention since the 1920s. It is unbelievable to me that this is not an option put forth by professionals.

[@metabolicmind]

We agree. The desired outcome can and should be normalization of blood sugar, and keto is a powerful tool to use along with medication to get there. We need the medical world to understand this!

[@nataliajimenez1870]

A normal A1C AND lower insulin levels. We know that hyperinsulinemia (either produced by the pancreas or injected) is associated with many chronic diseases. Now we have Type 1 diabetics that have also developed Type 2 due to guidelines that encourage the use of high levels of carbs followed by high levels of insulin

[@VoxelPrincess]

Thank you for this episode! I tried to go on keto and ended up with ketoacidosis since I was using my omnipod's automatic feature. You have to make sure you're getting some insulin.

[@metabolicmind]

We're sorry to hear that happened? Are you able to find a doctor or other clinician to work with to make sure you are as safe as possible? This map may help www.dietdoctor.com/new-and-improved-find-a-doctor-page

[@johnmadany9829]

The only thing that I think people need to be aware of is the potential for euglycemic DKA. Otherwise it just makes sense and asking for more evidence is applying the wrong paradigm!

[@petitfiletmignon]

Excellent presentation

[@1timbarrett]

Despite mispronunciation of ‘prevalent’, this presentation was superb…! 👍

[@johnmadany9829]

The risk of hypoglycemia comes directly from trying to match insulin to carbohydrates. The people with the lowest hemoglobin A1c have the least hypoglycemia! I've been working with this for years. It's unethical to follow ADA guidelines. At some point you have to realize that money drives those guidelines. Factoring in funding sources is a form of evidence. You can't just wait for trials made by drug companies.

[@metabolicmind]

Thanks for your comment!

[@ScienceAppliedForGood]

It was a good talk wit Dr. Andrew Koutnik. The Metabolic Mind's log reminds me of mitochondria. I am not sure it was intentional.

[@kenadams5504]

I think there really is an irrational fear of keto diets, at least ,amongst some sections of the Medical Profession .... I call it, ' ketophobia '.

[@metabolicmind]

We need to break down ketophobia for the sake of the patients!

[@kenadams5504]

@@metabolicmind absolutely .

[@sharkair2839]

if his glucose is between 70 and 120 shouldn't his a1c be even lower?

[@bakrantz]

My glucose is 78 and my A1C is 4.6. If he runs sometimes over 100 his A1C will be higher. When I ran higher BG my A1C was over 5.