Keith Runyan, M.D.: Management of Type 1 Diabetes with a Ketogenic Diet

[@tequila2900]

How is it that this video has so little likes?!! This should be seen by every T1D!

[@HemanLee]

I'm a TD1 since 1971, just start Keto after reading Dr. Berstein's book, my HbA1c averaged 7.0 +- 2 for years, after just 3 weeks on low-carb it when to 6.0.

[@justine5930]

Hello if your blood sugar when low and you needed to treat would it take you out of ketosis?

[@venkateshdj]

I am 35 yrs old, type 1.5 since 6 month and on oral medication. I am watching your video repeatedly to learn how to start with insulin therapy and low carb diet. you are my role model.

[@diabeticmuscle45]

Fellow t1D here and have been doing keto and IF for the past 3 years my insulin needs are lower than ever and I’m lean and muscular

[@cjchillax1771]

This diet does vastly increase your strength in my opinion

[@justine5930]

But if your blood sugar goes low and you need sugar will it knock you out of ketosis?

[@y.g.1313]

good, detailed lecture. Hypoglycemia incidents reduced to practically zero (1-3 per year), which is main danger in Type1. Good start on path to cure, big progress. thank you.

[@matthewferreras7181]

Great video. This really touches on a lot of concerns I've been having since going on the keto diet.

[@zeffii]

it's reassuring when even an MD who's tracking his BGs as intense as that states that he can't really account for some of the spikes.

[@cheryllglowacki7486]

Finally, another person with my story. I became a type 1 diabetic around the age of 50 and it took me years to convince my doctor I was a type 1 diabetic because of my age - only a blood test showed my pancreas was not working. I have the roller coaster blood glucose you show in your charts. I live six months of the year in Sarasota and plan and on visiting you in November because you know the nightmare my life it.

[@adjeipeter1714]

hello sir ,its nice to meet you ,

[@westnewwest4325]

I am convinced that: 1) we are ALL carbohydrate addicts and 2) we do not need ANY carbs. I am carnivore for 5 months so far and have no plan to ever return to my former ways of eating. The benefits are far too many to list here. Just stopping eating processed food and you are 90% of the way there.

[@brucejones5258]

Just starting the keto diet and I'm a T1. This is the 2nd time I start intermittent fasting after supper and within 5-6 hours I'm experiencing a low. Clearly I am taking too much of a bolus at supper. I just took a reduced long acting insulin and cut out a 1/4 of it hoping not to have the low continuing... took about 10 pecans. We'll see what happens tonight.

[@brucejones5258]

Well, my glucose is free falling during this IF attempt and now I've just taking glucose tabs just after posting this. Crap. Obviously fasting isn't going to continue.

[@andrewnolan5086]

Your basal insulin as well as meal bolusing will need to be reduced. Once your basal is correctly adjusted, you’ll be able to fast. In fact, skipping meals is the only way to really know if you have your basal insulin dose(s) correct.

[@justine5930]

If your sugar goes low and you need juice let’s say once or twice a day does it ruin your keto diet?

[@tequila2900]

Can someone tell me why endocrinologists discourage us (T1D) from following the keto diet? They blame it on ketones but doesn’t seem like it’s the case! The ketoacedosis doesn’t seem to affect.... can someone elaborate on this pls?!

[@Jefferdaughter]

