this post was submitted on 14 Mar 2025
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Other terms: LCHF Carnivore, Keto Carnivore, Ketogenic Carnivore, Low Carb Carnivore, Zero Carb Carnivore, Animal Based Diet, Animal Sourced Foods

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Type 1 Diabetes discussion with Dr. Andrew Koutnik & Dr. Shawn Baker - 1h (hackertalks.com)
submitted 3 weeks ago* (last edited 3 weeks ago) by [email protected] to c/[email protected]
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Dr. Andrew Koutnik, a leading researcher in the field of biomedical sciences with a strong background in exercise physiology. Dr. Koutnik shares his insights as a type one diabetic who has dedicated his career to researching this condition, particularly the effects of low-carb and ketogenic diets on exercise performance and diabetes management.

In this discussion, we dive into the controversial claims surrounding the potential for low-carb and carnivore diets to prolong the honeymoon period in type one diabetes. Dr. Koutnik provides a comprehensive overview of the current treatment landscape, including the promising developments in immunomodulatory drugs and their potential to extend the honeymoon period for patients.

We also explore the significance of glycemic control and its relation to long-term health outcomes for diabetics, comparing the roles of technology and diet in managing blood glucose levels. Dr. Koutnik shares his personal experience and knowledge, drawing on ten years of data from his own life to illustrate the impact of a low-carb diet on diabetic health over the long term.

https://youtu.be/eE2FTNpIEAs

Timestamps:
00:00 Trailer
01:15 Introduction
06:42 Historical diabetes diets: early low-carb treatment
09:11 Barriers in curative therapies
13:15 Glycemic control in type 1 diabetes 1
06:40 Glycemic control crucial in type 1 diabetes
18:54 Insulin dose impact on type 1 diabetes
22:45 Peripheral insulin resistance in type 1 diabetes
26:52 Exercise for insulin sensitivity boost
27:40 Exercise regularly for insulin sensitivity
33:41 Low-carb diets and prediabetes
35:41 Endurance exercise and insulin resistance
37:42 Nutrition change resolves symptoms
43:56 Protein's impact on type 1 diabetes
45:17 Optimizing insulin kinetics for protein
48:35 Increased protein intake for jiu-jitsu
53:40 Ketogenic diet's cardiovascular impact
54:37 Where to find Andrew

Andrew has a interesting list of publications: https://andrewkoutnik.com/scientific-publications/

Especially this one: Advanced cardiovascular physiology in an individual with type 1 diabetes after 10-year ketogenic diet https://doi.org/10.1152/ajpcell.00694.2023

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[–] [email protected] 2 points 3 weeks ago (1 children)

The major take away for me is that the biggest factor for health outcomes is glycemic control (not hba1c)

[–] [email protected] 2 points 3 weeks ago (1 children)

Interestingly enough, we have been told to eat carbs to keep sugars down, as there has not been enough insulin administered throughout the day and blood sugars will go up anyway.

I'm not a Dr, so my explanation is extra bullshit. Basically, it was easier to regulate the persons' sugar when they had some carbs.

[–] [email protected] 2 points 3 weeks ago* (last edited 3 weeks ago) (1 children)

Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars - https://archive.org/details/drbernsteinsdia00bern

https://www.diabetes-book.com/laws-small-numbers/

“Big inputs make big mistakes; small inputs make small mistakes.”

My understanding from this talk, other talks, and Dr. Bernstein's work is that the reason for carb loading is to avoid hypoglycemic events, which is easier to do when carb loading (you raising the ceiling and the floor). However on a low carb intervention (after the 6 week adaptation phase) the body is using fat for most systems, so glucose dips are far less likely, and overall glycemic control becomes much better.

If you agree that the less insulin needed the better, the best way to reduce insulin needs is to avoid dietary carbohydrates.

This is why the Low Carb T1D protocol is showing such good results.

This study is interesting - Effects of a low-carbohydrate diet in adults with type 1 diabetes management: A single arm non-randomised clinical trial

Showing improved hba1c at 12 weeks of intervention, and most importantly time in range improvements!

As a illustrative example here is one women's time in range before low carb, and after

[–] [email protected] 2 points 3 weeks ago

That's super interesting. I'm not the one making these judgments, just here to facilitate.