Whole, unprocessed foods are considered to be the foundation of any healthy way of eating. Milk, and other products from the dairy, as sold in American supermarkets, are *highly processed*. When milk is exposed to high temperatures in flash pasteurization, now used to pasteurize most all milk, many valuable nutrients are lost or damaged - including the proteins, like casein. Pasteurized milk bears little resemblance to 'the real thing' fresh and unprocessed. Milk is the only food humans eat that was specifically designed and produced to be FOOD. HTST (high temperature short time) and UHT (ultra high temperature) pasteurization are convenient for the big processors that buy milk for less than the cost of production, treat it, then put it into plastic jugs or plastic-lined cartons and sell it for a huge markup. Some milk and cream is 'ultra-pasteurized', using either UHT or radiation. Yum! Pasteurization also allows the management of dairy animals, in the USA usually cows, and care during milking to be more lax. Other effects of processing milk include: - Loss of many vitamins, including Vit C (Have you ever heard before than natural milk contains Vit C?) - Destruction of naturally occurring beneficial dairy bacteria, aka 'probiotics'. - Destruction of enzymes, including lactase. - Fat content is reduced, even in 'whole' milk from the level present in the unprocessed milk of dairy cows fed high forage (grass, hay, etc) diets. While fat content varies with the season, stage of lactation, and other factors, even the American industrial Holstein can average 4% butterfat on a good diet. Jersey cows, and many heritage breeds, produce even more butterfat- as much as 5-6%. The cows of the Masai, who traditionally lived on the meat, milk, and blood of their cattle and goats, reportedly averaged 8% butterfat. The 'whole' milk in supermarkets is 3.25% butterfat. - Butterfat structure is altered. The cream is removed during processing, and the fat globules are artificially reduced in size before just enough is added back to meet the 3,25% standard for 'whole' milk. This, and the promotion of lowfat and skim milk (which was only fed to pigs one or two generations ago), allows the food industry to get more profit from skim milk, and also to have more high-value cream for products like ice cream, cheeses, butter, etc. Thankfully, unprocessed milk from cows, and goats, and sometimes other species, is available in most areas of the USA direct from the farmers. Milk should come from healthy animals, managed on pastures, with hay and stored forages in winter. We prefer 100% 'grassfed', no grain. The Omega 3 levels in grassfed milk can be 7-10 times the levels in milk from cows fed forages/pasture/grass and grain. (Benedikt Dairy). Ideally, milk will never come into contact with plastic. The jugs and plastic lining of milk cartons transfer a number of harmful chemicals to the milk, and also alter the flavor. When properly handled, unprocessed milk keeps under refrigeration for at least 10 days. When it begins to 'turn', unprocessed milk does not putrify as processed milk does, but 'goes good', not bad. This was the origin of foods like yogurt and kefir, and cheeses. *The growth of pathogens in unprocessed milk is suppressed in unprocessed milk.* This has been repeatedly demonstrated, even when pathogens were intentionally added to the unprocessed milk. Many are shocked to learn that consumption of pasteurized milk has led to illness and hospitalization... though this is never publicized. Humans around the globe have formed symbiotic relationships with the other animals in their environments. Since sheep and goats were domesticated before cattle, this goes back further than most archeologists are aware. Cattle (two species), sheep, goats, yaks, water buffalo, camels, reindeer, and mares have all shared their milk with the humans who helped care for them, and protect them from predators.

[@lilyoh5780]

thank you!

[@douglashughes2331]

At the end of the race you say 'because my glucose was elevated I did not need to eat', this is something that I have questioned in the past. I have seen suggestions that exercising with 'high blood glucose' could also pose dangers (though I do not understand why). During a bicycle 'race' up mount Washington my BG rose and I shot insulin to keep it in target with success.

[@krunyanmd]

Douglas, I did not eat during the triathlon because my blood glucose (BG) was already elevated. Eating would make it go higher. I did not take insulin because my usual pattern was that my BG decreased as the duration of exercise increased. I was really keen on avoiding hypoglycemia. The degree of elevation I had during the triathlon was not dangerous. The danger they are referring to is diabetic ketoacidosis. It is generally recommended that if the BG is >300 mg/dl, that one postpone exercise and first correct it with a dose of insulin. Once the BG is down to one's usual pre-exercise level, then start the exercise. My elevation of BG was likely due to skipping the breakfast insulin dose which again I did to avoid hypoglycemia. I'm glad you had success with injecting insulin which I have done before as well.

[@ombijahcharlesibrahimesq8497]

Awesome effort

[@karenchampine6596]

Hello, Thank you for all this great information. I have tried the low carb diet in the past, but I was under 20/carbs per day, after 4 weeks on the diet I went back to eating more carbs, normally under 80/day. I acually missed my lattas is the main reason why, but what I noticed was my sensitivity to insulin decreased so I had to take more insulin. Prior to starting i was 1:15, after doing low carb 1 was 1:18 and it took longer for my sugars to come down as well. I want to try this again, for weight loss but hesitant due to the sensitvity factor, what are your thoughts or anyones elses on this. Thanks Karen

[@HemanLee]

Do you recommend a change to Regular Insulin for meal-time bolus?

[@Foot123_-]

Can a diabetic type two end up being a type one?

[@naghmaehtesham7963]

I wanted to like the keto diet but it was just impossible, I felt horrible. Then I saw a review about the Agoge diet and I tried it and it was awesome.

[@adjeipeter1714]

hello sir

[@aprilr1064]

the keto diet... the one diet my instructor said to stay away from or reserve a seat at the dialysis clinic. She was a former dialysis nurse. High protein is proven to destroy the bowels and kidneys.

[@karenchampine6596]

April I have heard that as well, hoping he will address this. Especially if one already has high protein in their urine right!

[@craigarious1]

Keto diet is high fat, not high protein.

[@ninob9936]

I've also heard that Proteins, especially from animals cause alot of work for the kidney. On the other hand high glucose levels do so aswell so maybe that kind of balances it each other

[@sigalsmadar4547]

watch the videos on the Low Carb Down Under channel. High INSULIN destroys the vascular system. Low carbs, low insulin.

[@ketobestfriend9419]

Keto is not high protein, its moderate protein. Usually 20% of food intake. Mostly good fats and veggies, look again at what this doctor eats he eats veggies and nuts with meat. He does eat more protein than most on keto, but it sounds like he follows a protocol from a book.

[@az.az466]

Keto👎👎👎